The William S. Middleton Memorial Veterans Hospital is committed to fostering and sustaining an environment which celebrates diversity, provides equitable opportunities for employment and promotion, and supports inclusiveness in our culture. Together, we strive to create and maintain working and learning environments that promote professional growth and teamwork, and are inclusive, equitable and welcoming. We embrace our differences as individuals and unite as a team toward a common goal: to serve our nation's Veterans.
The Perianesthesia RN delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient education, selfÂmanagement, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team.
The Perianesthesia RN brings principles and theory with limited application of critical thinking skills. Provides specialized care in the assessment, planning, implementing and evaluation of care throughout the peri anesthesia continuum to include the Pre anesthesia Phase, Post anesthesia Phase I, Post anesthesia Phase II, and extended care from sedation/analgesia and/or anesthesia for surgical, diagnostic, or therapeutic procedures. The Perianesthesia RN possesses knowledge related to the physiology associated with various anesthesia techniques and surgical interventions. The Perianesthesia RN assesses and prepares patients for procedures appropriately. Performs clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention. The Perianesthesia RN applies the appropriate post sedation scoring and assesses the patient's postoperative status to include cardiovascular and respiratory systems and airway management needs, neurological system, hemodynamic stability, pain, and comfort needs and mental status, implementing appropriate interventions to maintain or return all physiological system to baseline.
The staff of Prep-Recovery and PACU strive to provide High Quality Care based on ASPAN Standards:
Pre-Admission: The nursing roles in this phase focus on physical, psychosocial, sociocultural and spiritual preparation for the experience. Interview and assessment techniques are used to identify potential or actual problems. Education and interventions are initiated to optimize positive outcomes.
Day of Surgery/Procedure: The nursing roles in this phase focus on validating existing information, reinforcing preoperative teaching, reviewing discharge instructions and providing nursing care to complete preparation for the experience.
lntraoperative: Prep/Recovery and PACU doesn't not provide intraoperative care, but will communicate and collaborate with the Operating Room Team performing intraoperative care and be available to assist in the event of emergency in the operating room.
Phase I Recovery: The nursing roles in this phase focus on providing post anesthesia nursing in the immediate post anesthesia period, transitioning to Phase II, the in-patient setting, or to an intensive care setting for continued care. Basic life-sustaining needs are of the highest priority.
Phase II Recovery: The nursing roles in this phase focus on preparation for care in the home or an extended care environment.
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: Full Time, Monday-Friday, 8, 9, 10 or 12 hour shifts may be available. No weekends or Holidays. Scheduling flexibility required.
Telework: Not Available.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Starting at $69,705 Per Year (VN 00)