Registered Nurse- Endoscopy

Veterans Health Administration, Department of Veterans Affairs; Spokane (WA); On-site; USD 70,000 - 100,000; Full time

Job summary

Veterans Health Administration, Department of Veterans Affairs, is seeking an Endoscopy Registered Nurse (RN) to deliver and manage care for patients undergoing diagnostic endoscopy, including inpatients and outpatients.

The role requires English proficiency, nursing licensure, and graduation from an accredited nursing program. Duties include pre/post-procedure teaching, medication administration, and coordination of care with the interdisciplinary team.

Qualifications

• Graduate of an approved nursing program with required licensure.
• Licensure in a U.S. state with active, unrestricted status.
• Knowledge of Endoscopy nursing care and sedation is preferred.

Responsibilities

• Deliver care to patients undergoing diagnostic endoscopy.
• Administer medications and procedures per policies.
• Coordinate care focusing on education, self-management and satisfaction.
• Provide pre/post procedural teaching and documentation in EHR.

Skills

English proficiency

Nursing care

Patient education

Team collaboration

Education

Graduate of approved nursing program

ACEN or CCNE accreditation

State nursing license

Bridge program pathway (RN with bridge)

Foreign nursing education validation

Job description

Summary

The Endoscopy Registered Nurse (RN) delivers and manages the care of patients undergoing diagnostic endoscopy procedures including both inpatients and outpatients.

Qualifications

Basic Requirements:

• 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.) 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/13087602
• 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 with 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 a 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: Moderate lifting (15-44pounds) - Light lifting (under 15 pounds) - Moderate carrying (15-44 pounds) - Light carrying (under 15 pounds) - Straight pulling (6 hours) - Pulling hand over hand (0.5 hours) - Pushing - Both hands required - Walking (5 hours) - Standing (8 hours) - Kneeling (0.5 hours) - Repeated bending (2 hours) - Climbing legs only (0.5 hours) - Climbing use of legs and arms - Both legs required - Ability for rapid mental and muscular coordination simultaneously - Both eyes required - Depth perception - Ability to distinguish basic colors - Ability to distinguish shades of colors - Hearing (aid may be permitted) Environmental Factors: Slippery or uneven walking surfaces - working around machinery with moving parts - working closely with others - working alone - protracted or irregular hours of work

Duties

• Duties include but are not limited to: Deliver fundamental knowledge-based care to assigned clients while developing technical skills Assess - plan - implement - and evaluate care based on age-specific components Assume responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care Administer medications and procedures per established policies and guidelines Influence care outcomes by collaborating with members of the interdisciplinary team Deliver and manage the care of patients undergoing diagnostic endoscopy procedures including both inpatients and outpatients Ensure completion of pre-procedural orders Provide clear and concise pre-procedural teaching Assist anesthesia team and provider as needed Maintain competence in the delivery of nurse administered sedation measures Monitor patient's level of consciousness after the recovery of anesthesia/sedation Closely observe for signs of residual anesthesia medications Ensure comprehensive - timely - and accurate documentation for all phases of care in the electronic health record (EHR) Review discharge instructions with patients families with written and verbal communication Maintain proficiency in the maintenance - cleaning - and preparation of endoscopy specific equipment Recognize changes in patient care situations and initiate appropriate emergency interventions as needed
• Adapt and assist with changes in the daily schedule Maintain knowledge of current gastroenterology standards - VHA Directives - and service level standard operating procedures (SOPs) Maintain nursing competency for other areas within the Perioperative Department to ensure patient access and care Focus on individual growth and development and maintain accountability for individual nursing practice and determine the appropriate delegation of tasks consistent with the nurse obligation to provide optimal care Preferred Experience: Endoscopy experience Conscious Sedation experience Pre-op and Post-op experience VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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 7:00am - 5:00pm Compressed/Flexible: 10 hour day Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized