Registered Nurse - Post Anesthesia Care Unit/Ambulatory Surgery Unit

Job description

Summary

The Perioperative Post Anesthesia Care Unit & Ambulatory Surgery Unit (PACU-ASU) Critical Care Nurse is a professional registered nurse (RN) who is responsible and accountable for all elements of the nursing process along the Perioperative continuum of care - PeriAnesthesia - Post-anesthesia Phase I - Phase II - and Extended Care. The incumbent provides care to all surgical and procedural service specialties.

Summary

The Perioperative Post Anesthesia Care Unit & Ambulatory Surgery Unit (PACU-ASU) Critical Care Nurse is a professional registered nurse (RN) who is responsible and accountable for all elements of the nursing process along the Perioperative continuum of care - PeriAnesthesia - Post-anesthesia Phase I - Phase II - and Extended Care. The incumbent provides care to all surgical and procedural service specialties.

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 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 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

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

Physical Requirements: Heavy Lifting (45 lbs and over)

Straight Pulling - Pushing - Walking - Standing - Repeated bending (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

Both eyes required

Depth perception

Ability to distinguish basic colors and shades of colors

Hearing (aid permitted)

Emotional/Mental stability

Keyboarding and reading computer screen (8-12 hours intermittently over scheduled shift).

Duties

The PACU-ASU Critical Care RN assumes the following major duties and responsibilities: 1

Competent in charge nurse and preceptor duties

2

Practice affects unit - team - or workgroup level to improve care

3

Practices independently

4

Organizes and coordinates staff and resources to identify problems - issues - and needs to improve existing processes at the unit - team - or workgroup level

5

Looks for opportunities to improve practice or functions at the unit level for a group of patients - using group process to accomplish this by organizing - leading - or facilitating interdisciplinary team meeting(s)

6

Precepts and mentors others by coordinating patient care and collaborating with other disciplines/ departments to achieve desired patient outcomes

7

Precepts and coaches others on appropriate management of mechanically ventilated patients

8

Precepts and coaches others on safe and therapeutic care of the patient with epicardial and transvenous pacing

9

Able to lead resuscitation efforts of a patient during a code blue or rapid response situation

10.Strong analytical and critical thinking skills - with the ability to quickly analyze problems - determine appropriate level of intervention - and develop and apply effective solutions

11.Assists the UPC and the Nurse Manager in the development - maintenance - and implementation of the Units Score Card - addressing process related to the feedback from All Employee Survey

12.Proactively makes leadership choices to prioritize Veteran-Centered needs - operating within allocated resources - and takes the initiative to find solutions to operational challenges

13.Functions as an expert in clinical practice and/or areas related to the assignment of roles and responsibilities

14.Guides - develops - and supports staff from a leadership perspective

15.Assumes leadership role in identifying policies procedures - standards - guidelines - and protocols requiring review or revision

16.Performs other duties as assigned

Preferred Experience: Current - unrestricted Registered Nurse (RN) license

Minimum of two (2) years of current experience in a Post-Anesthesia Care Unit (PACU) or Intensive Care Unit (ICU) providing critical care-level services

Demonstrated competency in managing patients across the perioperative continuum - including Phase I (immediate post-anesthesia) - Phase II (recovery) - and extended care settings

Strong clinical skills in airway management - hemodynamic monitoring - pain control - and post-anesthesia recovery

Experience caring for a wide range of surgical and procedural patient populations

Current Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications

Certified Post Anesthesia Nurse (CPAN) credential

Ability to independently assess - plan - implement - and evaluate patient care in a fast-paced - high-acuity environment

Demonstrated leadership abilities - including charge nurse responsibilities - precepting - and mentoring staff

Experience with mechanical ventilation - cardiac monitoring - and emergency response (e.g. - code blue - rapid response)

Strong critical thinking - problem-solving - and organizational skills

Effective communication and collaboration skills across interdisciplinary teams

and Commitment to adhering to established policies - standards of care - and professional nursing practice

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 - 0500 - 2200

To be discussed during interview Telework: Not Available Virtual: This is not a virtual position

Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

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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.