Registered Nurse (OR)

4 days left

Location
San Diego, CA
Salary
Competitive
Posted
Oct 16, 2019
Closes
Nov 15, 2019
Specialty
Med / Surg
Contract Type
Permanent
Hours
Full Time
The Perioperative RN identifies patient needs, sets goals with patients, and implements nursing interventions and activities to achieve optimal patient outcomes. Addresses the physiological, psychological, socio-cultural, and spiritual responses of patients. Uses standards, knowledge, judgment, and skills based on scientific principles. Uses evidence as the foundation for practice. Assumes responsibility for lifelong learning and accountable for adhering to established policies and procedures. This RN reports directly to the Operating Room (OR) Nurse Manager.
Roles and responsibilities:
  • Functions as the role of circulator, scrub, pre-op holding, OR/SPS liaison, and/or charge nurse.
  • Participates in ongoing quality improvement workplace activities as appropriate to the individual's position, education, and practice environment.
  • Performs on-call duties and audits .
  • Applies the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) to all aspects of patient care.
  • Participates in the Pre-Op Briefing "Huddle".
  • Confirms availability of implants and special equipment prior to patient entering OR.
  • Participates in the pre-op "Time Out".
  • Communicates and anticipates the needs of the surgical team members (surgeons, anesthesia, residents, surgical technologists, etc.).
  • Restrings instrumentation and pre-cleans Reusable Medical Equipment (RME) according to standard operating procedure.
  • Checks the autonomic dysreflexia kit, crash cart, defibrillators, and temperature and humidity of rooms where RME is stored.
  • Communicates with Escort and the Blood Bank for delivery, storage and return of blood and blood products.
  • Performs duties of Service Leader/Alternate such as ordering supplies, instrumentation, etc.
  • Strives to achieve certification in perioperative nursing.
  • Maintains current knowledge of and adheres to AORN standards, recommended practices, guidelines, and position statements.
  • Supervises allied health care providers and support personnel with appropriate authority.
  • Performs other duties as assigned by the OR Nurse Manager.

Work Schedule: Intermittent, exact schedule to be discussed during interview.
Financial Disclosure Report: Not requiredBasic Requirements:
  • United States Citizenship: Non-citizens may only 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. 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: Bachelor of Science in Nursing (BSN) or enroll in BSN/Bridge program; minimum of 2 years of current Operating Room experience in both scrubbing and circulating complex cases; Ortho total joints and robotics, spine fusion, neurosurgery, Cardiac Surgery procedures (CABG's & Valves). BLS, ACLS, and AORN Specialty certification under CNOR preferred.

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.

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: This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling and pushing. 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.None

To apply for this position, you must provide a complete Application Package which includes:

CV or Resume - It must include sufficient experience and/or education. Therefore, we encourage you to submit a thorough resume that directly relates to this position. Your resume MUST include the following: the month and year for each position held, and the number of work hours per week, e.g., 03/09 - 06/11 (or Present), 40 hrs/week.

Current VA Form 10- 2850a - Application For Nurses And Nurse Anesthetists (required) Available at the VA Forms website: http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, etc.
  • Cover Letter
  • DD-214
  • 10-2850A
  • Veteran Preferance Letter
  • Resume
  • SF-15
  • SF-50
  • Transcript

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