Registered Nurse- PACU
Pre-op holding area Phase I post anesthesia care focuses on providing nursing care to the patient in the immediate post anesthesia period, and transitioning them to Phase II level of care, in the inpatient setting, or to an ICU for continued care. Surgical patients cared for in that unit are Orthopedic, ENT, Plastic/Cosmetic, Eye, Vascular, General, Gynecologic and Thoracic Neurosurgery. Occasionally when SICU is unable to receive a patient, the PACU will recover the patient until a bed becomes available. Patients requiring respiratory ventilation or Swan-Ganz readings are not admitted to the PACU. Staffing levels are 1:
1 or 1:
2 depending upon patient acuity levels. Phase II post anesthesia care focuses on providing post-sedation nursing care to the patient in the immediate post procedure period with an Aldretti Score of 8 or greater. Patients cared for are post procedure (Lumbar Epidural Steroid Injection (LESI), liver biopsies, paracentesis, thoracentesis, etc.) Staffing levels are 1:
3 or 1:
2 depending up patient acuity levels. Nursing and Anesthesia Services manage the unit. All RNs are ACLS certified and educated with competencies relevant to pre-anesthesia nursing. Work Schedule:
12 hour shifts, 7:
30 am to 8:
00pm or 8:
00am to 8:
30 pm, Monday through Friday, No weekends or Call rotation Financial Disclosure Report:
Not required 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. Graduation from School of Nursing:
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. Registration:
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. English Language Proficiency:
RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). 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 and approximately 2-3 year's of nursing practice/experience. Preferred
Experience:
A minimum of two years of successful critical care nursing practice Excellent interpersonal, critical thinking and problem-solving skills Ability to work effectively under pressure handling multiple inputs and task simultaneously Demonstrated effectiveness in emergency situations Demonstrated ability to use computer systems in support of patient care delivery. Preferred Level of Education:
BSN Preferred Certifications in:
ACLS CCRN 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 incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting, sitting, and turning. The work may involve going up and down flights of stairs. The position requires visual and auditory acuity at a level sufficient to provide safe and effective nursing care. The incumbent should have the ability to physically control or protect him/herself from physically abusive patients.)
Estimated Salary: $20 to $28 per hour based on qualifications.
1 or 1:
2 depending upon patient acuity levels. Phase II post anesthesia care focuses on providing post-sedation nursing care to the patient in the immediate post procedure period with an Aldretti Score of 8 or greater. Patients cared for are post procedure (Lumbar Epidural Steroid Injection (LESI), liver biopsies, paracentesis, thoracentesis, etc.) Staffing levels are 1:
3 or 1:
2 depending up patient acuity levels. Nursing and Anesthesia Services manage the unit. All RNs are ACLS certified and educated with competencies relevant to pre-anesthesia nursing. Work Schedule:
12 hour shifts, 7:
30 am to 8:
00pm or 8:
00am to 8:
30 pm, Monday through Friday, No weekends or Call rotation Financial Disclosure Report:
Not required 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. Graduation from School of Nursing:
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. Registration:
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. English Language Proficiency:
RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). 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 and approximately 2-3 year's of nursing practice/experience. Preferred
Experience:
A minimum of two years of successful critical care nursing practice Excellent interpersonal, critical thinking and problem-solving skills Ability to work effectively under pressure handling multiple inputs and task simultaneously Demonstrated effectiveness in emergency situations Demonstrated ability to use computer systems in support of patient care delivery. Preferred Level of Education:
BSN Preferred Certifications in:
ACLS CCRN 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 incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting, sitting, and turning. The work may involve going up and down flights of stairs. The position requires visual and auditory acuity at a level sufficient to provide safe and effective nursing care. The incumbent should have the ability to physically control or protect him/herself from physically abusive patients.)
- Department:
0610 Nurse - Salary Range:
$63,789 to $121,744 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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