Registered Nurse (Operating Room)

Location
Detroit, MI
Salary
Competitive
Posted
Sep 07, 2017
Closes
Oct 07, 2017
Specialty
OR / PACU
Contract Type
Permanent
Hours
Full Time

The Incumbent practices as a Registered Nurse in the Operating Rooms, Nursing Section of Patient Care Service within the Detroit VAMC. The operating rooms specialize in caring for adult and geriatric Veterans during the perioperative experience. The operating rooms provide the following services: General Surgery, Ear, Nose and Throat, Ophthalmic, Peripheral Vascular, Thoracic, Urologic, Plastic, Podiatric, Endoscopic and Laparoscopic. The Operating Room also serves as the VISN 10 Orthopedic Center of Excellence.

The Nurse has the technical and operational knowledge and clinical skills to function as a circulating and scrub nurse in all the services. The Nurse must demonstrate a variety of specialized diagnostic and treatment procedures. The Nurse is accountable for promoting patient safety, continuity/quality of care and general well-being of the patient. The nurse collaborates with physicians and ancillary services to provide this care.

The Nurse analyzes and upgrades patient care through quality improvement activities. Monitors activities occurring within the department when acting in the charge nurse capacity. Strives to maintain clinical competencies through continuous study, in-services and participation in obtaining continuing education units. Based on education and experience , may be assigned responsibilities as preceptor or Operating RoomAd Pac.

Pre-Op

*Check assigned OR electrical safety alarm and room temperature, using the preference book

*Gather supplies for the case (incl. implants), positioning aids, etc.

* Open and set up OR (incl. counting)

*Check patient's chart and pre-op checklist, assess patient preoperatively

* Record patient info on white board i.e.; name, patient In Room Time, SSN, allergies, antibiotic, metal implants/shrapnel, blood and implant availability

Intra-Op

*Support patient, apply SCDs and assist with induction as needed

*Initiate briefing (before prepping and positioning)

*Prepare patient i.e.; Foley, positioning/alignment/padding, prepping

*Prepare field i.e.; pull up back-table, Bovie, suction, monitors, any other pertinent equipment, fluids

*Time out (before incision)

*Assess initial start of procedure for any acute situation that may arise

*Begin charting, monitor/restrict traffic flow and door openings within the operating room

*Monitor patient and needs of the field, monitor room for prevention/realization of breaches in sterility

*Keep sponges counted off and picked up, monitor and record EBL on white board

*Contain and confine bioburden (wipe up spills/tracking)

*Prepare for end of case i.e.; gather dressing supplies, drains, leg straps, etc.

* Organize empty genesis pans in case cart to provide room for soiled instrument trays

*Complete room list

*Handle specimens per policy

*Count per policy i.e.; at cavity closure, mesh implantation, fascia, and skin

*Debrief per patient safety record

*Begin taking down and cleaning equipment as case allows

*Complete pick ticket for returns to Central Supply

*Pre-op next patient 60 minutes before end of case (if applicable)

*Prepare for transfer of patient i.e.; roller on bed/stretcher check 02, heart monitor as needed

*Call PACU/ST/1CU with report 30-45 minutes before end of case

*Assess patient during emergence from anesthesia

*Keep back-table and mavo sterile until patient leaves the room for all general anesthesia cases

Post-Op

*Tear down back-table, mayo and OR table

*Wipe down remaining used equipment (incl. power cords) and store appropriately

*Should be completed after every case

*Load case cart for decontamination, pull trash and linen

*Finish charting and erase white board

*Pull and replace suction canisters

*After last case of the day, wipe down computer desk, keyboard and mouse

*Call for room turnover/Last case call end of day turnover

*Circulator and Scrub leave room together and take case cart, trash and linen to dirty lift room

*Other duties as assigned if competent can assume the scrub role if necessary to support the caseload and assignments.

*Outdate supplies (disposables) and medications

*Dust and damp clean room (incl. sub-sterile room, booms, upper shelf and computer desk)

Work Schedule:7:00 am to 3:30 pm, 7:30 am to 4:00 pm, 9:00 am to 5:30 pm, 11:00 am to 7:30 pm, 3:00 pm to 11:00 pm, w/rotations on call until 7:00 am and 24 hour weekend call coverage (shift will be determined by selecting official)

Functional Statement Title: Registered Nurse (Operating Rooms), FS#00209-553

BASIC REQUIREMENTS:

U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

  • 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.
  • 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)
  • 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.
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 in nursing or related field and approximately 2-3 year's of nursing practice/experience.

Preferred Experience: Operating Room experience.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Physical Requirements: Position requires heavy lifting (45 pounds and over), heavy carrying (45 pounds and over), straight pulling (4 hours), pushing (4 hours), use of fingers and both hands, walking and standing 8-12 hours, repeated bending 8 hours, both legs required, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in other eye, depth perception, ability to distinguish shades of colors, hearing (aide permitted). Transferring patients and objects required.

The Incumbent may be exposed to infected patients and contaminated materials and will be required to don protective clothing in isolation situations or operative/invasive procedures. The Incumbent may 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 and departmental needs.

All applicants are required to submit the following supporting document type(s):
*Other(Completed signed and dated VA 10-2850a, Copy of Current Full Active and Unrestricted Registration or License)
*Resume
*Transcript

Applicants may also submit the following supporting document type(s),which may not be required for all applicants:

*Cover Letter
*DD-214
*Other Veterans Document
*SF-50

1. Your signed and fully completed VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (required) Available at the VA Forms website: http://www.va.gov/vaforms/search_action.asp?FormNo=10-2850&tkey=&Action=Search

2. Copy of resume or CV (required).

Your resume must list the employment and/or non -paid experience by using the starting and ending dates in the month and year format.

This is required. Please only submit one updated/current resume. This HR Office will only review the last uploaded resume that is submitted for this vacancy. Please note that your uploaded or faxed documents are date and time stamped.

3. Copy of current, full and unrestricted license/registration (required).

4. Copy of unofficial college transcripts that show date of degree(required).

5. Current Federal Employees submit most recent SF-50.

Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc. You will not be contacted for additional information.

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.

Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 2005080.

NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.

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