Registered Nurse - Post Anesthesia Care Unit (PACU)

U.S. Department of Veterans Affairs; San Antonio (TX); Sur place; USD 90 000 - 120 000; Plein temps

Résumé du poste

The U.S. Department of Veterans Affairs in San Antonio, TX is seeking a Post Anesthesia Care Unit (PACU) RN to provide specialized peri-anesthesia care across pre-anesthesia, recovery, and extended care phases for surgical, diagnostic, and therapeutic procedures.

Expectations span from Nurse I to Nurse II/III with leadership, quality improvement, and mentoring responsibilities. The role emphasizes evidence-based practice, policy development, and program-level outcomes within VA patient-centered

Qualifications

• English proficiency required for direct patient care.
• Graduate of an approved nursing program (ADN, Diploma, BSN or higher) with active state licensure.
• Foreign education requirements and licensure validation may apply as per VA policy.

Responsabilités

• Provide specialized peri-anesthesia nursing care across pre-anesthesia, Phase I/II recovery, and extended recovery.
• Assess, plan, implement, coordinate, and evaluate age-appropriate patient care using the nursing process and evidence-based practice.
• Perform comprehensive patient assessments and identify contraindications to anesthesia or procedures.
• Monitor postoperative status across cardiovascular, respiratory, airway, neurological, and pain domains; manage pain and comfort.
• Administer medications and nursing procedures following established policies and standards.
• Coordinate care with the interdisciplinary team to ensure safe care delivery and positive outcomes.

Connaissances

English language proficiency

Formation

ADN / Diploma in Nursing

BSN

MSN or related field + BSN

Description du poste

Summary

Post Anesthesia Care Unit RNs provide specialized peri-anesthesia care across pre-anesthesia - recovery - and extended care phases for surgical - diagnostic - and therapeutic procedures. Expectations progress from developing competence (Nurse I Levels 1-3) to proficient practice - leadership - evidence-based care - mentoring - quality improvement - policy development - and program-level outcomes (Nurse II-III).

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.) 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/13098250
• 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 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/
• Preferred Experience: Recent PACU experience in last three years CPAN/CAPA/CCRN certification

Duties

• Major duties include: Provide specialized peri-anesthesia nursing care across the continuum of care - including pre-anesthesia - Phase I and II recovery - and extended recovery following sedation - analgesia - or anesthesia
• Assess - plan - implement - coordinate - and evaluate age-appropriate patient care utilizing the nursing process and evidence-based practice
• Perform comprehensive patient assessments - identify contraindications to anesthesia or procedures - and implement appropriate nursing interventions
• Monitor and evaluate postoperative physiological status - including cardiovascular - respiratory - airway - neurological - hemodynamic - pain - comfort - and mental status needs
• Administer medications - sedation-related therapies - and nursing procedures in accordance with established policies - guidelines - and standards of practice
• Coordinate patient care activities with the interdisciplinary team to promote positive patient outcomes - safe care delivery - and customer satisfaction
• Provide patient and family education to support self-management - informed decision-making - and continuity of care
• Apply critical thinking - clinical judgment - and technical proficiency to manage routine and complex patient care situations
• Maintain knowledge of ASPAN standards - VHA directives - and local policies - procedures - and standard operating practices
• Ensure timely - complete - and accurate documentation of all phases of care within the electronic health record
• Participate in quality improvement - patient safety - and evidence-based practice initiatives to enhance clinical outcomes and operational effectiveness
• Serve as a resource to colleagues by sharing knowledge - mentoring staff - and fostering a supportive professional practice environment
• Demonstrate leadership through collaboration - problem-solving - policy development - and contributions to program and service-level improvements
• Support a culture of excellence by evaluating care processes - contributing to practice improvements - and promoting high-quality patient-centered care
• May be required to participate in on-call coverage and respond to patient care needs outside of regular duty hours
• 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 7:30 a.m
• - 4:00 p.m. - 9:30 a.m
• - 6:00 p.m. - 11:30 a.m
• - 8:00 p.m
• Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized