Registered Nurse (Bronchoscopy)

Company: Veterans Affairs, Veterans Health Administration
Location: Durham
Posted on: January 25, 2023

Job Description:

Summary The Bronchoscopy Nurse is a professional Registered Nurse, qualified by education with recent bronchoscopy experience. Registered Nurses in this position are responsible for all aspects of nursing care provided for patients in this unit. This includes the complete peri-endoscopic continuum of care: pre-endoscopic; intra-endoscopic; and post-endoscopic including sedation and recovery. Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Bronchoscopy Nurse executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex procedural patient care. The RN's functional role includes specialization in peri-endoscopy nursing practice encompassing all phases of the patient's surgical experience. The RN will be responsible for patients in the clinic setting. They will collaborate with providers in the clinic setting for all patient care. The RN will be responsible for follow-up for patient laboratory results as directed by provider. He/she is responsible for pre-endoscopic assessment, intra-endoscopic and post-endoscopic evaluation (including post anesthesia/recovery process) and organizing and coordinating the clinical components in response to individual healthcare needs. This position maximizes the quality of peri-endoscopic care received during the immediate post-endoscopic phase by providing ongoing physiological monitoring utilizing diagnostic, monitoring, and therapeutic equipment; recording the data in paper documents and computerized records; providing discharge planning; and assuring proper per-endoscopic follow up care. The goals are to center services around patient, to foster patient self-managed care, and maximize efficient and cost-effective use of health care resources. The RN utilizes all avenues of resources available to provide safe and efficient timely coordination of quality health care and services. The RN collaborates and coordinates the patient's plan of care with the multidisciplinary team members. Major Duties and Responsibilities (includes but not limited to): Applies the nursing process components of assessment, diagnosis, outcome, identification, planning, implementation and evaluating patient care at the unit/team/workgroup level to improve care and coordinate/plan direct patient care with a multidisciplinary group. Completes pre-endoscopic assessment according to departmental policy at least 24 hours prior to the procedure and formulates an individualized plan of care that takes into consideration post endoscopic patient teaching, patient needs and expected outcomes. Prepares patients for procedures/exams as determined by the attending physician and unit procedures/processes. Plans for personal growth as related to professional goals based on self-assessment, evaluation, and feedback. Assumes responsibility for acquiring knowledge and experience to meet goals through formal education, attendance at workshop(s) and participation in staff meetings. Actively participates in professional organizations. Participates in unit-based in-service(s) and provides information on individual educational seminars on his/her return. Evaluates the practice of self and others using professional standards, relevant studies, and regulations. Acts as resource for other staff members, patients and family members giving clear and concise postoperative care instructions. Schedules and coordinates ancillary services required. Ensures consults are completed, results are received, and included in patient's chart. Initiates coordination efforts to ensure smooth transition and continued healthcare treatment to patients. Serves as resource to physicians, nurses and other professional personnel at other medical treatment facilities used as referral sources for patients. Shares experience, knowledge, and skills. Ability to identify sources of information on nursing safety procedures/principles and documentation. 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: Monday-Friday, 8 hour tour between 7:00a.m.- 5:00p.m. Compressed/Flexible: Yes Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: A recruitment incentive of $15,000.00 has been authorized for Eligible, highly qualified applicants. This incentive has been authorized for new and previous VA employees. Please contact the HR specialist for specific requirements. *Current VA employees are not eligible to receive this incentive* Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 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/Qualification(s): Minimum of five (5) years successful nursing practice. Two (2) to three (3) years successful Bronchoscopy experience in outpatient and inpatient setting. QI/PI experience preferred. BLS/ACLS required. Moderate Sedation experience required 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Preferred Education: BSN or MSN The full performance level of this vacancy is Nurse III. 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: See VA Directive and Handbook 5019. This position requires potentially long periods of continued walking, standing, and sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands, both legs and repeated bending. Heavy lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 4 hours); Pushing (up to 4 hours); Reaching above shoulder; Use of fingers; Both hands 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 colors and shades of colors; 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 situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

Keywords: Veterans Affairs, Veterans Health Administration, Durham , Registered Nurse (Bronchoscopy), Healthcare , Durham, North Carolina