Registered Nurse Special Procedures

Summary Provides care through all peri-procedural phases from pre-calls - admission - recovery - & discharge; assists with basic and advanced GI/Pulmonary cases or other specialty procedures. Administers Moderate Sedation & other procedural medications & infusions. Responsible for all nursing processes when providing or delegating care. Assesses - plans - implements - documents - & evaluates care based on age-specific components; with interdisciplinary team members towards safe & high-quality care outcomes. Qualifications Basic Requirements: English Language ProficiencyIn 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 EnglishGraduate 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 programUpon 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 programCredit 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 ColumbiaGraduate 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/certificationGrade 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 gradeThe 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: https://apply.usastaffing.gov/ViewQuestionnaire/13094137Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competenciesAn Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing requiredNurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complexAn 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 requiredNurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planningSelf-directed in goal setting for managing complex client situationsAn ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2OR a Master's degree in nursing (MSN) and no additional professional nursing experienceOR a Master's degree in a *related field with a BSN and no additional professional nursing experienceNurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersA BSN with 2 years of professional nursing equivalent to Nurse I - Level 3OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Doctoral degree in Nursing with no professional nursing experienceOR a Doctoral degree in a *related field with a BSN with no additional professional nursing experienceNurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice settingMSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 IIIOR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 degreesPreferred Characteristics: BSN with 3 years current/active experience as a registered nurseMust be AHA BLS and ACLS certifiedDemonstrates ability to read and interpret EKG stripsPreferred clinical experience providing care in the pre/intra/post-procedural phases of care and assisting with upper and lower endoscopies - bronchoscopies - diagnostic procedures - interventional procedures - and other specialized proceduresExperience providing pre/post endoscopy education to patients and review of colonoscopy/EGD consultsPreferred experience with infusion services1 year of oncology nursing experience*chemotherapy infusion experience strongly desiredCertified to administer chemotherapyReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: In accordance with VA Directive and Handbook 5019Physical Requirements: Heavy Lifting and Carrying (45 lbsand over)Straight Pulling - Pushing - Walking - Standing - Kneeling - Repeated bending - Keyboarding - Viewing computer screen (8 - 12 hours)Reaching above shoulderUse of fingersBoth hands and legs requiredAbility for rapid mental and muscular coordination simultaneouslyNear vision correctable at 13"" to 16"" to Jaeger 1 to 4Far vision correctable in one eye to 20/20 and 20/40 in the otherDepth perceptionAbility to distinguish basic colors and shades of colorsHearing (aid permitted)and Emotional/Mental stability. Duties The Special Procedure Center RN assumes the following duties and responsibilities: Demonstrates flexibility in schedule - tours of duty - & assignmentsDemonstrates proficiency in performing procedures or seeks help when needed - such as phlebotomy - Peripheral IV insertion - 12- lead ECG - blood transfusion - medication administration - infusions - and all other department specific specialized diagnostic treatments and associated direct care interventionsProvides nursing care to complete preparation for invasive procedures - specialized infusions - and/or treatmentsAssures emergency equipment and supplies are always availableConfirms availability of implants - specialized equipment - medical devices - instruments - suppliesEnsures implants & supplies are not expiredprocedural equipment & medical devices are safe and operable for clinical operationsRemoves broken equipment from services and reports defective equipment to supervisorParticipates/leads pre-procedural Time-Out per policies/proceduresDemonstrates proficiency in administrating & managing patients where Moderate Sedation is needed/used and demonstrates proficiency in administering Moderate SedationProvides post Moderate Sedation nursing care in the immediate recovery periodPerforms ongoing assessment of patient condition & responses to treatmentIntervenes timely and appropriately per policies and proceduresAssesses patients needs - preferences - & readiness to learnModifies teaching approach based on knowledge of human behavior - motivations - & reactions to situationsReinforces pre-operative/pre-procedural teachingReviews and provides discharge & educational instructions to patientsDemonstrates competency in reading & interpreting ECG strips - identifying abnormal & lethal rhythms - & intervening appropriatelySafely participates in the resuscitation of a patient during a code blue or rapid response situationDeploys professional interpersonal skills for effective information exchange and problem solving with all levels of management - staff - consultants - int/ext customers - & outside agenciesPerforms care coordination and case management duties to include scheduling - lab review - medication reconciliation - & interdisciplinary collaborationDemonstrates effective analytical and critical thinking skills - with ability to quickly analyze problems - determine appropriate level of intervention - develop - & applies effective solutions - recognizing his/her own scope of practiceEffectively functions as charge nurse - team leader - preceptor - or in other leadership roles that guides and directs others who provide patient careParticipates as an engaged member on a formal unit-based or organizational-wide council - committee - or process improvement workgroup/teamParticipates in professional shared governance - unit-based team meetings - continuous quality improvement (CQI) activities - monitors results - and advocates for self and others compliance to regulatory requirementsResponds to changing priorities and resources with optimism - serves as a positive change agent - encouraging self and others to respond appropriately to cultivate trust and a culture of excellenceSupports department strategic initiative action planning and implementationassists unit-based educational program activities for succession planningParticipates in training for self and others for continuous professional development activities aligned with VA mission critical goals and objectivesParticipates in completion of initial and ongoing staff competenciesProvides at least two formal in-services annually to frontline staffDemonstrates ability to utilize computer systems and clinical applications in performance of daily dutiesReads & written communication (e.g. - memos - policies/procedures - etc.) during each tour of duty and/or shiftProvides constructive and timely self-assessment input for annual performance appraisalsPractices ergonomics for workplace safetyMonitors economic use of supplies and equipmentMember of a nursing service - facility-wide - regional (VISN) - or national committeeMember of Unit Practice CommitteeMaintains adult critical life sustaining (ACLS) certificationPerforms other duties as assignedVA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Part Time Compressed/Flexible: Monday - Saturday - 0630-1730 Variable Telework: N/A Virtual: This is not a virtual position.