The Surgical Clinic Pain Registered Nurse (RN) provides support to physicians in providing care to patients requiring pain intervention, surgical intervention and consultation in the surgical clinic setting. This RN provides pre, intra, and post procedural care; administers appropriate medications as directed in accordance with policy/procedures as well as patient/family education regarding pertinent procedures and disease processes. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 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: ACLS BLS At least 1 year of experience in pain management as an RN At least 1 year of experience performing/assisting with pain procedures At least 1 year experience administering and monitoring moderate sedation 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. 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: The population of male and female Veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. CTVHCS is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. 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. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Surgical Clinic Pain Registered Nurse (RN) provides support to physicians in providing care to patients requiring pain intervention, surgical intervention and consultation in the surgical clinic setting. This RN provides pre, intra, and post procedural care; administers appropriate medications as directed in accordance with policy/procedures as well as patient/family education regarding pertinent procedures and disease processes. The RN employs a unit-focus to provide nursing care to Veterans assigned to out-patient pain and surgery clinics through collaboration, scheduled RN clinics, unscheduled walk-in care, and telephone triage. The Surgical Clinic Pain RN possesses the clinical knowledge for patient pre-surgical/procedural requirements for scheduled surgeries or interventional pain procedures. The RN will be responsible for coordinating follow-up care, discharge instructions, review, and preparation of patient charts for pain procedures. Primary duties include but are not limited to:\n1. Administration of moderate sedation during pain procedures and monitoring post-procedure patients and ensure they recover properly from sedation outpatient procedures.\n2. Reviewing each patient's medical history, performing initial and ongoing physical and psychosocial assessments; synthesis of data from various assessments, monitoring devices, laboratory, and imaging reports; problem identification; care planning; patient advocacy; collaboration with others; strict observation of infection control guidelines; medication administration; airway management skills, and patient education.\n3. Educating patients on disease processes and treatment plans as well as follow-up care. Providing patients and their family members or caretakers with information about home recovery, including any restrictions on diet or activity.\n4. Triaging, assessing wounds and surgical sites, changing dressings, providing treatments, patient transfers and intake histories. Changing bandages, frequently checking patients, monitoring their vital signs and other post-procedure factors. Administering post-procedure medications.\n5. Addressing any issues with recovery and collaborating with physicians, and other hospital personnel as necessary to provide quality patient care.\n6. Overseeing the work of unlicensed staff.\n7. Documentation: point of care testing including vital signs, health screening including suicide, depression and PTSD.\nThe Surgical Clinic Pain RNs are required to maintain current Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) certifications, certification for administration of moderate sedation, effective interpersonal and communication skills and keen attention to detail. The incumbent practices good customer service in all work activities, treating Veterans, their families/ representatives, visitors, and other employees in a courteous, tactful, and respectful manner. The RN will act as the charge nurse as requested. The RN may be a member of facility committees. The RN uses current nursing standards, guidelines, and treatment modalities. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: 7:30 am to 4:00 pm, Monday thru Friday\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Recruitment Incentive May be Authorized for Hiqhly Qualified individual\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]