Vascular Access Nurse - Dialysis

Summary

The Hampton VAMC is recruiting for a Vascular Access Nurse (Dialysis) within the SCI and Rehab Department. VA Nurses are integrally involved in the greater federal - national - and international communities of nursing: advocating for informed nursing practice so we can constantly improve nursing care for our nation's heroes with our nursing colleagues.

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

Duties

• The Nurse I - Level 1 Vascular Access Registered Nurse (RN) is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care
• The Nurse II Vascular Access Registered Nurse (RN) is responsible for providing competent - evidence-based care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting
• The Nurse III Vascular Access Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex patient care
• Responsible for working in close collaboration with the Nurse Manager - Chief of Nephrology - General Vascular Surgery and community vascular access resources to ensure and provide program services to patients requiring vascular access who have acute and chronic renal failure
• Provides direct patient care to peritoneal dialysis Veterans and ongoing support - oversight and education to teammates - provider partners - and hemodialysis patients in the care and management of vascular accesses
• Ensures that the appropriate plan of care is implemented according to the standards of regulatory agencies - such as JC - OSHA and VHA Directives
• Proactively collects and reports accurate and complete data and assessments of the accesses to facility - teammates - patients and other care providers for baseline and ongoing outcomes Maintains access history and ensures documentation of care and outcome and communicates vascular access-related outcomes and status
• Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs
• Possesses the knowledge and skills to effectively apply all aspects of the nursing process within a collaborative - interdisciplinary practice setting to facilitate the effective care of Veterans
• Monitors vascular access and hemodialysis care delivery identifying access dysfunction and opportunities to increase arterio-venous fistulas (AVFs) and reduce catheters
• Facilitates the process of referral for diagnosis of those accesses with dysfunction or other pathology
• Provides direct patient care in the dialysis unit or ICU coverage for hemodialysis therapy for safe patient staffing and may be required to provide backup coverage for the PD Nurse Coordinator if he/she is not available for education and training of patient and/or family
• Participates in daily huddles providing Dialysis Quality Assurance meeting to provide optimal care for patients receiving chronic outpatient dialysis therapy
• Maintains clinical on-call requirements for RDU nursing staff
• Provides guidance and education to patients and caregivers and collaborates with other professionals at all levels including but not limited to the other nurses and physicians in Dialysis - Radiology and Ambulatory Surgery - as necessary
• 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: Tour M-F 7:30am - 4pm Telework: Not Available
• Virtual: This is not a virtual position
• Permanent Change of Station (PCS): Not Authorized.

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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