Registered Nurse - Special Procedures Unit

<p>The Endoscopy Registered Nurse (RN) is responsible for providing competent, evidence-based procedural care to assigned patients and oversight of licensed vocational nurses and health/nursing assistants, as appropriate to the procedural setting. This nurse provides patient care, care coordination, health promotion, health education and coaching on wellness, disease prevention, and chronic care management.</p><h3>Major Duties</h3><p>The Endoscopy Registered Nurse will assist in directing the provision of nursing education, orientation, competencies, and providing quality improvement and outcomes utilization. The Endoscopy RN delivers and manages the care of patients undergoing therapeutic and diagnostic endoscopy procedures including both inpatients and outpatients. Assesses the patients physical and mental status prior to procedures, educates on procedural and post-procedural care, and documents responses to interventions, findings, and reports any changes. Partners with the patient, family, and interdisciplinary team to promote effective and safe transitions across the health care continuum, including the Veteran's goals of care. The Endoscopy RN provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain an evidence-based-practice culture. The Endoscopy RN may function in several roles to include, pre-procedure assessments, post procedural recovery, and assisting physicians during procedures. They maintain proficiency on the maintenance, cleaning, and preparation of endoscopy specific equipment. They recognize changes in patient care situations and initiates appropriate emergency situations. Adapts to changes in the daily schedule. May be assigned call in which the Endoscopy RN will follow all facility policies regarding response time. Duties May Include but not limited to: Special Procedures Unit I (SPU I) nurse will be responsible to circulate, assist and operate equipment for all SPU I procedures. These procedures include, but are not limited to: Esophogastroduodenoscopy (EGO), Colonoscopy, Endoscopic Retrograde Cholangiopancreatography (ERCP), Endoscopic Ultrasound (EUS), Endobronchial Ultrasound (EBUS), Bronchoalveolar Lavage (BAL), Fine Needle Aspiration (FNA), Navigational Bronchoscopy, Trans-bronchial Biopsy, Pleurx Placement, Pleuroscopy, Thoracentesis, Tracheostomy placemenUchanges, Chest Tube Placement, Cardioversion, Lumbar Puncture and paracentesis. The SPU I nurse will cross train to all areas of SPU I including but not limited to: Endoscopy, pulmonary, prep/recovery for endoscopy, and prep/recovery for Special Procedures (IR, cardiac cath lab, EP, etc) and assisting with special procedures performed in SPU I. The SPU I nurse must possess all applicable knowledge and skill sets for pre, post (Phase 1 and Phase 2) and intra- procedure care. The SPU I nurse II will assume unit leadership rolls including but not limited to: charge roll duties and preceptor duties. The SPU I nurse stays current on all quarterly and annual education/competencies including timely completion of BLSand ACLS per VA Guidelines. The SPU I nurse readily participates in all new education as it is presented to stay current with practice changes. The SPU I nurse forms an individualized plan of care to include verifying the procedure, noting previous procedures, presence of prosthetic devices/implants, sensory impairments and other pertinent data as outlined in pre-procedural documentation and/or physician orders. The SPU I nurse will perform a physical assessment on each patient, identifying areas of concerns pre-procedurally, intra-procedure as needed and post-procedure noting any changes or impending concerns. The SPU I nurse demonstrates understanding of principles of respiratory physiology, capnography, oxygen delivery and proper use/indication of all oxygen delivery devices. The SPU I nurse recognizes impending complications and intervenes according to anesthesia protocols, orders, and department policy. 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, 07:00am- 17:30pm (4/10 work schedule with rotating day off) The SPUI RN Position requires to be on call and may last up to 24hrs. Telework: Not Available 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. Must pass pre-employment physical examination. 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.