Registered Nurse - Operating Room - West Roxbury

Veterans Health Administration, Department of Veterans Affairs; Boston (MA); On-site; USD 90,000 - 120,000; Full time

Job summary

Veterans Health Administration, Department of Veterans Affairs in West Roxbury, MA is seeking a Registered Nurse (Operating Room) to provide perioperative nursing care for surgical patients. This full-time position includes cross-coverage to Jamaica Plain campus with minimal travel.

Responsibilities include planning and delivering complex nursing care, collaborating with the interdisciplinary team, maintaining sterility, and adhering to ANA standards and VA directives.

Qualifications

• Graduates must be licensed as a registered nurse in the United States.
• Graduate of an approved nursing program (ACEN/CCNE accredited).
• Eligible for licensure and able to obtain state license.
• May pursue licensure via bridge programs if applicable.
• Current US nurse licensure in good standing.

Responsibilities

• Provide technically competent nursing care for patients undergoing surgical procedures.
• Coordinate care with the perioperative team across circulator and scrub roles.
• Maintain ANA Standards of Nursing Practice and FMEA/ICARE values.
• Lead and collaborate with interdisciplinary team to achieve patient outcomes.
• Ensure sterility and safety of the surgical field and instruments.

Skills

English Language Proficiency

Education

ADN or Diploma in Nursing

BSN degree

Master's degree in Nursing (MSN)

Foreign nursing education equivalency

Job description

Summary

This Registered Nurse (Operating Room) position is located in the Nursing service at the West Roxbury - MA location. Minimal travel required for cross coverage to Jamaica Plain campus. This position is full-time at 40 hours per week.

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/13085887
• 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.

Duties

• The Registered Nurses (Operating Room) are accountable for patient outcomes resulting from the nursing care for the patient undergoing a surgical/ invasive procedure
• The perioperative Registered Nurses (Operating Room) plan - direct and coordinate 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
• The Registered Nurses (Operating Room) are expected to function proficiently in both the circulator and scrub role within the Operating Room and to be competent in all surgical specialties served
• The Registered Nurses (Operating Room) maintain knowledge of current Association of peri-Operative Registered Nurses (AORN) Standards - VHA Directives - and service level standard operating procedures
• The Registered Nurses (Operating Room) assure the sterility of the surgical field is maintained and all instrumentation and equipment in play is used in a safe and efficient manner
• Major duties and responsibilities include - but are not limited to - the following: Independently plans and delivers technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice
• Manages the care of patients - while organizing and prioritizing patient care needs - and ensuring assigned tasks are completed
• Functions as an emerging leader in providing direction to staff to identify - implement and evaluate patient care needs
• Collaborates with the interdisciplinary team to ensure the plan of care is achieved
• Provides and directs others in Veteran/patient driven care that optimizes the patient's experience - satisfaction - and/or safety for a team of patients
• Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient
• Role models and displays ethical behavior
• Recognizes ethical issues related to professional nursing practice and models appropriate action by providing and directing others in the provision of care following established policies and ANA Code of Ethics for Nurses
• Models' high reliability principles and I CARE values to improve patient outcomes
• Leads the provision of nursing care to patients with complex care needs utilizing the nursing process in alignment with the ANA Standards of Nursing Practice Applies clinical knowledge/judgment to lead staff involvement in planning - decision‑making - and evaluating outcomes within the immediate practice setting
• Effectively functions as a leader - with demonstrated outcomes - for the immediate practice setting
• Demonstrates the ability to improve the effectiveness of communications and interactions with others - to inspire their cooperation and confidence to ensure safe and effective outcomes in the current practice setting
• 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: Days - 40 hours per week with on‑call rotation Compressed/Flexible: Available - four 10‑hour shifts Telework: Not Available
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized
• Notifications: Current 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)
• The salary is based on the grade and step approved for the selected candidate
• Veterans' preference does not apply for internal or other current permanent Federal agency employees
• This position is in the Excepted Service.