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The OR/Endoscopy Registered Nurse is responsible to circulate and scrub during operative procedures. The incumbent uses critical thinking to assess, plan, implement, evaluate, and deliver care. Incumbent provides nursing care for complex patients, independently carrying out all nursing functions within the OR as well as ambulatory surgery unit and endoscopy as needed. The incumbent must fulfill the qualifications for Moderate Sedations Nurse Competencies. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: BSN and MSN preferred BLS and ACLS Certifications 2-years of Operating Room, Peri-op, and/or Endoscopy care Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Eligible applicants must be physically and mentally able to perform the following: Heavy lifting, 45 pounds and over; heavy carrying, 45 pounds and over; straight pulling one (1) hour; pushing; reaching above shoulder; use of fingers; both hands required; walking seven (7) hours; standing seven (7) hours. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Functions of Assigned Duties: (Major Duties) - Utilizes critical thinking skills and clinical decisional authority, prioritizes patient care by assessing the needs of the unit as a whole and assigning staff appropriately. - Provides nursing care and interventions for patients having all types of surgical procedures. - Provides and anticipates needs for equipment/supplies in the operating room arena. - Responsible for intra-operative patient positioning. - Demonstrates knowledge and skills in scrubbing for all types of surgical procedures. - Uses sterile techniques in caring for patients when needed. - Provides care for patients in Phase I and II recovery. - Follows policy and procedure for surgical count, informed consents, and verification of surgical site. - Monitoring of vital signs, blood loss, and level of consciousness. Reports abnormalities and initiates appropriate nursing interventions when warranted. - Demonstrates knowledge, use, and interpretation of monitoring equipment in ambulatory surgery, Operating-Surgical Unit and Endoscopy. - Safely provides assessment and care for patients undergoing surgeries, procedures, and treatments and reports any complications or abnormalities to appropriate staff. - Administers medication safely and accurately, including conscious sedation under the direct supervisor of the provider. - Establishes and maintains effective communications with patient's family members, and the interdisciplinary team (including surgical team) - Uses education and experience to train less experienced nursing staff and students. - Serves as a mentor and preceptor to clinical students and new staff as needed. 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: M-F 8:00am-4:30pm 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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