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Registered Nurse- Gastrointestinal Endoscopy

Direct Jobs, Loma Linda, CA, United States


Summary
The Registered Nurse (RN) Gastrointestinal Endoscopy will demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines.

Qualifications

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.) Preferred Experience: Two years Registered Nurse Experience BSN Have/maintain current certification in BLS/CPR (American Heart Association)

Have/maintain current certification in ACLS

Two years of inpatient medical surgical experience

Critical care nursing - Emergency room nursing - and PACU nursing experience will be considered

GI Endoscopy Lab Nursing experience

Moderate Sedation Administration and Recovery Experience Excellent customer service skills with service recovery Preferred current process improvement/quality improvement projects and or committee involvement 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/12944953

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 and 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 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/

Physical Requirements: The population of male and female Veterans served ranges from the adult - aged 18 - to the older adult - aged 65 and over

VALLHCS is an interdisciplinary facility serving medical - surgical - behavioral health - inpatient - outpatients - and residential treatment

This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity

This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing

Transferring patients and objects may be required

The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures

The incumbent will be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders

The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on veteran needs.

Duties

Duties include but not limited to: The Nurse is responsible for providing competent - evidence-based procedural care to patients with oversight of licensed vocational nurses and health
ursing assistants as appropriate to the clinic setting

This nurse provides patient care - care coordination - health promotion - health education and coaching on wellness - disease prevention - and chronic care management

The nurse will assist in directing the provision of nursing education - orientation - competencies - and providing quality improvement and enhance outcomes utilization

The Endoscopy RN 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 s goals of care

The Endoscopy RN integrates specialty care knowledge - skills - abilities - and judgment and is self-directed in goal setting for managing complex patient situations

Questions clinical practices for the purpose of providing evidence-based care

The nurse will demonstrate the ability to cope with and manage competing priorities

The nurse demonstrates competence in endoscopy practices and decision-making - deliberate planning - and critical thinking skills

The Endoscopy RN may function in several roles to include - pre-procedure assessments - post procedural recovery - and assisting physicians during procedures

Other GI procedures include: Paracenetisis - Motility - Biofeedback and all other procedures designated within the scope of the GI Section

They may maintain proficiency on the maintenance - cleaning - and preparation of endoscopy specific equipment

They recognize changes in patient care situations and initiates appropriate emergency situations

Adapts to changes in the daily schedule

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: Full-Time

M-F 7am-5:30pm

Tour subject to change depending on the needs of facility

Telework: Not Available Virtual: This is not a virtual position

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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