RN Procedural Areas
3 months ago
This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2024. Eligible applications received will be referred at regular intervals or as additional vacancies occur on an as-needed basis until position(s) are filled.
Duties
Dialysis
- Uses nursing process to deliver knowledgeable, safe, and quality care focused on the health needs of individuals experiencing the real or threatened impact of acute or chronic renal failure, through assessment to treat their responses to these problems.
- Collects health data and makes nursing assessments before the initiation of dialysis, which includes obtaining patient vital signs and assessing the patient's vascular access, laboratory findings, and the patient's general health.
- Documents changes during the treatment.
- Conducts post-dialysis assessment, including obtaining vital signs and assessing the patient's vascular assessment; ensures documentation is complete for patient treatment, including computerized and paper documentation, as needed; and ensures the patient is hemodynamically stable before returning to the inpatient room
- PACU RN provides post-operative, interventional care, assessment for patients scheduled for same day surgery and inpatient surgeries.
- Provides level one recovery care for patients with general anesthesia, spinal anesthesia, moderate/conscious sedation: level two (if prolonged stay in PACU) post procedure care for same day surgery, outpatient procedure patients from vascular, interventional radiology, gastroenterology endoscopies and other disciplines with procedures.
- Utilized nursing process providing post-operative care in PACU. Nursing skills in arrhythmia monitoring, patient education, other hemodynamic measures, discharge planning, focused practices in PACU RN. Registered nurses in PACU must have/maintain BLS, ACLS certification
- Manage and coordinate high risk patient care in collaboration with Primary Care licensed independent providers, Care Managers, specialists, and other supportive disciplines through referral.
- Provide disease specific intense management of illness exacerbation and progression through use of evidentiary standards of care.
- Ambulatory Surgery Center staff provides preoperative and Phase II post recovery care to patients who have received anesthesia from general analgesic, local analgesic, and Monitored Anesthesia Care (MAC).
- ASC focuses on the preparation for surgery or interventional procedures with patient/family and preparation for discharge to home or other extended facility.
- ASC staff works collaboratively with the Surgical providers, Interventional Radiologist and Cardiologist to implement the plan of care for patients requiring surgery, interventional radiology, or cardiac catheterization as an outpatient.
- The care is multidisciplinary, including collaboration with the dietitian, Social Workers, PACT staff, and various provider in the community.
- Provides competent, evidence-based procedural care to patients, overseeing licensed vocational nurses and health/nursing assistants as appropriate to the clinic setting.
- Delivers and manages care of patients undergoing therapeutic, diagnostic endoscopy procedures, including inpatients and outpatients.
- Assesses the patient's physical and mental status prior to procedures, educates on procedural and post-procedural care, documents responses to interventions and findings, and reports any changes.
- Provides direct patient care, assesses, plans, implements, and evaluates direct and indirect nursing care, and identifies outcomes for patients undergoing invasive procedures in CL/IR.
- Coordinates patient care delivery to ensure the delivery of quality care per the established standards of practice, policy, and procedure.
- Provides patient education to assist the patient and family in understanding all phases of the invasive procedure process.
- Maintains knowledge of supplies and equipment used for various cases in the invasive procedures area.
- Performs the duties of recording, circulating, and monitoring patients in all phases of the invasive procedure.
- Conducts hemodynamic and moderate sedation monitoring and medication administration and provides pre- and post-care to patients undergoing invasive 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
Work Schedule: Various schedules
Compressed/Flexible: Not Available
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: May be authorized
Permanent Change of Station (PCS): Not authorized
Financial Disclosure Report: Not required
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