Registered Nurse (Perioperative)

<p>The VA Texas Valley Coastal Bend Health Care System (VCBHCS), Harlingen, TX is seeking a Registered Nurse (Peroperative Section) to demonstrate advanced clinical knowledge in assessing, planning, implementing, documentating, and evaluating care for designated patients.</p><h3>Major Duties</h3><p>The Perioperative Registered Nurse will maintain effective working relationships with patients, visitors, professionals, and support personnel within or outside of the perioperative area and accountable for patient outcomes resulting from the nursing care undergoing a surgical/invasive procedures. Additional duties include the following: Adheres to Standard Operating Procedures and Policies related to RMD. Participates and assists with quality improvement process and SOP development Maintains current knowledge of multidisciplinary resources/programs/services, and refers patients for community resources as appropriate Conducts pre-appointment telephone reminder calls and provides preoperative instructions specific to the procedures. Evaluates needs and assesses the patient's ability to learn the principles of self-care; utilizes appropriate resources if the patient is unable to grasp the knowledge/skills needed for self-care - Screens patients for social service, home care, and other community care needs; coordinates or makes referrals as appropriate; and seeks consultation when indicated. Provides nursing support to PASS (Pre-Anesthesia Surgical Screening) clinic, and completes documentation appropriately. Ensures all required pre-procedure tests are completed timely. Conducts pre-surgical/procedure patient assessments using face-to-face, telephone, or video modality for pre-anesthesia surgical screening clinic appointments. Provides patient/family education prior to the surgery regarding expectations, preparation, and plan of care on the day of surgery and post-surgery. Collaborates with the interdisciplinary team including surgeons, anesthesiologists, and other members of the surgical team to ensure quality patient care. Completes pre-procedure checklist and ensures relevant documentation/ reports are available Conducts Pre-procedure verification process and reviews the patient's chart addressing any missing information or discrepancies. In the Pre-Operative Department verify the correct procedure/surgical site with the patient, physician's orders, and consent. Assess and prepare patients for procedures appropriately Provides IV access and therapy/ treatment according to policy and procedure Participates in the pre-procedural team huddle, and assists with the surgical site marking process. Facilitates proper warm handoff to and from the surgical team. Provides care to patients under moderate sedation ensuring patient safety and takes appropriate action when adverse events occur. Manages care of post-operative patients including airway management, hemodynamic stabilization, tube and line patency, neurological assessment, assessment and management of pain, provision of physical and emotional maintenance, and discharge safety including documentation and communication of patient status. Assesses patients requiring continuous hemodynamic monitoring and vasoactive medications. Monitors for adverse reaction to anesthesia agents /surgical and medical complications, and intervene appropriately Keeps the surgeon, anesthesiologist, and surgical team aware of patient progress, issues, and/or problems. Keeps patient/family informed of patient's condition. Perform fall risk assessment and assists patients (using the restroom, changing in and out of hospital gown, etc.) as needed. Completes discharge instructions and plan of care for all patients at the time of disposition. Discharge patients when criteria are met; Remove IV cannula/monitor leads/ID bracelets, and destroy them appropriately. Escorts and assists patients to their vehicles at discharge. Completes post-procedure follow-up calls and documents in a timely manner Completes nursing documentation in CPRS, Vista, and Innovian as applicable, in a timely manner. Closes the Encounter Notes for patient. Work Schedule: Monday - Friday (7:00 a.m. - 3:30 p.m.) VA offers a comprehensive total rewards package: VA Nurse Total Rewards Telework: This position is eligible for Telework (Ad-Hoc) 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</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.