Registered Nurse_Dialysis

<p>Dialysis Registered Nurse (RN) is a professional nurse with specialized knowledge and skills who demonstrates proficiency when providing and directing care for patients with end-stage renal disease (ESRD), acute kidney injury (AKI), and late-stage chronic kidney disease (CKD).</p><h3>Major Duties</h3><p>The Dialysis Nurse is a professional registered nurse (RN) with specialized knowledge and skills who demonstrates proficiency when providing and directing care for patients with end-stage renal disease (ESRD), acute kidney injury (AKI), and latestage chronic kidney disease (CKD). Collaborates with other disciplines/departments to achieve desired patient outcomes. Adheres to Centers for Medicaid Services (CMS) Conditions for Coverage (CfC) for ESRD facilities; VHA Handbook 1042.01, VA Dialysis Programs Standards and Criteria under authority 38 U.S.C. 1703, 1710, and 7301(b); Centers for Disease Control (CDC) Guidelines for Infection Control in Dialysis Settings, Association for the Advancement of Medical Instrumentation (AAMI) Standards as they relate to dialysis solutions and water purification, the Joint Commission, and all other regulatory requirements. Team leads unlicensed assistive personnel such as hemodialysis medical instrument technicians (HDMITs). Participates in peer reviews and evaluation of other nurse colleagues and technicians. Functions as primary nurse for ESRD patient panel and serves as key resource assisting patients navigate VASDHS. Completes daily treatment encounters, annual clinical reminders, annual assessments, monthly and/or just-in-time patient education using TEACH-BACK methodology. Completes monthly ESRD patient care plans aligned with goals of care and coordinates advance care planning for end-of-life (EOL). Monitors, tracks/trends, and reports ongoing care continuity needs and outcomes to multi/interdisciplinary teams. Tracks/trends K-DOQI (kidney disease quality outcomes initiatives), VA Outpatient Dialysis Dashboard Metrics, and VA Outpatient Dialysis IPEC CLABSI outcomes. Orders and collects required specimens and submits to laboratory for processing. Completes documentation for all clinical and technical recordkeeping in the electronic health record and treatment flowsheets in accordance with established policies and procedures. Completes electronic encounters according to VA Directives for appropriate VERA allocation and managerial cost accounting (MCA). Uses a team approach to identify, analyze, and resolve patient care problems with measurable outcomes. Handles multiple projects and duties simultaneously, prioritizing as needed. Identifies potential and actual problems involving resources and/or safety. Takes action to avert or manage situation(s) in a manner which meets patient needs in a safe/therapeutic manner and promotes healthy workplace environments. Engages in daily Huddles using STEPS (safety, teams, equipment, process, supplies) and reports to leadership chain via Daily Management System (DMS). Participates in training for self and others for professional development activities aligned with VA mission, goals, and objectives. Engages in department/program performance improvement as measured against regulatory standards and takes action to correct deficits to ensure compliance as part of sustained clinical operations and continued readiness. .Demonstrates effective interpersonal communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers. Treats all patients and employees with respect, regardless of their level, personality, culture, and/or background. Participates in shared governance, team meetings, and process improvement activities, monitors results, and advocates for self and staff compliance to regulatory requirements. Responds to changing priorities and resources with optimism, encouraging staff to respondpositively and proactively. Supports department strategic planning and assists unit-based educational program and activities. Performs dialysis on-call duties for inpatient urgent/emergent acute hemodialysis and peritoneal dialysis procedures. Performs all other duties as assigned. 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: Full Time; Variable, compressed 10-hour shifts, Saturdays, holidays Telework: N/A Virtual: This is not a virtual position. Relocation/Recruitment Incentives: N/A</p><h3>Requirements</h3>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. As a condition of employment for accepting this position, you will be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.<h3>Education</h3>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.