Registered Nurse - Surgery Specialty Clinic/Ortho Surgical Integration

Veterans Affairs, Veterans Health Administration | Philadelphia, PA

Posted Date 12/04/2019
Description Provides Surgery Specialty Clinic/Ortho Surgical Integration care for Surgery patients. As member of the Surgery Specialty Clinic/Ortho Surgical Integration care team, executes position responsibilities that demonstrate leadership, experience, and creativity in performing a variety of duties, including supporting the primary care providers in managing complex patient care.The Surgery Specialty Clinic/Ortho Surgical Integration Registered Nurse is a professional Registered Nurse (RN) who provides patient and family centered care that optimizes quality of life by anticipating, preventing, and treating suffering according to the Scope and Standards of Practice Surgery Specialty Clinic/Ortho Surgical Integration Nursing:

- Collects comprehensive data pertinent to the patient's health and/or the situation.
- Analyzes the assessment data to determine the patient's diagnoses or issues.
- Identifies in partnership with the interdisciplinary health care team, expected outcomes for a plan individualized to the patient or situation.
- Develops a plan that defines strategies and alternatives to attain expected outcomes. Also act as an advocate at the Surgery Specialty Clinic/Ortho Surgical Integration care Team meetings, ensuring the continuum of care is addressed and readdressed based on the patient's needs.
- Implements the identified plan.
- Evaluates progress towards attainment of outcomes.
- Primarily responsible for physical care, including the patient's physical condition and comfort, yet must also possess some level of expertise in psychosocial and spiritual aspects of care, to address the patient and family form a holistic perspective.
- Performs an end-stage physical assessment, disease progression and pain and symptom management.
- Educates the patient and family regarding physical care, which includes such things as medication administration, equipment uses, skin care, nutrition, catheter care and transfers.
- coordinates patient care timely and efficiently

Work Schedule: 7:30am-4pm, 8am-4:30pm. 8:30am-5pm
Financial Disclosure Report: Not requiredBasic Requirements:
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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.
- 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.

Preferred Experience:
- Orthopedic experience with surgical background in outpatient setting.
- Case management experience.
- Excellent organizational skills.
- Ability to manage multiple tasks simultaneously.
- Casting experience and cast care experience.
- Cast care certification.
- use of excel/spreadsheets.

Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:

Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience.

Nurse I, Levels 1-3 Salary Range: $63,669 - $86,589
Nurse II Salary Range: $83,825 - $111,479
Nurse III Salary Range: $91,679 - $121,929

Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

Physical Requirements: Standing (up to 2 hours), walking (up to 6 hours), stooping, bending, reaching, lifting, and turning; repositioning patients, assisting with transfers; pushing or lifting more than 45 pounds; visual (corrected to 20/30 or better with color discrimination); auditory acuity; arms above shoulder level; neck in a fully flexed or extended position; work on computers for extended periods of time. Work is primarily conducted in a well-ventilated, adequately heated and cooled building. May be exposed to inclement weather when traveling around medical center. May be exposed to normal office irritants - dust, pollen, noise, vibrations, or odors. May be exposed to therapy animals with and without advanced notice. May be exposed to patients and family in emotional upheaval or extreme pain. Must have emotional stability to properly care for usual patient population.

The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The incumbent must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.

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