The Iowa City VA Health Care System (ICVACS) is currently recruiting for one (1) Registered Nurse to work in Ambulatory Surgery on our 4 East floor. ICVAHCS is in Veterans Integrated Service Network (VISN) 23. The Ambulatory Surgery Registered Nurse falls under the clinical pathway, as a direct care nurse, and reports to the Clinical Manager, Surgical Specialty Service Line. 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: BLS ACLS Ambulatory Surgery Experience Same Day Surgery Experience Professional Certification 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. 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: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. The VA Medical Center is a major interdisciplinary teaching facility, serving medical, surgical, and mental health inpatients and outpatients. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Must be able to lift at least 45 pounds. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. This position requires heavy lifting (45 lbs and over), Heavy Carrying (45 lbs and over), Strait pulling (1 hour), Pulling hand over hand (2 hours), Pushing (2 Hours) reaching above shoulder, use of fingers, both arms/hands required or the equivalent required, walking 8-12 hours, standing 8-12 hours, crawling 0.5 hours, kneeling 1 hour, repeated bending (4 hours), climbing, legs only (0.5 hours), both legs required or the equivalent required, twisting (2 hours), ability for rapid mental and muscular coordination simultaneously, stooping, stretching (2 hours), near vision correctable at 13 to 16 to Jaeger 1 to 4, specific visual requirement (read medication label and equipment manuals), both eyes required, ability to distinguish basic colors, hearing (aid may be permitted) adequate to hear medical alarms/whispered voice, ability to perform Prevention and Management of Disruptive Behavior, patient lifting (mechanical assistance available), sitting (8-12 hours), ability to perform Basic Life Support, emotional and mental stability. Environmental factors include: outside and inside, dust, electrical energy, working around machinery with moving parts, working with hands in water, working closely with others, working alone, protracted or irregular work hours , 4, 6, 8, or 12- hour shifts with rotation if required, and repetitive use of hand hygiene. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Ambulatory Surgery Registered Nurse (RN) plans, coordinates, delivers and evaluates nursing care for patients that are undergoing operative or invasive procedures, ensuring seamless transitions from the outpatient setting through discharge. Duties include but are not limited to: Working collaboratively with multidisciplinary teams to plan care that meets the patient's needs. Uses clinical knowledge, judgement and clinical reasoning skills based on evidence based practice to plan and implement nursing care to patients that have undergone an operative or invasive procedure. Delivers sage, effective and quality patient-family centered care for veterans during the pre-operative/procedural time frame and the outpatient discharge phase. Possesses technical knowledge and clinical skills to function during the pre-admission phase (pre-operative clinic), including patient assessment and development of plan of care. Completes assessment and validation of existing information and completion of preparation of the patient for planned procedure on the day or the surgery/procedure. Assures the patient is physically and mentally prepared for discharge through assessment, evaluation and education to patient/caregiver during the post operative/procedure phase. Possesses ability to operate the telemetry system including responding to critical alarms. Delivers care in accordance with established standards, policies, and procedures and strives to maintain clinical competencies through continuous study, in-services and continuing education units (CEU's). Work Schedule: Monday - Friday, 12:00pm - 8:30pm. Tour may extend based on patient care and staffing needs. Telework: Not Available Virtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.