Registered Nurse - Dialysis Infusion position is located at the Richmond Veterans Affairs Medical Center in Richmond, Virginia. Please learn more about the position below, along with the duties.
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: https://apply.usastaffing.gov/ViewQuestionnaire/12741789. 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: Dialysis and Infusion Skills Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: See VA Directive and Handbook 5019. This position requires potentially long periods of continued walking, standing, and sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands, both legs and repeated bending. Heavy lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 4 hours); Pushing (up to 4 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 8 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision :20/40 in one eye; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted). The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders; Emotional and Mental Stability: The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.
The Veteran Administration's (VA) Dialysis/Infusion Clinic Nurses are specialized registered nurses who work under the Dialysis Nurse Manager. He/she will administer medication and fluids via intravenous (IV), to outpatients in the hospital environment. The Registered Nurse is a clinical expert who uses advanced specialized knowledge and judgement for delivery of high quality and evidence-based care to non-oncology patients and their families. We are seeking a Dialysis/Infusion Clinic Nurse to administer prescribed medications and fluids to patients through intravenous (IV) or Central Venous Catheter (CVC) access. The ideal candidate would have dialysis experience or be willing to cross train in the dialysis setting to provide dialysis treatments or access Arteriovenous Fistula (AVF) or Arteriovenous Graft (AVG) if needed. He/she will also be responsible for interdisciplinary communication and organization of clinic duties. He/she should have a deep understanding of nursing practices, excellent communication skills, and a compassionate demeanor. Incumbent should have proven experience as an Infusion Nurse, Dialysis Nurse, or similar role. Duties include, but are not limited to: -Evaluating patients' health and determining their infusion needs based on physician orders. -The role involves comprehensive patient assessment, care planning and collaboration with interdisciplinary teams to deliver safe, effective treatments. -Responsibilities include administering non-oncology infusions, blood products and managing vascular access devices. -The RN ensures proper handling and disposal of hazardous materials and responds to infusion-related reactions and complications. -Monitoring patient reactions to the infusions and ensuring the safe and effective delivery of treatment. -Knowledge of infusion therapy or dialysis procedures, and the use of infusion devices. -Excellent communication skills with a patient-focused approach. -Critical-thinking and problem-solving skills. -Willing to be placed on the on-call dialysis rotation. -BLS certification required. ACLS certification may be required. -Administering medications and fluids to patients through injections or intravenous methods in accordance with approved nursing techniques. -Monitoring patients for adverse reactions and responding to any emergencies. -Setting up, inserting, and maintaining intravenous (IV) lines. -Providing education to patients and their families on the infusion process and any potential side effects. -Coordinating with the medical team to create individualized treatment plans for patients. -Maintaining and updating patient records, including noting any changes in condition, medication, and treatments. -Ensuring that the infusion area is clean and complies with all relevant health and safety standards. -Monitor patients before, during, and after infusion, noting any adverse reactions. -Obtain patient health histories and complete physical examinations prior to infusion. -Adhere to infection-control protocols. -Provide backup dialysis duties as needed, such as, providing dialysis treatments, blood draws, medication administration and documentation. -Other tasks as needed and assigned by Infusion Nurse Manager. 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: Monday through Friday, 8:00am - 4:30pm and 9:00am - 5:30pm. May also include weekends and holidays. Telework: Not Authorized Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized VA offers a comprehensive total rewards package: VA Nurse Total Rewards