Special Procedure Registered Nurse in San Diego, CA

Summary Provides care through all peri-procedural phases from pre-calls - admission - recovery - & discharge; assists with basic and advanced GI/Pulmonary cases or other specialty procedures. Administers Moderate Sedation & other procedural medications. Responsible for all elements of the nursing process when providing or delegating care. Assesses - plans - implements - documents - & evaluates care based on age-specific components; with interdisciplinary team members towards safe & high-quality care outcomes. 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/12877218 • 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 Characteristics: BSN with 3 years current/active experience as a registered nurse • Must be AHA BLS and ACLS certified • Demonstrates ability to read and interpret EKG strips • Preferred clinical experience providing care in the pre/intra/post-procedural phases of care and assisting with upper and lower endoscopies - bronchoscopies - diagnostic procedures - interventional procedures - and other specialized procedures • Experience providing pre/post endoscopy education to patients and review of colonoscopy/EGD consults • Preferred experience with infusion services • 1 year of oncology nursing experience • *chemotherapy infusion experience strongly desired • Certified to administer chemotherapy • Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ • Physical Requirements: In accordance with VA Directive and Handbook 5019Physical Requirements: Heavy Lifting and Carrying (45 lbs • and over) • Straight Pulling - Pushing - Walking - Standing - Kneeling - Repeated bending - Keyboarding - Viewing computer screen (8 - 12 hours) • Reaching above shoulder • Use of fingers • Both hands and 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 20/40 in the other • Depth perception • Ability to distinguish basic colors and shades of colors • Hearing (aid permitted) • and Emotional/Mental stability. Duties • The Special Procedure Center RN assumes the following duties and responsibilities: Demonstrates flexibility in schedule - tours of duty - & assignments • Demonstrates proficiency in performing procedures or seeks help when needed - such as phlebotomy - Peripheral IV insertion - 12- lead ECG - blood transfusion - medication administration - infusions - and all other department specific specialized diagnostic treatments and associated direct care interventions • Provides nursing care to complete preparation for invasive procedures - specialized infusions - and/or treatments • Assures emergency equipment and supplies are always available • Confirms availability of implants - specialized equipment - medical devices - instruments - supplies • Ensures implants & supplies are not expired • procedural equipment & medical devices are safe and operable for clinical operations • Removes broken equipment from services and reports defective equipment to supervisor • Participates/leads pre-procedural Time-Out per policies/procedures • Demonstrates proficiency in administrating & managing patients where Moderate Sedation is needed/used and demonstrates proficiency in administering Moderate Sedation • Provides post Moderate Sedation nursing care in the immediate recovery period • Performs ongoing assessment of patient condition & responses to treatment • Intervenes timely and appropriately per policies and procedures • Assesses patients needs - preferences - & readiness to learn • Modifies teaching approach based on knowledge of human behavior - motivations - & reactions to situations • Reinforces pre-operative/pre-procedural teaching • Reviews and provides discharge & educational instructions to patients • Demonstrates competency in reading & interpreting ECG strips - identifying abnormal & lethal rhythms - & intervening appropriately • Safely participates in the resuscitation of a patient during a code blue or rapid response situation • Deploys professional interpersonal skills for effective information exchange and problem solving with all levels of management - staff - consultants - int/ext customers - & outside agencies • Performs care coordination and case management duties to include scheduling - lab review - medication reconciliation - & interdisciplinary collaboration • Demonstrates effective analytical and critical thinking skills - with ability to quickly analyze problems - determine appropriate level of intervention - develop - & applies effective solutions - recognizing his/her own scope of practice • Effectively functions as charge nurse - team leader - preceptor - or in other leadership roles that guides and directs others who provide patient care • Participates as an engaged member on a formal unit-based or organizational-wide council - committee - or process improvement workgroup/team • Participates in professional shared governance - unit-based team meetings - continuous quality improvement (CQI) activities - monitors results - and advocates for self and others compliance to regulatory requirements • Responds to changing priorities and resources with optimism - serves as a positive change agent - encouraging self and others to respond appropriately to cultivate trust and a culture of excellence • Supports department strategic initiative action planning and implementation • assists unit-based educational program activities for succession planning • Participates in training for self and others for continuous professional development activities aligned with VA mission critical goals and objectives • Participates in completion of initial and ongoing staff competencies • Provides at least two formal in-services annually to frontline staff • Demonstrates ability to utilize computer systems and clinical applications in performance of daily duties • Reads & written communication (e.g. - memos - policies/procedures - etc.) during each tour of duty and/or shift • Provides constructive and timely self-assessment input for annual performance appraisals • Practices ergonomics for workplace safety • Monitors economic use of supplies and equipment • Member of a nursing service - facility-wide - regional (VISN) - or national committee • Member of Unit Practice Committee • Maintains adult critical life sustaining (ACLS) certification • Performs other duties as assigned • VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Full Time Compressed/Flexible: Variable compressed 10-hour shifts - no set days off - & Saturday GI clinic • Telework: N/A Virtual: This is not a virtual position.