Registered Nurse (Bronchoscopy)
Company: Veterans Affairs, Veterans Health Administration
Location: Durham
Posted on: January 25, 2023
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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
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