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Job Information

Veterans Affairs, Veterans Health Administration Registered Nurse (GI) in Palo Alto, California

Summary

The GI/Endoscopy Lab is a multifaceted fast paced unit providing a wide range of services providing a wide range of services including endoscopies ERCP, endoscopic ultrasound, and complex invasive procedures. The Registered Nurse (RN) provides direct patient care in pre, intra, and post procedural setting.

Responsibilities

The major RN duties for GI/ Endoscopy include, but are not limited to: Provides direct patient care within the scope of GI nursing practice, focused case management, and coordination of patient care between services within the VAPAHCS, demonstrating an organized and systematic process for problem solving and prioritizing the needed delivery of care. -Assesses the patient's physical and mental status prior to examinations, procedures, and related care. Provides education to the patient about the procedure, sedation, and after care. -Administers IV-medication providing Moderate Sedation (Conscious Sedation) for patients undergoing procedures. Monitors and assesses the sedated patient during procedures and recovery from Moderate Sedation after completion of procedures. Assists the physician with the procedure including management of high risk patients undergoing complex procedures, i.e., ERCP. -Maintains proficiency on technical equipment and computer equipment related to GI/Endoscopy examinations, procedures, and related care. -Must have strong communication skills and be self-motivated with the ability to direct and educate patients about GI procedures. Reviews patient charts and utilizes critical thinking skills and judgement when caring for patient during GI procedures. -Recognizes and monitors age-specific and/or cultural needs of patients and modifies approach in planning of patient care. -Answers patient questions related to GI procedures. -Examines patient co-morbidities for safety concerns and the need for advanced care during procedures. -Identifies special needs of patients including medication and equipment requirements for all GI procedures the unit offers -Consistently complies with HIPPA Privacy Rules. -Recognizes and promptly reports suspected patient abuse. -Has knowledge and ability to recognize urgent or emergent patient care situations and initiate appropriate emergency interventions. -Ability to identify and respond to patient/family educational needs and the ability to teach patient in accordance with current gastrointestinal clinical practice of standards. -Consults and collaborates with other services within the VA Healthcare system. -Ability to work independently and utilize time management skills. Work Schedule: Monday - Friday 8:00 a.m.. - 6:30 p.m. (4) 10 hours shifts available from (compressed tour) with rotating days off to meet the needs of the unit.

Requirements

Conditions of Employment

Qualifications

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. Proficient in reading, writing and speaking English Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto 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. 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. Preferred Experience: Current BLS provider card Current ACLS provider card One (1) year of full-time RN experience One (1) year of critical care or GI Endoscopy RN experience Certified in Gastroenterology (CGRN) or Critical Care (CCRN) Physical Requirements: The physical requirements of this position include lifting, prolonged standing, frequent bending and stooping, walking, reaching, and repetitive motion. Heavy Lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 3 hours); Standing (up to 3 hours); Repeated bending (up to 1 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted). The mental/sensory requirements include recall, reasoning, problem-solving, hearing, speaking clearly, writing, keyboarding, reading, and logical thinking. The environment's pace can vary from steady to a fast pace requiring handling of multiple priorities, frequent, sometimes intense customer interactions, and the ability to adapt to frequent changes in a sometimes-noisy environment. There may be the need to use personal protective equipment to prevent exposure to disease, illness and hazardous materials. Rico) of the United States, or the District of Columbia.

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

Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.

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