Summary The Registered Nurse - Endoscopy provides care to patients undergoing diagnostic and therapeutic endoscopy procedures in inpatient and outpatient settings. Performs pre-procedure assessment, assists during procedures, and provides post-procedure recovery; educates patients and families; documents and reports changes; coordinates care across the continuum; collaborates with the interdisciplinary team; maintains endoscopy equipment and reprocessing standards. Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse - Endoscopy is located at the Miami VA Healthcare System, under the Nursing Ambulatory Care Service, Procedural Clinics. The RN is accountable for the nursing process when providing and/or supervising patient care. The RN delivers and manages care for patients undergoing therapeutic and diagnostic endoscopy procedures in both inpatient and outpatient settings. Responsibilities include assessment of physical and mental status prior to procedures, patient and family education, documentation of responses and findings, and reporting changes in condition. The RN performs roles including pre-procedure assessment, assisting during procedures, and post-procedure recovery. Maintains proficiency in maintenance, cleaning, preparation, and reprocessing of endoscopy equipment in accordance with Standard Operating Procedures (SOP). Recognizes changes in patient condition, initiates appropriate emergency actions, and adapts to changes in daily workflow and scheduling. May be assigned on-call duties following facility policy and response time requirements and must maintain flexibility to support bronchoscopy, GI clinic, and GI department operations. The duties of the Registered Nurse - Endoscopy include but not limited to: Provides care to patients undergoing therapeutic and diagnostic endoscopy procedures in both inpatient and outpatient settings. Assesses patients' physical and mental status prior to procedures. Performs pre-procedure assessments, assists physicians during procedures, and provides post-procedure recovery care. Educates patients and families on procedural and post-procedural care. Documents responses to interventions, findings, and reports changes in patient condition. Coordinates care across the continuum and collaborates with the interdisciplinary team to support safe and effective care. Maintains proficiency in the maintenance, cleaning, preparation, and reprocessing of endoscopy equipment according to Standard Operating Procedures (SOP). Verifies reusable medical equipment (RME), ensures proper reprocessing, and suspends use if equipment is suspected to be improperly cleaned or sterilized. Recognizes changes in patient care situations and initiates appropriate emergency actions. Adapts to changes in daily schedule and clinical workflow. May be assigned on-call duties to cover emergencies following training and in accordance with facility response time policies. Maintains flexibility in schedule and assignments to support bronchoscopy, GI clinic, and GI department operations. Functions as a charge nurse/team leader as assigned, including staffing assignments, workflow coordination, and directing activities of medical technicians. Guides staff in the application of critical thinking and process improvement to enhance patient care. Participates in training and education related to new equipment, scopes, and accessories. Analyzes available resources and identifies risk areas related to staffing, supplies, and equipment availability. Ensures compliance with hospital policies and procedures related to safe work practices and body mechanics. Encourages prompt reporting of incidents and unsafe or unhealthy environmental conditions. Evaluates outcomes of nursing interventions and initiates change when appropriate. Participates in committees, councils, and professional activities and shares information with team members. Cross-trains to function as GI Liaison as needed. Work Schedule: Full time, Tour of Duty, Monday to Friday 0730-1600, requires to be On Call as per organization. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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 Requirements 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's 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 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/12889599. 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. Preferred experience: Advance GI procedural experience. ACLS certification required Bachelor of Science in Nursing (BSN)or higher degree 2-3 years current RN experience Endoscopy experience Moderate sedation experience Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: his 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. This position also requires the ability to lift 30 lbs. 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. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Education Additional Information 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 applicant's 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.
