Summary

The Perianesthesia Registered Nurse (RN) provides pre-operative/procedural care - including (but not limited to) the nursing assessment of patients - consent - and H&P validations - the starting of intravenous fluids including venipuncture - assisting with peripheral nerve blocks - assuring all lab work and other pre-operative/procedural testing is completed and communicated to team members - confirms surgical sites are prepared and marked - and the administration of medications as ordered.

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/12860799
• 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/
• Preferred Experience: Evidence of two years successful clinical experience in medical/surgical nursing - surgical patient nursing
• Evidence of at least 2 year of experience in critical care nursing or surgical recovery nursing
• Evidence of ability to function autonomously as well as an active member of interdisciplinary team
• Excellent interpersonal and communication skills with interdisciplinary teams required
• Evidence of dependability in work related environment
• Ability to lift and push weights up to 60 lbs
• required
• BSN CPAN and/or CAPA certification Current BLS and ACLS certification
• Physical Requirements: Heavy lifting - 45 pounds and over
• Moderate lifting - 15-44 pounds
• Light lifting - under 15 pounds
• Light carrying - under 15 pounds
• Straight pulling (<5 hours)
• Pulling hand over hand (<5 hours)
• Pushing (<5 hours)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (8 hours)
• Standing (8 hours)
• Kneeling (1 hours)
• Repeated bending (8 hours)
• Both legs required
• Ability for rapid mental and muscular coordination simultaneously
• Ability to use and desirability of using firearms
• Near vision correctable at 13" to 16" to Jaeger 1 to 4
• Far vision correctable in one eye to 20/20 and to 20/40 in the other
• Both eyes required
• Depth perception
• Ability to distinguish basic colors
• Ability to distinguish shades of colors
• Hearing (aid may be permitted)
• Mental and emotional instability Environmental Factors: Outside and inside
• Dry atmospheric conditions
• Constant noise
• Fumes - smoke - or gases
• Solvents (degreasing agents)
• Electrical energy
• Slippery or uneven walking surfaces
• Working around machinery with moving parts
• Working with hands in water
• Working closely with others
• Working alone
• Protracted or irregular hours of work

Duties

• Boise - Idaho blends urban sophistication with outdoor thrills
• Take a stroll through Downtown Boise & Old Boise - where history meets modern design - or the Boise River Greenbelt
• The city offers a vibrant and diverse dining and night life scene - Visit Boise's food guide - and is home to Boise State University's Bronco Stadium
• Boise is a Kid friendly and Pet friendly destination
• For more adventure head to Bogus Basin Ski Resort & Boise Foothills - or to the world-famous Sun Valley or scenic McCall
• The Perianesthesia Registered Nurse (RN) duties include - but not limited to Provides pre-operative/procedural care - including (but not limited to) the nursing assessment of patients - consent - and H&P validations - the starting of intravenous fluids including venipuncture - assisting with peripheral nerve blocks - assuring all lab work and other pre-operative/procedural testing is completed and communicated to team members - confirms surgical sites are prepared and marked - and the administration of medications as ordered
• Provides clear and concise preoperative teaching and reviews discharge instructions to patients and families with written and verbal communication
• Assesses and prepare patients for procedures appropriately
• Performs clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention
• Monitors post-operative patient's level of consciousness after the recovery of anesthesia/sedation
• Closely observes signs of side effect of post residual anesthesia medications
• Maintains knowledge of current American Society of Peri Anesthesia Nurses (ASPAN) standards - VHA Directive and service level standard operating procedures
• Responsible for ensuring comprehensive documentation of all phases of care and is timely - complete - and accurate in the electronic health record
• 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
• Possesses knowledge related to the physiology associated with various anesthesia techniques and surgical interventions
• 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
• Maintains knowledge of current American Society of Peri anesthesia Nurses (ASPAN) standards - VHA Directive - and service level standard operating procedures
• Responsible for ensuring comprehensive documentation of all phases of care and is timely - complete - and accurate in the electronic health record
• Will be required to perform on-call duties 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: Variable work schedule - Monday- Friday - 9am- 5:30pm MST Compressed/Flexible: Subject to supervisor discretion Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized