This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

Duties

The Cardiac Catheterization Laboratory (Cath Lab) RN works at the top of their licensure and provides direct nursing care to patients in Cath Lab procedural areas and the pre-op/recovery area. The Cath lab RN supports the Cath lab nursing team as needed. They work under the clinical guidance of the Cath Lab Cardiologist and Cardiology fellows, as well they support both the Interventional Radiologist and Vascular providers. The Cath Lab RN reports to the Cath Lab / Interventional Radiology Nurse Manager. - Provides pre-procedure care, including pre-procedure assessment, review of medications, documentation, and patient preparation for the procedure, including obtaining IV access. - Makes pre-procedure phone calls to patients and collaborates with care managers and providers to ensure that patients know and follow all pre-procedure instructions. - Ensures that the patient has an accurate consent for the procedure within the last 60-days and an H&P documented in the patient record within the last 30-days. - Provides post-procedure care to patients in the Cath Lab recovery area for patients in both Phase I and Phase II recovery. - Communicates with the physician on an ongoing basis about the patient`s condition and medication for the procedure. - Consistently assists with the maintenance of equipment and inventory. - Assists physician during procedures, being the scrub personal. - Assess procedures rooms and pre-op/recovery area for equipment functioning and readiness before procedures and patient care. - Obtains supplies for individual cases and assures all appropriate needs of the patient care team are met. - Hemodynamically monitor, position, and assist patients during procedures and perform immediate post-procedural recovery care. - Demonstrate proficiency in hemodynamic monitoring, management/support of intra-aortic balloon pump insertion and operation, and electrocardiogram (ECG) interpretation, moderate sedation administration, and hemodynamic/cardiac medication/drip administration. - Prepares, monitors, and recovers patients prior to, and following, invasive Cardiac Cath Lab procedures, including continuous ECG and hemodynamic monitoring, identification of cardiac arrhythmias, response to medications, titration of vasoactive IV medications, and hemodynamic assist devices such as intra-aortic balloon pumps and ventricular assist devices. - Performs removal of intra-arterial and intra-venous sheaths, including TR Band removal, Radial compression device with monitoring of vital signs and attainment of hemostasis. - Documents patient data during recovery phase. - Administers medications, including ACLS medications, anticoagulants, sedatives, pain medications, antibiotics, and hemodynamic medications/drips. - Administers moderate sedation with appropriate patient monitoring, assessment, and documentation. - Conducts quality control procedures on equipment. - Follows strict adherence to sterile technique, infection control, and safety practices. - Maintains knowledge of the functioning of all technological equipment in the Cath lab, including, but not limited to the transvenous pacemakers and the IABP. 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: 7:00AM - 5:30PM / 10 hour shifts/Variable with rotating late case overtime required. Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. EDRP Authorized: Contact Susan [email protected], the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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. 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. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: - Involves considerable amount of standing, walking, stooping, bending, reaching, lifting, and turning. - Requires carrying or lifting of objects weighing up to 50 lbs., but occasionally may require work that involves pushing or lifting in excess of 50 pounds and going up and down flights of stairs. - The position requires visual and auditory acuity at a level to provide safe and effective nursing care. - The position requires the nurse to work for periods of time with arms above shoulder level or with neck in a fully flexed or extended position and the ability to physically control or defend against emotionally ill clients. - Requires use of hands for actions such as typing, simple grasping, fine manipulation, and repetitive actions. - Requires the ability to frequently respond to multiple demands and priorities. - Has potential for exposure to infectious diseases, hazardous waste, and chemicals. - Ability to distinguish shades of colors. - Ability to effectively utilize a stethoscope and distinguish breath and heart, and bowel sounds. - Emotional and mental stability - ability to effectively perform the essential functions of the position and respond appropriately in emergency situations.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address VA Northern California Health Care System 10535 Hospital Way Mather, CA 95655 US
• Name: Nina Nguyen
• Phone: 916-843-6932
• Email: [email protected]