Registered Nurse Operating Room

Job description

Summary

The Perioperative Operating Room (OR) Registered Nurse (RN) is accountable for patient outcomes resulting from the nursing care for the patient undergoing a surgical/invasive procedure. The OR RN plans - directs - and coordinates the care of every patient undergoing operative and other invasive procedures - taking into consideration respect for the individual and recognition of the important contribution that each team member makes to the patient's well-being.

Qualifications

Basic Requirements:

English Language Proficiency

In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English

Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)

OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program

Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program

(Reference VA Handbook 5005 - Appendix G6)

OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program

Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)

Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia

Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification

Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade

The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment:

Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies

An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required

Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex

An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required

Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning

Self-directed in goal setting for managing complex client situations

An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2

OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2

OR a Master's degree in nursing (MSN) and no additional professional nursing experience

OR a Master's degree in a *related field with a BSN and no additional professional nursing experience

Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others

A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3

OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3

OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3

OR a Doctoral degree in Nursing with no professional nursing experience

OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience

Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting

MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III

*Note: Foreign education programs/degrees are not creditable as related degrees

Preferred Experience: Current BLS required ACLS optional BSN preferred - if AND prefer if candidate is enrolled in BSN program or bridge program

Minimum 2 years current Operating Room experience in circulating complex cases - scrubbing experience preferred

RN can circulate complex surgical procedures: Orthopedic total joint cases

robotic procedures

spinal fusions - neurosurgery - gynecology - urology - head and neck - vascular and cardiac surgery

Prefer main hospital experience

AORN Specialty certification (CNOR) preferred

Reference: For more information on this qualification standard - please visit

Physical Requirements: In accordance with VA Directive and Handbook 5019

Heavy Lifting and Carrying (45 lbs

and over)

Straight Pulling - Pushing - Walking - Standing - Kneeling - Repeated bending - Keyboarding - Viewing computer screen (8 - 12 hours)

Reaching above shoulder

Use of fingers

Both hands and legs required

Ability for rapid mental and muscular coordination simultaneously

Near vision correctable at 13"" to 16"" to Jaeger 1 to 4

Far vision correctable in one eye to 20/20 and 20/40 in the other

Depth perception

Ability to distinguish basic colors and shades of colors

Hearing (aid permitted)

and Emotional/Mental stability.

Duties

The Operating Room Perioperative Registered Nurse assumes the following roles and responsibilities: 1

Functions in the role of circulator - scrub - pre-op holding - OR/SPS liaison - and charge nurse

Effectively plans/coordinates patient treatment - flow - and throughput with daily staffing resources

makes assignments and directs staff activities based on patient needs - acuity - staff competency and skill-mix

2

Provides 1:1 patient care and competently manages patients with complex diagnosis requiring surgical intervention

3

Manages critically ill patients where anesthesia or moderate sedation is needed or used

4

Supervises allied health care providers and support personnel with appropriate authority

5

Reviews the qualifications and competence of privileged providers/staff who provide patient care services

6

Applies the nursing process (assessment - diagnosis - outcome identification - planning - implementation - and evaluation) to all aspects of patient care

7

Performs duties of Service Leader/Alternate Service Leader as assigned with a comprehensive understanding of the assigned specialty

8

Participates in the orientation of new personnel - assists staff in development of scrubbing and circulating skills to provide an optimal care environment for the patient

9

Participates in training for self and others for professional development activities aligned with VA mission - goals - and objectives

10.Demonstrates an ability to be flexible - organized and function under stressful situations - adjusts to the uneven workflow and changing priorities of the surgical suite

11.Safely and effectively participates in the resuscitation of a patient during a code blue or rapid response situation - including the use of the biphasic defibrillator - when needed

12

Handles multiple projects and duties simultaneously - prioritizing as needed

Identifies potential and actual problems involving resources and/or safety

13.Inventories and reviews the surgical case cart contents with the selected surgeon's preference card - prior to the surgical huddle and/or surgical block huddle

14.Participates in the Pre-Op Briefing \"Huddle.\" 15.Communicates and anticipates the needs of the surgical team members (surgeons - anesthesia - residents - surgical technologists - health techs - anesthesia techs - etc.)

16.Communicates with Escort service and the Blood Bank for delivery - storage and return of blood and blood products

17.Assures emergency equipment and supplies are always available

18

Ensures detailed turnover with relief personnel for breaks - lunch relief and end of shift relief

19

Conducts a post-operative debriefing with the attending surgeon at the end of the procedure

20.Demonstrates competency with urinary catheter insertion and maintenance during procedures

21

Demonstrates effective interpersonal communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers

22

Demonstrates leadership in safe work practices

23

Monitors economic use of supplies and equipment

24

Checks the autonomic dysreflexia kit - crash cart - defibrillators - and temperature and humidity of rooms where reusable medical equipment is stored as assigned

25

Participates in shared governance - team meetings - and process improvement activities - monitors results - and advocates for self and staff compliance to regulatory requirements

26

Uses knowledge and demonstrates leadership in using resources (services - equipment - and supplies) in collaboration with other departments and Nurse Managers to improve quality of patient care

27

Actively participates in at least one unit based - nursing - or hospital-wide committee

28

Demonstrates ability to utilize computer systems in the performance of daily duties

29

Submits timely (within 24 hours) JPSR's in an SBAR format and notifies supervisor and provides details of JPSR

30

Provides constructive and timely input on performance appraisals

31

Achieves or maintains certification in perioperative nursing

32

Performs other duties as assigned

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday-Friday - PM Shift - - - call required Telework: Not Available Virtual: This is not a virtual position

Relocation/Recruitment Incentives: Not Available Permanent Change of Station (PCS): Not Available

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Worksite address

san diego, CA, 92189, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.