The Durham VA Health System, has 2 Full-time vacancies for a Registered Nurse in the Gastroenterology and Liver departments. The RN will be fully qualified and certified to function in a clinical role and in accordance with the guidelines and policies of the Durham Veterans Affairs Health Care System

Duties

The Registered Nurse working in the Gastroenterology and Liver Departments will serve the Veteran population by providing peri-procedural care for Sedated and Non-Sedated Procedures and Hepatology Services. These include but not limited to: Colonoscopy/Flexible Sigmoidoscopy, Endoscopy, ERCP, Upper and Lower Endoscopic Ultrasound, PEG placement, Capsule Endoscopy, Fibro scan, Paracentesis, Esophageal Manometry and other treatment care items. The GI clinic staff also travels to the ER, OR, or ICU to perform cases (including for on-call emergency cases). The Liver Clinic supports Veterans with different forms of Hepatitis, Cirrhosis, Hepatocellular Carcinoma and Drug Induced liver injuries to name a few. The projected end of year procedures top 10,000. The Durham Liver clinic has monitored a cure rate for HCV at 1223 patients which makes this VA #1 in treatment rates for 2017. Some of the responsibilities for the Registered Nurse in both GI and Liver clinics are: Monitoring and sedating patients for GI Procedures and guided by the Moderate Sedation policy MCM 558-01-5.8 (pre, intra and post procedure). Assisting physicians with the technical aspects of endoscopic procedures within the endoscopy unit and during on-call or travel cases Preparing patients scheduled for endoscopic or biopsy procedures Monitoring the technicians and other support personnel related to safe patient care Education for patients and families related to pre-and post-procedures and medications, including diet and medication regimens Communicating with patients by telephone triage, secure messaging, or Annie App (text application) Participating in conferences and awareness events for GI and Liver cancers. Scheduling appointments for procedures for the providers Managing the Clinical Case Registry and HCV Dashboard Tracking and identifying the patient appropriate for treatment of Liver disease Active in conferences and awareness programs for HCV amongst Veterans Case Management of patients needing follow-up labs and screening of clinical markers Assisting with management of the National Colo-rectal Cancer Screening Reminders 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: 8AM-4:30PM Telework: NO Virtual: This is not a virtual position.

Requirements

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 master's level bridge program in nursing who have completed coursework equivalent to a bachelor's 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.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. 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: https://apply.usastaffing.gov/ViewQuestionnaire/12536833. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Qualifications A minimum of two years of successful nursing experience Prior experience caring for patients in Gastroenterology or Intensive Care Units Demonstrated experience to manage patients using conscious sedation Demonstrated outcomes in working effectively with the interdisciplinary team in the outpatient setting Demonstrated ability to function independently, be flexible and project effective communication with Veteran population Demonstrated leadership activities evident by having a charge nurse role and/or participating in unit or hospital based committees Preferred Level of Education BSN Preferred Certification(s) BLS ACLS Certified Gastroenterology Registered Nurse Physical Requirements: This position requires visual acuity, keen hearing; clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who" are combative secondary to delirium, dementia, or psychiatric disorders.

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 Durham VA Medical Center 508 Fulton Street Durham, NC 27705 US
• Name: Whitlea Mitchell
• Phone: 804-738-1750
• Email: [email protected]