Registered Nurse - Perioperative Operating Room Nurse in Columbia, MO

Summary Thank you for your interest in the Full-Time Permanent - Registered Nurse - Operating Room RN position for Patient Care Services within the Harry S. Truman Memorial Veterans' Hospital - Columbia - Missouri. 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/12870862 • 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: OR experience preferred - Certified Nurse-Operating Room (CNOR) certification not required but preferred • Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ • Physical Requirements: Heavy Lifting (45 lbs and over) • Moderate Carrying (15-44 lbs) • Light Carrying (under5 lbs) • Straight Pulling (1 hour) • Pushing (1 hour) • Reaching above shoulder • Use of fingers • Both hands required • Walking (up to 8-12 hours) • Standing (up to 8-12 hours) • Kneeling (1 hour) • Repeated bending (up to 1 hour) • Climbing - legs only (1 hour) • Climbing - use of legs and arms • Both legs required • Ability for rapid mental and muscular coordination simultaneously • Near vision correctable at 13"" to 16"" so Jaeger 1 to 4 • Mental and emotional stability • Far vision correctable in one eye to 20/20 and to 20/40 in the other • Both eye required • Depth perception • Ability to distinguish basic color • Ability to distinguish shades of colors • Hearing (aid permitted). Duties • General Description of Assigned Duties: 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 • Administers medications and procedures per established policies and guidelines • Influences care outcomes by collaborating with members of the interdisciplinary team • Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex client care • Functions or Scope of Assigned Duties: The Perioperative Operating Room (OR) Registered Nurse (RN) is accountable for patient outcomes resulting from the nursing care for the patient undergoing a surgical/ invasive procedure • The OR RN plans - directs - and coordinates the care of every patient undergoing operative and other invasive procedures - taking into consideration respect for the individual and recognition of the important contribution that each team member makes to the patient's well-being • The OR RN is expected to function proficiently in both the circulator and scrub role within the OR and to be competent in all surgical specialties served • The OR RN maintains knowledge of current Association of peri-Operative Registered Nurses (AORN) standards - Veterans Health Administration (VHA) Directives - and service level standard operating procedures (SOPs) • The OR RN assures the sterility of the surgical field is maintained and all instrumentation and equipment in play is used in a safe and efficient manner • Protects the patient from injury caused by chemical - electrical - mechanical - and thermal sources - and extraneous objects - performs counting procedures to protect the patient from unintended retained surgical items - participates in the Time Out process to ensure correct site - side - and level - and follows implant and tissue/tissue-based product documentation - policy - and procedures • Manages the patient's specimens in the appropriate manner - administers medications safely and correctly - performs interventions to maintain the patient's wound and tissue perfusion at or above baseline levels - and performs interventions to protect the patient from surgical site infection • Responsible for ensuring comprehensive documentation of all care provided during the perioperative experience is timely - complete - and accurate in the electronic health record • Responsible for knowing what reusable instruments - equipment - medical devices - or supplies are in use in the clinical area • Obtains - reads - and follows Standard Operating Procedures (SOPs) for all reusable medical equipment (RME) in use in the clinical area and consults Sterile Processing and/or Infection Control as needed • The OR RN is required to be on-call during off tours hours to provide patient care for emergency procedures • The OR RN collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines • Demonstrates performance and leadership that is broad enough to improve the care for a group of patients • Provides peers with formal or informal constructive feedback for improvement • Supports colleagues and other nurses through knowledge sharing to provide safe - quality nursing care • Fosters a safe and supportive environment conducive to the professional development of health care professionals • Evaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populations • Responsible for the documenting broad and complex outcomes at the program or service level - that can be demonstrated at any organizational level within a facility • 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: Monday to Friday 0630-1500 with call on weekdays - weekends and holidays Telework: Not Available Virtual: This is not a virtual position • Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not authorized