The Registered Nurse is assigned to the Patient Care Service. The section, care line, or department description and Veteran population served is defined in applicable Scope of Service. Duties and functions are included in four dimensions of the functional statement addressed below. Perioperative Registered Nurse (RN) plans, directs, and coordinates the care of every Veteran undergoing operative and other invasive procedures. The RN identifies Veterans' needs, sets goals with patients, and implements nursing interventions and activities to achieve optimal patient outcomes. The RN is concerned with the patient's safety as well as physiological and behavioral responses throughout the surgical experience. He/she provides direct and indirect nursing care to patients and families in the perioperative arena. As a Perioperative RN in the Operating Room (OR) providing nursing care in a scrub and/or circulating nurse role. The Operating Room provides surgical services to all surgical specialties and Veterans within the RVAHCS. Responsible for all nursing care of each Veteran (elective or emergent) within the operating room environment including but not limited to a preoperative nursing assessment, an intra-operative nursing care plan, implementation and documentation of care given, as well as the documentation of patient disposition postoperatively. Accountable for adhering to established policies, standards of care, and standards of practice of Association of Perioperative Registered Nurses (AORN). Short Stay Unit (SSU) is an outpatient area whose scope of care involves caring for pre and post-operative Veterans prior to discharge home and medical infusions and procedural patients. Accountable for a defined group of Veterans during their stay. Surgical conditions include general surgery, orthopedic, urologic, ophthalmology, ear, nose, and throat, plastic, gastroenterology, oral maxillofacial, podiatry and wound clinic. Also performs pre and post-procedural care for blood product administration, intravenous infusions, pain clinic procedures, dental, peripherally inserted central catheter (PICC), bronchoscopy, and cardiovascular patients. Performs pre and post-procedural phone calls with instructions pre/post follow up post procedure to assess recovery and documents appropriately in the Veteran's record. Collaborates with providers and ancillary services; provides Veteran/family teaching as appropriate. Accountable for adhering to established policies, standards of care, and standards of practice of the ASPAN, Infusion Nurses Society (INS), and Society of Gastroenterology Nurses and Associates (SGNA). Gastroenterology (GI)/Endoscopy suite/clinic RN provide out-patient and inpatient endoscopy, gastroenterology, and hepatology care. Responsible for the assessment, treatment, planning and coordination of care that assists in the diagnosis and treatment of patients with gastrointestinal disorders. Accountable for Veteran outcomes resulting from nursing care provided during the GI procedures. The RN plans, directs, and coordinates the care of patients undergoing GI procedures. Functions as an integral member of the GI team, interacting with Veterans, providers, and anesthesia staff in the GI setting. Implements the GI plan of care demonstrating knowledge of the responsibilities of the RN pre-procedure, intra-procedure, post-procedure, and follow-up. Assists in GI procedures with support from other members of the health care team. Performs pre and post-procedural phone calls with instructions pre/post follow up post procedure to assess recovery. Collaborates with providers and ancillary services; provides Veteran/family teaching as appropriate. Accountable for adhering to established policies, standards of care, and standards of practice of SGNA and ASPAN. Specialty Care Clinic RN utilizes critical thinking skills and the nursing process to provide the highest level of nursing care for eligible Veterans seeking specialty care in the ambulatory outpatient care setting. The Specialty Care clinics include pre-op clinic, tele-device, cardiology, renal, podiatry, orthopedics, pain, ear/nose/throat (ENT), general surgery, urology, dermatology and wound care. Nursing services provided in the Specialty Care Clinics include telephone advice; assessment of scheduled and non-scheduled patient's problems for acuity and appropriate referral; coordination of care with other VA facilities, and the Veteran's primary care provider; Veteran and family education; dressing changes and wound care follow-up; assessment of effectiveness of prescribed medications and medication compliance; on-going Veteran assessment and follow-up care per provider orders; psychosocial support, and pre and post procedural care. Performs pre and post-procedural phone calls with instructions pre/post follow up post procedure to assess recovery. Accountable for adhering to established policies, standards of care, and standards of practice. Work Schedule: Monday - Friday, 0800 - 1630 Financial Disclosure Report: Not required
Internal Number: 599459300
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.