Operating Room Registered Nurse

Department of Veterans Affairs

The Operating Room Registered Nurse provides comprehensive professional nursing care to Veterans undergoing surgical and invasive procedures within the Department of Veterans Affairs, San Francisco VA Medical Center. The nurse functions as a member of the perioperative team and is responsible for promoting patient safety, coordinating and delivering nursing care, and ensuring quality outcomes throughout the perioperative experience.

• 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. Program 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. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VHA.ELRSProgramSupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more VA offers a comprehensive total rewards package: VA Nurse Total Rewards Major duties and responsibilities of the position: Provides direct nursing care to Veterans before, during, and after surgical and invasive procedures. Performs comprehensive preoperative assessments, including review of medical history, medications, allergies, laboratory results, diagnostic studies, and surgical consent. Verifies patient identity, procedure, surgical site, allergies, and other required safety information in accordance with established perioperative safety standards. Performs and documents the nursing assessment and develops an individualized plan of care based on the patient's condition and surgical needs. Functions as the circulating RN, maintaining responsibility for patient safety, aseptic technique, documentation, positioning, equipment, supplies, and coordination of the surgical environment. May function as a scrub RN, assisting with sterile procedures, instrumentation, supplies, and surgical counts according to competency and facility requirements. Participates in surgical time-outs and other patient-safety processes to prevent wrong-patient, wrong-site, and wrong-procedure events. Monitors the patient's condition throughout the surgical procedure and promptly identifies and communicates changes in patient status. Ensures appropriate positioning and protection of the patient to prevent injury, pressure injuries, nerve damage, and other perioperative complications. Performs accurate counts of instruments, sharps, sponges, and other surgical items in collaboration with the surgical team. Maintains strict adherence to infection prevention and control practices, including sterile technique and appropriate handling of surgical instruments and specimens. Prepares, operates, and troubleshoots perioperative equipment and ensures necessary supplies and instruments are available for scheduled procedures. Handles, labels, and transports surgical specimens according to established policies and procedures. Administers medications and treatments within the RN's scope of practice and applicable VA policies. Provides postoperative assessment and nursing care, including monitoring for complications and coordinating the patient's transition to the appropriate postoperative care area. Provides education to Veterans and families regarding surgical procedures, postoperative care, medications, wound care, and recovery instructions. Recognizes and responds appropriately to emergency situations, including hemorrhage, cardiac or respiratory compromise, anaphylaxis, and other intraoperative complications. Participates in emergency and urgent surgical procedures as required. Accurately documents nursing care, assessments, interventions, medications, surgical counts, specimens, and patient responses in the electronic health record. Collaborates with surgeons, anesthesia providers, surgical technologists, nursing staff, and other interdisciplinary team members to coordinate safe and effective patient care. Participates in quality improvement, patient safety, infection prevention, and performance improvement activities within the Operating Room and Perioperative Service. Maintains current knowledge and competency in perioperative nursing practices, surgical procedures, equipment, infection prevention, and patient-safety standards. Assists with orientation, training, and competency development of new staff and nursing students when assigned. 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, hours vary on patient care needs Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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