Registered Nurse- Hemodialysis
The Hemodialysis Registered Nurse primarily responsible for applying the nursing process to the care of Veteran patients undergoing hemodialysis in outpatient and inpatient settings. Duties include but are not limited to:
Renal anatomy and physiology, and technical and didactic knowledge of dialysis therapy (i.e. water, treatment, dialysis machine operations and monitoring of the patient undergoing hemodialysis (HD) therapy, potential complications associated with renal replacement therapy and appropriate interventions for each, adequacy of dialysis, catheter function and care). Documentation that reflects assessment of patient needs, interdisciplinary treatment plans, provides instruction of dialysis related material to the patient and their families, plans clinical interventions, and evaluates the patient's response to treatments. Ability to effectively interact with the patient and their families, as well as other support systems within the hospital. Demonstrates proficiency for practice based conscious and deliberate planning, and is self-directed in goal-selling for managing the care of hemodialysis patients. Demonstrates leadership in the application of the nursing process. Engaged in nursing practice characterized by both increased complexity of clinical decision making and enhanced skill in organizational processes as it relates to the care of dialysis patients. Responsible for administration of infusion medications on infusion clinic days. Required to assist with other patient care areas as assigned to meet the demand of care requirements to maintain facilities operational need. Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Work Schedule:
Monday - Friday, four 10-hour shifts OR five 8-hour shifts. On-call rotation required, to include evenings, nights, weekends and holiday's. Financial Disclosure Report:
Not required Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred
Experience:
Previous Dialysis Experience Previous Med/Surg or ICU Experience Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference:
VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements:
This position requires heavy lifting (45 lbs and over), Heavy Carrying (45 lbs and over), Strait pulling (1 hour), Pulling hand over hand (2 hours), Pushing (2 Hours) reaching above shoulder, use of fingers, both arms/hands required or the equivalent required, walking 8-12 hours, standing 8-12 hours, crawling 0.5 hours, kneeling 1 hour, repeated bending (4 hours), climbing, legs only (0.5 hours), both legs required or the equivalent required, twisting (2 hours), ability for rapid mental and muscular coordination simultaneously, stooping, stretching (2 hours), near vision correctable at 13 to 16 to Jaeger 1 to 4, specific visual requirement (read medication label and equipment manuals), both eyes required, ability to distinguish basic colors, hearing (aid may be permitted) adequate to hear medical alarms/whispered voice, ability to perform Prevention and Management of Disruptive Behavior, patient lifting (mechanical assistance available), sitting (8-12 hours), ability to perform Basic Life Support, emotional and mental stability. Environmental factors include:
outside and inside, dust, electrical energy, working around machinery with moving parts, working with hands in water, working closely with others, working alone, protracted or irregular work hours , 4, 6, 8, or 12- hour shifts with rotation if required, and repetitive use of hand hygiene.
Estimated Salary: $20 to $28 per hour based on qualifications.
Renal anatomy and physiology, and technical and didactic knowledge of dialysis therapy (i.e. water, treatment, dialysis machine operations and monitoring of the patient undergoing hemodialysis (HD) therapy, potential complications associated with renal replacement therapy and appropriate interventions for each, adequacy of dialysis, catheter function and care). Documentation that reflects assessment of patient needs, interdisciplinary treatment plans, provides instruction of dialysis related material to the patient and their families, plans clinical interventions, and evaluates the patient's response to treatments. Ability to effectively interact with the patient and their families, as well as other support systems within the hospital. Demonstrates proficiency for practice based conscious and deliberate planning, and is self-directed in goal-selling for managing the care of hemodialysis patients. Demonstrates leadership in the application of the nursing process. Engaged in nursing practice characterized by both increased complexity of clinical decision making and enhanced skill in organizational processes as it relates to the care of dialysis patients. Responsible for administration of infusion medications on infusion clinic days. Required to assist with other patient care areas as assigned to meet the demand of care requirements to maintain facilities operational need. Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Work Schedule:
Monday - Friday, four 10-hour shifts OR five 8-hour shifts. On-call rotation required, to include evenings, nights, weekends and holiday's. Financial Disclosure Report:
Not required Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred
Experience:
Previous Dialysis Experience Previous Med/Surg or ICU Experience Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference:
VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements:
This position requires heavy lifting (45 lbs and over), Heavy Carrying (45 lbs and over), Strait pulling (1 hour), Pulling hand over hand (2 hours), Pushing (2 Hours) reaching above shoulder, use of fingers, both arms/hands required or the equivalent required, walking 8-12 hours, standing 8-12 hours, crawling 0.5 hours, kneeling 1 hour, repeated bending (4 hours), climbing, legs only (0.5 hours), both legs required or the equivalent required, twisting (2 hours), ability for rapid mental and muscular coordination simultaneously, stooping, stretching (2 hours), near vision correctable at 13 to 16 to Jaeger 1 to 4, specific visual requirement (read medication label and equipment manuals), both eyes required, ability to distinguish basic colors, hearing (aid may be permitted) adequate to hear medical alarms/whispered voice, ability to perform Prevention and Management of Disruptive Behavior, patient lifting (mechanical assistance available), sitting (8-12 hours), ability to perform Basic Life Support, emotional and mental stability. Environmental factors include:
outside and inside, dust, electrical energy, working around machinery with moving parts, working with hands in water, working closely with others, working alone, protracted or irregular work hours , 4, 6, 8, or 12- hour shifts with rotation if required, and repetitive use of hand hygiene.
- Department:
0610 Nurse - Salary Range:
$56,285 to $93,828 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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