Registered Nurse - Hemodialysis
Direct Jobs, Olympia, WA, United States
Overview
The Registered Nurse - Hemodialysis provides, directs, and improves care for patients with end-stage renal disease (ESRD), acute kidney injury (AKI), and late-stage chronic kidney disease (CKD).
Qualifications
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 than an 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/12945439
Grade/Level Scope
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 conditions
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 a 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 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
Foreign education programs/degrees are not creditable as related degrees
Reference: For more information on this qualification standard, visit https://www.va.gov/ohrm/QualificationStandards/
Preferred Experience: BSN with 2-3 years of hemodialysis nursing experience in an outpatient or inpatient setting
Demonstrated skill in cannulating Arteriovenous Fistula and/or Arteriovenous Graft (AVF/AVG) - responding to dialysis emergencies - and educating dialysis patients
Certification in Nephrology - Dialysis - or equivalent
Physical Requirements: This 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
Transferring patients and objects may be required
Mechanical lifts are provided
The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings
The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders
Must complete annual Employee Health requirements as a condition of employment
The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles
Duties
The RN - Hemodialysis functions as the primary nurse for ESRD patient panel and serves as key resource assisting patients navigate the healthcare system
Major Duties include - but are not limited to: Collaborate with other disciplines/departments to achieve desired patient outcomes
Functions as primary nurse for ESRD patient panel and serves as key resource assisting patients navigate the healthcare system
Completes documentation for all clinical and technical recordkeeping in the electronic health record and treatment flowsheets in accordance with established policies and procedures
Uses a team approach to identify, analyze, and resolve patient care problems with measurable outcomes
Assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation
Administer prescribed therapies using appropriate judgement
Evaluation of therapies is persistent and timely
Initiates referrals to other disciplines and/or services appropriately
Demonstrates correct responses to emergencies, manages complex patient situations and initiates effective action in emergencies
Demonstrates independent clinical skills in the areas of outpatient and acute management of hemodialysis and peritoneal dialysis patients and demonstrates understanding of the concepts of care of patients in all stages of chronic renal disease and renal transplantation
Utilize various specialized equipment to deliver treatment to critically ill hemodialysis and peritoneal dialysis patients in special care units
All other duties as assigned, pertaining to this occupation, to meet the needs of the Agency, Department, Facility, and/or Service
"VA offers a comprehensive total rewards package" includes details such as pay, leave, retirement, insurance, licensure, and work schedule information; these are boilerplate benefits language and not part of the role description
Continued information about benefits (e.g., work schedule, telework, relocation incentives) may be included in postings but are not required for the role description
#J-18808-Ljbffr
The Registered Nurse - Hemodialysis provides, directs, and improves care for patients with end-stage renal disease (ESRD), acute kidney injury (AKI), and late-stage chronic kidney disease (CKD).
Qualifications
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 than an 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/12945439
Grade/Level Scope
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 conditions
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 a 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 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
Foreign education programs/degrees are not creditable as related degrees
Reference: For more information on this qualification standard, visit https://www.va.gov/ohrm/QualificationStandards/
Preferred Experience: BSN with 2-3 years of hemodialysis nursing experience in an outpatient or inpatient setting
Demonstrated skill in cannulating Arteriovenous Fistula and/or Arteriovenous Graft (AVF/AVG) - responding to dialysis emergencies - and educating dialysis patients
Certification in Nephrology - Dialysis - or equivalent
Physical Requirements: This 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
Transferring patients and objects may be required
Mechanical lifts are provided
The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings
The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders
Must complete annual Employee Health requirements as a condition of employment
The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles
Duties
The RN - Hemodialysis functions as the primary nurse for ESRD patient panel and serves as key resource assisting patients navigate the healthcare system
Major Duties include - but are not limited to: Collaborate with other disciplines/departments to achieve desired patient outcomes
Functions as primary nurse for ESRD patient panel and serves as key resource assisting patients navigate the healthcare system
Completes documentation for all clinical and technical recordkeeping in the electronic health record and treatment flowsheets in accordance with established policies and procedures
Uses a team approach to identify, analyze, and resolve patient care problems with measurable outcomes
Assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation
Administer prescribed therapies using appropriate judgement
Evaluation of therapies is persistent and timely
Initiates referrals to other disciplines and/or services appropriately
Demonstrates correct responses to emergencies, manages complex patient situations and initiates effective action in emergencies
Demonstrates independent clinical skills in the areas of outpatient and acute management of hemodialysis and peritoneal dialysis patients and demonstrates understanding of the concepts of care of patients in all stages of chronic renal disease and renal transplantation
Utilize various specialized equipment to deliver treatment to critically ill hemodialysis and peritoneal dialysis patients in special care units
All other duties as assigned, pertaining to this occupation, to meet the needs of the Agency, Department, Facility, and/or Service
"VA offers a comprehensive total rewards package" includes details such as pay, leave, retirement, insurance, licensure, and work schedule information; these are boilerplate benefits language and not part of the role description
Continued information about benefits (e.g., work schedule, telework, relocation incentives) may be included in postings but are not required for the role description
#J-18808-Ljbffr