Registered Nurse (Perioperative Operating Room)
San Antonio, TX
ABOUT THIS ROLE
<p>The Perioperative RN demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences outcomes by collaborating with members of the interdisciplinary team.</p><h3>Major Duties</h3><p>This position is part of the bargaining unit. Nurse I, Level 1 Delivers fundamental, knowledge-based perioperative nursing care with close supervision. Develops technical skills in the Operating Room setting. Assesses, plans, implements, and evaluates age-specific patient care. Functions competently in circulator and scrub roles. Maintains sterile technique and supports safe use of instrumentation and equipment. Participates in surgical time-outs, counts, specimen handling, medication administration, and documentation. Seeks guidance as needed and completes assigned work safely and appropriately. Participates in interdisciplinary care planning and unit-based improvement activities. Nurse I, Level 2 Provides technically competent perioperative nursing care with general supervision. Integrates biopsychosocial concepts, clinical judgment, and technical skills into patient care. Manages assigned patient care safely and timely, assisting team members as needed. Delegates tasks appropriately and ensures completion by team members. Demonstrates progression from team member to team leader. Applies high reliability principles and I CARE values to improve patient outcomes. Seeks learning opportunities and shares evidence-based practices with peers. Participates in unit-level performance improvement activities. Nurse I, Level 3 Delivers self-directed professional nursing care for complex perioperative patients with occasional supervision. Independently plans and provides technically competent care. Organizes and prioritizes patient care needs and ensures assigned tasks are completed. Serves as an emerging leader, including team leader or charge nurse responsibilities. Directs others in Veteran/patient-centered care, safety, and satisfaction. Models ethical practice, high reliability principles, and I CARE values. Educates colleagues or students and may serve as preceptor or mentor. Models evidence-based practice and recruits peers for improvement activities. Nurse II Leads professional nursing practice in the immediate practice setting. Provides and supervises direct care for complex perioperative patients. Functions proficiently in circulator and scrub roles across surgical specialties. Leads staff involvement in planning, decision-making, and outcome evaluation. Resolves care coordination, timeliness, process, and environment-of-care concerns. Serves as a resource for patients, caregivers, and staff on ethical issues. Leads education, mentoring, precepting, and teaching activities. Leads evidence-based practice, resource use, and performance improvement initiatives. Nurse III Provides expert-level perioperative nursing practice with outcomes beyond the immediate practice setting. Leads and organizes care delivery to ensure continuity, accountability, and improved outcomes. Leads initiatives to improve Veteran experience, safety, satisfaction, and care coordination. Applies advanced clinical knowledge and judgment to guide staff and interdisciplinary teams. Leads committees, councils, education efforts, mentoring, and development of future leaders. Leads evidence-based practice, research integration, performance improvement, and resource management. Shares knowledge and outcomes beyond the unit or immediate practice setting. Demonstrates leadership, experience, and creative approaches to complex client care. 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, Rotating Shifts between 6:30am-5:30pm Telework: Available, ad-hoc only, in accordance with agency policies. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.<h3>Education</h3>The Associate Degree Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE). Verification of accreditation may be obtained from http://www.acenursing.us/accreditedprograms/programsearch.htm or https://directory.ccnecommunity.org/reports/accprog.asp If your school has changed names, or is no longer in existence, you must provide this information in your application. If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet.If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
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