Registered Nurse -Dialysis

Job description

Summary

The Veterans Health Administration (VHA) in Indianapolis - IN is seeking a dedicated and compassionate Registered Nurse to provide comprehensive - patient-centered care to our nation's Veterans. As a Dialysis RN - you will play a vital role in assessing - planning - implementing - and evaluating nursing care for a diverse patient population.

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:

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: 2 years of dialysis experience

Reference: For more information on this qualification standard - please visit

Physical Requirements: See VA Directive and Handbook 5019.

Duties

The dialysis nurse provides comprehensive nursing care to patients with end-stage renal disease who are being maintained by hemodialysis in either a chronic unit setting or an acute intensive care unit setting

Either area requires the nurse to provide treatment utilizing the nursing process - according to the written procedures and policies of hemodialysis unit

Primary responsibilities include - but may not be limited to: Appropriate use of safe patient handling equipment

Adheres to infection control practices while using equipment and providing patient care

Follows established SOP's and checklists in the set-up - cleaning - transporting - and storing reusable medical equipment (RME)

Safely utilize and maintain VA property and equipment

Obtains and assesses equipment and supplies

Maintains ability to explain the Hemodialysis process to the patients

Assesses patient in a systematic head to toe format utilizing subjective and objective data and documents findings in the Hemodialysis record

Obtains and records vital signs

Obtains pre-dialysis weight and compares to weight from the last treatment

Maintains ability to identify specific nursing diagnoses based on nursing assessment: plans care and expected outcomes for each diagnosis and documents findings on appropriate dialysis forms

Reviews laboratory data - x-rays - and compares data to previous findings and notifies physician of abnormal findings or acute changes

Checks dialysis orders for the following: Correct dialyzer - dialysate - frequency and hours of dialysis

Blood flow rate - dialysate flow rate - dry weight

Lab work to be drawn pre and post-dialysis

Medications to be given during and post dialysis

Transfusion orders

Any other order according to hospital or unit policy

Verifies consent for procedures

Determines what access is to be utilized for treatment - assesses vascular access and documents findings

Monitors patient and equipment throughout dialysis via assessment of the following parameters

Administers blood products safely per protocol

Demonstrates the ability to collect blood tests

Administers IV - IM - SC - & PO medications safely before - during and/or after dialysis according to physician order and documents appropriately

Assesses patient for hemodynamic stability In addition - Dialysis RN's assigned to the primary acute dialysis RN role will maintain these additional skill sets/competences: Will maintain competencies to set up - initiate - monitor - and terminate continuous renal replacement therapies using above safe and effective practice guidelines

Will maintain competency to set up - initiative - monitor - and terminate plasma exchange therapies using above safe and effective practice guidelines

Will maintain competency to set up - initiate - monitor - and terminate conventional hemodialysis therapies on critically ill patients in the ICU utilizing portable RO equipment using above safe and effective practice guidelines

Will rotate on-call responsibilities and accessibility with co-workers to provide 24/7 coverage for emergency therapies and education - training - and support of ward staff to ensure safe patient care

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: : 4 tours Monday- Saturday 06:00am-16:30pm with every other weekend

Compressed/Flexible: Available 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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Who can apply

Review the original listing for work authorization, qualifications and employer requirements.