RN - PACU

Veterans Affairs, Veterans Health Administration - Fresno, CA (30+ days ago)3.9


The nurse in this position processes the skills and knowledge to care for the for patients throughout the Perianesthesia phase. Must possess the ability to flex between the SDPU and the PACU based on patient care needs and delegation of charge nurse. The patient population is monitored and hemodynamically managed throughout their stay by ECG monitors, pulse oximetry, non-invasive blood pressure monitors, Occasionally, the PACU patient requires a higher acuity in care. Monitoring of these complex patients requires competencies in the management of arterial lines CVPs, Swan Ganz catheters, ventilator assistance. Demonstrates competence in airway management. Competence with the titration of vasoactive medications as ordered. Must identify and manage potential complications that may arises of the Perianesthesia patient. The PACU also assists and cares for the ECT patient as well as patients having anesthetic blocks for pain control, either preoperatively or postoperatively. The PACU/SDPU RN will be strongly encouraged to become certified in the placement of peripherally inserted central catheters (PICC). Once certified and proficient in the placement of PICC lines they will rotate into the role as the procedural/PICC line nurse . This position has a rotating schedule, with 24 hour call duty required. The SDPU/PACU RN is a direct care provider whose scope of practice includes providing nursing care during the Perianesthesia phase.

Work Schedule: Four 10-hour weekday shifts, weeknight and weekend call.
Financial Disclosure Report: Not required
Relocation/Recruitment Incentive is not authorized

Basic Requirements:
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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.
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.
Preferred Experience: BLS/ACLS

Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The incumbent will be exposed to different alarms and it is critical that incumbent is able to discern different alarms. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible, individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.
None

To apply for this position, you must provide a complete Application Package which includes:

Form VA 10-2850a
Resume

VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: https://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf (Required)

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, etc.
Cover Letter
DD-214
OF-306
Form VA 10-2850a
Other Veterans Document
Resume
SF-15
SF-50
Transcript