Registered Nurse-Pain Management in San Antonio, TX

Summary Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses - plans - implements - and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care. Qualifications Basic Requirements: • English Language Proficiency: In 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 English • Graduate 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 program • Upon 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 program • Credit 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 Columbia • Graduate 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/certification • Grade 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 grade • The 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/12871723 • Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies • An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required • Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex • An 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 required • Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning • Self-directed in goal setting for managing complex client situations • An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2 • OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2 • OR a Master's degree in nursing (MSN) and no additional professional nursing experience • OR a Master's degree in a *related field with a BSN and no additional professional nursing experience • Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others • A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3 • OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3 • OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3 • OR a Doctoral degree in Nursing with no professional nursing experience • OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience • Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting • MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III • OR 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 III • OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III • OR 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 degrees • Preferred Experience: -5 years of Nursing experience -Recent (within 3 years) or current experience in one or more of the following: ICU - PACU - Pain Clinic or outpatient Procedures • Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ • Physical Requirements: The position requires light to moderate lifting and carrying (up to 44 pounds) - straight pulling (1 hour) - pushing (1-3 hours) - reaching above shoulder - use of fingers - both hands required - walking (4 hours) - standing (2-7 hours) - kneeling (2 hours) - repeated bending (2 hours) - climbing (use of arms and legs) - both legs required - ability for rapid mental and muscular coordination simultaneously - near vision correctable at 13"" to 16"" to Jaeger 1 to 4 - specific visual requirement (20/40 DVA • corrected) - both eyes required - ability to distinguish basic colors - hearing (aid permitted) - sitting (8 hours) - simple grasping (2-4 hours) - fine manipulation (including keyboarding 4-6 hours) - twisting (2 hours) - and mental and emotional stability. Duties • As a Registered Nurse in the Pain Clinic - you will manage the care for Veterans with post-operative - post-procedural and chronic pain • You will be responsible for maintaining physical and emotional comfort of patients • You will assess patients and make decisions based on critical thinking skills • You will set up and maintain a sterile field for procedures and will stabilize vital signs and maintain the patient's hemodynamic status as required • You will assess orientation status of patients and compare it to baseline - assess motor and sensory function as needed - and reassess for contraindications of administered pain medications • You will document responses to interventions - findings - and report changes in patient status - and will communicate handoff information regarding patient status to: receiving unit prior to transfer - physician for emergency needs - significant others identified by the patient • You will be responsible for closing encounters daily • You will document and utilize secure messaging and message manager to engage with Veterans and coordinate care • You will make pre-procedural calls and provide Veterans with education on planned procedures and review patient records and coordinate care as appropriate • You will follow Joint Commission VA and Facility and nursing standards of care • You will deliver nursing care pre-procedure - intra-procedure and post-procedure • Strong interpersonal - communication - organizational and problem-solving skills are required • Perform other duties as assigned • VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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: Full-time • Monday-Friday • 7:30am-4:00pm Telework: Not Available Virtual: This is not a virtual position • Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized