Registered Nurse Post Anesthesia Care Unit
Job Summary
Summary
The Nebraska-Western Iowa VA Health Care System is seeking a dedicated and highly skilled Registered Nurse (RN) to join our Post-Anesthesia Care Unit (PACU) team. The PACU RN is responsible for the assessment diagnosis planning implementation and evaluation of postoperative patient care. Our ideal candidate possesses exceptional clinical skills and a strong commitment to patient-centered care
The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care you will operate in a model with three core elements seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veterans community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor Americas Veterans by providing exceptional health care that improves their health and well-being.
The PACU RN duties include but are not limited to the following:
- 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.
- Assumes responsibility for the coordination of care focused on patient education self management and customer satisfaction throughout the continuum of care.
- Administers medications and procedures per established policies and guidelines.
- Possesses knowledge related to the physiology associated with various anesthesia techniques and surgical interventions.
- Performs clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention.
- Applies the appropriate post sedation scoring and assesses the patients 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 or above.
- Requirement to cross train to the Surgical Evaluation Unit (SEU).
- BLS
- ACLS
- Critical Care ICU or PACU
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 11:00 a.m. to 7:00 p.m. with rotating day off. No call weekends or holidays
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Conditions of employment
- U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
- Selective Service Registration is required for males born after 12/31/1959.
- Subject to background/security investigation.
- Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- Must pass pre-employment physical examination.
- Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- You may be required to serve a probationary period.
- Complete all application requirements detailed in the Required Documents section of this announcement.
Qualifications
Basic Requirements:
- 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 masters level bridge program in nursing who have completed coursework equivalent to a bachelors 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.)
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: I Level I
Reference: For more information on this qualification standard please visit Requirements:
- You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.
Additional information
As a VA employee you will enjoy a truly rewarding career comprehensive benefits competitive pay and other generous perks to help build a fuller more balanced life for you and your family.
- Strong starting salary career growth and recognition
- VA Nurse Locality Pay System (LPS) - ensuring our nurses are paid competitive rates within each local labor market
- VA Special Rates - providing regular performance-based increases and potential accelerated increases for outstanding performance
- Premium Pay - including overtime Saturday Sunday holiday on-call and night work
- Incentive Awards - including Superior Performance Awards Special Contribution Awards VA Honor Awards and Non-Monetary Recognition.
- 8 hours of annual leave (Vacation Time) accrual for full-time Nurses and Nurse Anesthetists for each full biweekly pay period. (The highest leave accrual of any VA employee!)
- 4 hours of Sick leave accrual per full biweekly pay period.
- 12 Weeks of Paid Parental Leave
- Organ Donor Leave
- Military Leave
- Disabled Veteran Leave
- Health Insurance - pre-taxed premiums and a variety of plans to choose from ranging from traditional HMO/PPO plans with low co-pays to High- Deductible plans. Single spouse and family plans available.
- Dental Insurance
- Vision Insurance
- Thrift Savings Plan (TSP) -Tax deferred retirement savings account that is similar to private sector 401(k). You may be eligible for an automatic 1% agency contribution plus a 4% matching agency contribution.
- Flexible Spending Accounts - medical & dependent care
- Life Insurance - with available additions for family coverage
- Long Term Care Insurance
- Leave Sharing Program
- Holidays - 11 paid Federal holidays each year
- Child Care Subsidies
- Employee Assistance Program
- Wellness and Physical Fitness Programs
- Transit Subsidies
- Continuing Education Opportunities
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38 and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act the Department of Veterans Affairs prohibits requesting an applicants criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process visit Human Resources and Administration/Operations Security and Preparedness (HRA/OSP) at The Fair Chance Act.
Candidates should be committed to improving the efficiency of the Federal government passionate about the ideals of our American republic and committed to upholding the rule of law and the United States Constitution.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required Experience:
IC