Registered Nurse - Endoscopy

Full Job Description

The primary purpose of this position is to provide direct patient care and care coordination, as it pertains, to patients and their care within the Perioperative Department, in the Endoscopy suite.

The position is located at the Mann-Grandstaff VA Medical Center in Spokane, Washington. 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/12891330.

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: Three (3) years of experience as an RN. One (1) year sedation experience.

Must be flexible, able to rotate through all tours of duty and able to adjust to ever changing work environment.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: Moderate lifting, 15-44 pounds; Light lifting, under 15 pounds; Moderate carrying, 15-44 pounds; Light carrying, under 15 pounds; Pulling hand over hand (0.50 hours); Pushing; Both hands required; Walking; Standing ( 8 hours); Kneeling (0.5 hours); Repeated bending (2 hours); Climbing, legs only (0.5 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid may be permitted).

Environmental Factors: Slippery or uneven walking surfaces; Working around machinery with moving parts; Working closely with others; Working alone; Protracted or irregular hours of work. Major Duties:

Fundamental responsibilities of the Endoscopy RN include, but are not limited to the following: Uses the nursing process and evidence-based practice to collaborate with the Core Team (Patient, Provider, LPN, Health Technicians/Nurse Assistants, MSAs, and other clinics) and the Expanded Team (family/caregiver) in developing the patient-driven holistic care plan for life.

Coordinate gastroenterologist/surgeon's block time. Assist in getting patient prepared for procedure.

Collaborates clinic needs and assignments with other Specialty Clinic nurse coordinators in order to meet the needs of the veterans seen in the surgical clinics.

The RN will be assigned to a primary location but is expected to float to the different patient care areas throughout the Special Procedures Unit and facility as needed.

These include but are not limited to the following: Infusions, GI ARNP clinic, and Pre-Post Moderate Sedation both GI/IR and procedures.

The RN is expected to adhere to facility and/or unit policy and procedure when giving patient care in the different nursing areas throughout the facility.

The nurse is expected to document patient care in a timely manner that adheres to unit and or facility policy. The nurse must demonstrate a variety of specialized diagnostic and treatment procedures.

Provides medications as ordered in the care management for Veteran. Prepares Veteran for clinics, procedures, and assist providers with procedures and obtaining lab specimens.

Demonstrates leadership by serving as an advocate for Veterans to have their needs met in a timely manner within the parameters of the Veterans Affairs regulations.

Collaborates effectively with all members of the Special Procedures Unit across the continuum of care and serves as a role model for professional growth, development and practice.

Provides patient and family health education with a focus on education, self-management, prevention, and wellness, based on the patient's goals.

Ensuring appropriate evaluation of consults and access is provided to patients.

Functioning at the full extent of the team member's relevant clinical privileges, credentials, scopes of practice, elements of practice, certification, functional statement, position description, or other VHA or local facility approved documentation of competency.

Participating in team performance improvement and sustainment activities to optimize team efficiency and care delivery to patients.

Implementing specialty care operations management processes, as appropriate.

Managing communications and facilitating safe transitions of patients between the special procedures site of care and other health care settings, using informal and formal communication methods, as appropriate.

Providing health education and health coaching on wellness, disease prevention, chronic care management, and self-management skills to patients and personal support persons, commensurate with the documented expertise or professional training of the special procedures member.

Engaging patients in using health care, encouraging patients to engage personal support persons, receiving input from patients and personal support persons regarding VA care.

Using formal and informal communications that are respectful, effective, timely, and bidirectional with all team members (including the patient and personal support persons) to convey significant, clinically relevant information for the care of the patient.

Collaborating with informatics technology staff to develop and implement systematized, electronically supported, standardized, tools to support Special procedures care delivery processes (e.g., pre-visit reminder calls, post-hospitalization follow-up calls, consult management, recall scheduling procedures, new patient orientation, outpatient care/specialty care protocol use and management 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 through Friday, 7:00am to 5:00pm Telework: Not Available.

Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized.