Nurse Manager - Ambulatory Surgery Unit (ASU), Post Anesthesia Care Unit (PACU)

Department of Veterans Affairs

The Ambulatory Surgery Unit (ASU), Post Anesthesia Care Unit (ASU), Nursing Interventional Radiology (IR) Cardiac Catheterization and Electrophysiology (Cath/EP) Lab Registered Nurse Manager (NM) is a professional RN who is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. The NM is accountable for adhering to established policies, standards of care, and practice.

• The Nurse Manager for ASU, PACU, Interventional Radiology (IR), and Cath/EP Lab reports to the Associate Nurse Executive for Perioperative Services and serves as the designated first-line supervisor with 24/7 accountability for safe, efficient, high-quality patient care. The Nurse Manager plans, organizes, directs, and evaluates clinical and administrative operations across four procedural care areas: Ambulatory Surgery Unit (ASU), Post-Anesthesia Care Unit (PACU), IR, and Cath/EP Lab. Responsibilities include coordinating nursing, technical, and support staff; managing patient flow and transitions of care; ensuring appropriate staffing based on patient acuity, complexity, and service needs; and optimizing use of personnel, supplies, equipment, and other system resources. The incumbent serves as a clinical and operational resource for staff and provides leadership grounded in evidence-based practice, current clinical recommendations, and applicable professional standards. The Nurse Manager collaborates with physicians, supervisors, nursing staff, patients and families, ancillary departments, and executive leadership to support coordinated perioperative and procedural care. Key responsibilities include: Providing clinical leadership in developing, implementing, revising, and enforcing nursing policies, procedures, standards of care, care-delivery models, clinical guidelines, and evidence-based protocols. Ensuring staff competence, completion of mandatory education and training, professional development, and ongoing assessment of educational needs and quality of nursing care. Supervising staff performance; completing performance appraisals; addressing performance concerns and disciplinary matters; maintaining competency records; and participating in recruitment, interviewing, reference checks, retention efforts, staffing methodology, and position-description development. Leading quality improvement, system redesign, Lean, rapid process improvement workgroups, peer reviews, and patient-safety initiatives to improve outcomes for Veterans. Monitoring and acting on quality and performance metrics, including SAIL, nurse-sensitive indicators, CAUTI, CLABSI, BCMA, workload data, patient event reports, and other operational and clinical measures. Analyzing occurrence reports, Joint Patient Safety Reports (JPSR), sentinel events, and other high-risk or problem-prone areas; implementing system improvements as appropriate. Collaborating with frontline staff and Unit Practice Councils to implement improvements based on staff feedback, including All-Employee Survey results. Maintaining compliance with VA requirements and applicable standards from The Joint Commission, CDC, AAMI, OSHA, ASPAN, AACN, ARIN, AMSN, ANA, and SICP. Managing daily operations, including timekeeping, labor maps, scheduling, emergency/disaster response, surgical scheduling, staff meetings, audits, Mock Tracers, TMS compliance, Environment of Care rounds, inspections, centralized temperature monitoring, reusable medical equipment oversight, and regulatory compliance. Overseeing supply and equipment needs, including supply-chain requests, implants, new equipment requests, and the department Equipment Inventory List. Supporting compliance with applicable union agreements in collaboration with Human Resources. Facilitating effective communication across departments and meeting regularly with medical staff to share information, resolve issues, and promote teamwork. Representing the department at required meetings and participating in professional-development activities aligned with VA mission, goals, and strategic priorities. Demonstrating ethical leadership, sound judgment, safe work practices, effective prioritization, proficient use of clinical and computer systems, and professional communication that promotes respect, cooperation, and teamwork. The Nurse Manager is expected to independently manage multiple priorities, identify and mitigate patient-care, safety, staffing, and resource risks, and promote an environment of accountability, continuous improvement, and exceptional Veteran-centered care. Work Schedule: Monday - Friday 0630 - 1700; 8 hour tours Financial Disclosure Report: Not required

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