Registered Nurse - Operating Room

Veterans Health Administration, Department of Veterans Affairs; Boston (MA); On-site; USD 90,000 - 110,000; Full time

Job summary

Veterans Health Administration in Boston seeks an experienced Registered Nurse for the Operating Room within Ambulatory Care Service at the Jamaica Plain VAMC. This full-time position requires rotating late-case coverage and emphasizes patient-centered perioperative care.

The role may involve both scrub and circulating duties in ophthalmology, general, and specialty procedures. The ideal candidate has a nursing degree from an accredited program, an active US RN license, and OR experience; CNOR

Qualifications

• Graduate of a nursing program approved by ACEN or CCNE.
• Current full and unrestricted RN license in the United States.
• State license required for appointment; temporary then permanent.
• 2 years operating room experience preferred; CNOR preferred.
• Foreign nursing education must be evaluated for equivalence.

Responsibilities

• Plan and direct care for patients undergoing surgical procedures.
• Function as scrub or circulator in the OR.
• Administer medications per policy and guidelines.
• Collaborate with interdisciplinary team to improve patient outcomes.
• Maintain sterility and safety of the operating room.

Skills

Operating room

Circulator role

Scrub role

Nursing license

Education

Associate Degree in Nursing

Bachelor of Science in Nursing

Master's in Nursing

Foreign nursing degree equivalency

Tools

AORN Standards

Job description

Summary

This Registered Nurse - Operating Room position is located within in Ambulatory Care Service at the Jamaica Plain VAMC in Boston - MA. This is a full-time position at 40 hours per week. Rotation for late case coverage is required as needed.

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.) Preferred Experience: 2 years of operating room experience in both the circulating and scrub roles is required Ophthalmology experienced preferred CNOR preferred 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/13093298
• 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: All applicants must be physically able to satisfactorily perform the duties of the position
• A pre-placement physical examination shall be completed prior to appointment.

Duties

• The Perioperative Operating Room (OR) Registered Nurse (RN) is accountable for patient outcomes resulting from the nursing care for the patient undergoing a surgical/ invasive procedure
• The perioperative OR RN plans - directs and coordinates the care of every patient undergoing operative and other invasive procedures - taking into consideration respect for the individual and recognition of the important contribution that each team member makes to the patient's well-being
• Surgical cases include (and are not limited to) ophthalmology - ENT - Plastics - general surgery - GU - GYN and orthopedic procedures
• Incumbent may be assigned to the scrub or circulating role
• 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
• Influences outcomes by collaborating with members of the interdisciplinary team
• Accountable for patient outcomes resulting from the nursing care for the patient undergoing a surgical/ invasive procedure
• Function proficiently in both the circulator and scrub role within the OR and to be competent in all surgical specialties served
• Maintains knowledge of current Association of peri-Operative Registered Nurses (AORN) Standards - VHA Directives - and service level standard operating procedures
• Assures the sterility of the surgical field is maintained and all instrumentation and equipment in play is used in a safe and efficient manner
• Protects the patient from injury caused by chemical - electrical - mechanical - and thermal sources - and extraneous objects - performs counting procedures to protect the patient from unintended retained surgical items - participates in the Time Out process to ensure correct site - side - and level - and follow implant and tissue/tissue-based product documentation - policy - and procedures
• 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 Notifications: This position is in the Excepted Service Veterans' preference does not apply for internal or other current permanent Federal agency employees
• Current and former Federal employees must submit copies of their most recent SF-50 - (Notice of Personnel Action)
• The SF-50 must identify the position title - series - grade - step - tenure and type of service (Competitive or Excepted)
• In some cases - more than one SF-50 may be required to show a higher grade previously held
• Work Schedule: Full-Time - Day-Time Tour of Duty Virtual: This is not a virtual position
• Permanent Change of Station (PCS): Not Authorized VA offers a comprehensive total rewards package: VA Nurse Total Rewards