ENDOSCOPY REGISTERED NURSE

Summary

The Nursing Service is recruiting for a Registered Nurse Clinical Coordinator in Endoscopy. This RN position is critical to meet the projected workload demands of the Nursing Relationship-Based Care model for the Orthopedic Department within the Central Virginia VA Health Care System located at the Richmond - Virginia VA Medical Center Facility.

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/12922337
• 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: 2-5 years of OR/PACU/ER/ICU/MED Surg - /GI Clinic/Endoscopy Procedure experience Experience-Set up and assisting with minor procedures hemorrhoid banding - Paracentesis - Liver Biopsy - Esophageal Manometry - 24 hour PH Impedance test Preferred education/certifications BSN and 2-3 years of recent Endoscopy experience or MSN or related master's and 1-2 years of recent Endoscopy experience Doctorate degree in nursing or related field Certified Gastroenterology Registered Nurse or related certifications Physical Requirements: This position requires potentially long periods of continued walking
• standing - and sitting - lifting - pushing - reaching above shoulder - use of fingers - both hands - both legs - and repeated bending while wearing protective lead
• Heavy lifting (45lbs and over)
• Heavy carrying (45lbs and over)
• Straight pulling (up to 4 hours)
• Pushing (up to 4 hours)
• Reaching above shoulder
• Use of fingers
• both hands are required
• Walking(up to 8 hours)
• Standing (up to 8 hours)
• Repeated bending (up to 8 hours)
• Both legs required
• Ability for rapid mental and muscular coordination simultaneously
• Specific visual requirement: Read typed Chapters
• Correctable vision: 20/40 in one eye
• Ability to distinguish basic color
• Hearing (aid permitted)
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• Emotional and Mental Stability
• The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situation - able to shift priorities on patient needs
• In accordance with VA Handbook 5019 - Part II - Paragraph 3 - II-1 - 1(a) - A pre-placement physical examination to determine the physical - cognitive and emotional fitness of candidates for appointment in VA is required - and shall be completed prior to appointment - for all full-time individuals appointed under 38 U.S.C. - Chapter 73 - for Title 38.
  
  

Duties

• Endoscopy Registered Nurse (RN) is responsible for providing competent - evidence-based procedural care to assigned patients and oversight of licensed vocational nurses and health/nursing assistants - as appropriate to the procedural setting
• This nurse provides patient care - care coordination - health promotion - health education and coaching on wellness - disease prevention - and chronic care management
• Duties for this position may include but are not limited to the following: Assist in directing the provision of nursing education - orientation - competencies - and providing quality improvement and outcomes utilization
• Delivers and manages the care of patients undergoing therapeutic and diagnostic endoscopy procedures including both inpatients and outpatients
• Assesses the patients physical and mental status prior to procedures - educates on procedural and post-procedural care - and documents responses to interventions - findings - and reports any changes
• Partners with the patient - family - and interdisciplinary team to promote effective and safe transitions across the health care continuum - including the Veteran's goals of care
• Demonstrate leadership by active participation in unit Performance Improvement (PI) projects - unit/hospital committees - support charge nurse - and unit champion to new procedures
• Responsible for monitoring patients undergoing Moderate Sedation and Monitored Anesthesia Care
• Knowledge/experience of Moderate sedation agents and reversal drugs Documents accurately - appropriately as required by policies and procedures Perform proper labeling and preparation of specimens Must demonstrate the ability to withstand the physical and mental stress/ strain of a fast paced unit Prepares the patient for endoscopic procedures: correct patient/procedure - obtains vital signs - interviews the patient(history and physical) - point of care testing - communicate to anesthesia team and Endoscopy doctors in a concise manner
• Assists the endoscopy doctor with endoscopy procedures within the Nursing scope of practice Knowledge of endoscopy instruments and equipment to include the use - handling - and cleaning Knowledge of endoscopy procedures - techniques - symptoms and complications of endoscopy - anesthesia - or conscious sedation and consequent nursing interventions Recovers the patient post -procedure per facility policy BLS/ACLS certification is required for this position and can be obtained upon hire
• Demonstrates professional communication and conduct Work collaboratively with all levels of health care professional and support to facilitate positive patient care outcomes Compliance with various Isolation precautions - Personal Protective Equipment(PPE) - and Infection Control guidelines Skills in time management - priority setting - assessment and urgent intervention are essential Patient - Family - and/or caregiver education and support
• Acquire specialty certification - Certified Gastroenterology Registered Nurse from Society of Gastroenterology Nurses and Associates(SGNA) Promotes evidence-based best practices 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: Day shift- Monday through Friday 7:30am - 4:00pm
• Hours subject to change based on unit needs Telework: Not available Virtual: This is not a virtual position.