Registered Nurse- Post Anesthesia Care Unit

Duties are and not limited to: The Post Anesthesia Care Unit (PACU) Registered Nurse (RN) is responsible for providing competent, evidence-based care to patients. Integrates knowledge, skills, abilities, and judgment and is self-directed in goal setting for managing complex situations.

Validates understanding of the rationale for care processes and decisions. Questions clinical practices for the purpose of providing evidence-based care. Demonstrates the ability to cope with and manage competing priorities. This nurse demonstrates competence in practice and decision making, deliberate planning, and critical thinking skills.

Provides specialized care in the assessment, planning, implementing and evaluation of care throughout the peri anesthesia continuum to include the Pre anesthesia Phase, Post anesthesia Phase I, Post anesthesia Phase II, and extended care from sedation/analgesia and/or anesthesia for surgical, diagnostic, or therapeutic procedures.

The PACU RN possesses knowledge related to the physiology associated with various anesthesia techniques and surgical interventions. The PACU RN assesses and prepare patients for procedures appropriately. Performs clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention.

The PACU RN applies the appropriate post sedation scoring and assesses the patient's postoperative status to include cardiovascular and respiratory systems and airway management needs, neurological system, hemodynamic stability, pain, and comfort needs and mental status, implementing appropriate interventions to maintain or return all physiological system to baseline or above.

The PACU RN maintains knowledge of current American Society of Peri anesthesia Nurses (ASPAN) standards, Veterans Health Administration (VHA) Directives and service level standard operating procedures (SOPs).

The PACU RN is responsible for ensuring comprehensive documenting of all phases of care and is timely, complete, and accurate in the electronic health record (EHR). May be required to perform on-call duties.

The PACU RN encompasses the care of the patient and family/significant other along the Perianesthesia/Periprocedural continuum of care-Preanesthesia, Postanesthesia Phase I, Phase II, and Extended Care. The team provides care to all surgical service specialties, except for Trauma, Pediatrics, and Transplant.

The PACU RN's tour times will alternate to reflect which phase of care they are assigned to and to meet the staffing needs of the unit. Call shifts will be required and can last up to 24 hours.

Nurses must be proficient in the following: Validating existing information, eliciting additional information, or new information Reinforcing preoperative teaching Providing nursing care to complete preparation for surgery or procedure Providing Postanesthesia nursing care in the immediate post anesthesia period o Basic life-sustaining needs are of the highest priority Provide transitional care for Phase II, inpatient setting, or to an intensive care setting for continued care Review discharge and educational instruction Preferred Experience: RN with Med/Surgical Knowledge Familiar with Vascular/CT/Neuro surgeries 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, Days.

Tour subject to change depending on the needs of facility. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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/13020572.

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.

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

Physical Requirements: Heavy lifting (45 lbs. and over); Heavy carrying (45 lbs. and over); Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking and standing up to 8 hours; repeated bending; Ability for rapid mental and muscular coordination simultaneously; hearing aid permitted.