The Dialysis Unit Staff RN is a professional registered nurse who is responsible for the evidence-based care of a group of patients & who utilizes the Nursing Process to: 1) demonstrate leadership in providing a safe & supportive environment for patients, staff & others; 2) use & direct others to use equipment safely & appropriately; 3) provide care that incorporates the age, gender, cultural & learning needs of patients requiring complex planning & evaluation of care

Duties

Independently plans and delivers technically competent care to patients with complex needs. 1.1. Safely and effectively uses equipment required for patient care. Reports equipment in need of repair. 1.2. Recognizes subtle abnormal signs and symptoms and/or changes in patients' condition and responds appropriately. 1.3 Competent in reading and interpreting ECG strips; and identifying abnormal and lethal rhythms. 2. Makes assignments and directs activities of other unit staff, (RNs, LPNs, students, PSAs, MITs and other team members). 3. Formulates and implements a plan of care based on the ANA Standards of Nursing Practice. 3.1. Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed. 3.2. Includes the patient and family/significant other in developing the initial plan of care, establishing goals, and discharge planning 3.3. Updates plan of care as needed based on patient responses. 3.4. Assesses patient's learning needs, learning preference, and readiness to learn. 3.5. Develops and implements a plan to meet learning needs, instructing patients and families in educational needs and discharge planning. 4. Documents the nursing process. 4.1. Documentation is technically informative, consistent, accurate, concise, and timely manner. 4.2. Evaluates and documents patient response to interventions and progress towards attainment of expected outcomes. 4.3. Revises plan of care according to evaluations of patient responses. 4.4. Uses the Computerized Patient Record System (CPRS) and the Bar Coded Medication Administration (BCMA) software per policy. 5. Manages nursing care of patients. 5.1. Functions as charge nurse/team leader in providing direction to staff in meeting patient care needs. 5.2. Ensures that assigned delegated tasks are completed by team members. 5.3. Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary. 5.4. Organizes and prioritizes in order to meet changing patient care needs and staff assignments. 5.5. Assigns patient care responsibilities based upon patient needs and competencies of staff. 6. Demonstrates grade-appropriate and consistent critical thinking skills. 6.1. The nurse can recognize the patient has a problem. 6.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice. 6.3. The nurse has a relative sense of urgency. 6.4. The nurse takes the right action for the right reason (del Bueno). 7. Role-specific Competency Checklist is complete and is rated competent in all measured areas. and many other duties not listed 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: 9:00 - 20:30, or depending on service needs Financial Disclosure Report: Not required

Requirements

Qualifications

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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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: ACLS, Acute dialysis experience 1 or more years, Chronic Dialysis Experience 2-3 years, Critical care experience preferred. BSN 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: Moderate Carrying (15-44 pounds); Straight Pulling; Pushing; Reaching above Shoulder; Walking; Standing; Repeated bending; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Hearing aid (permitted); Ability to distinguish basic colors; Ability to distinguish shades of colors; Depth perception; Both eyes required; Both legs required; Use of fingers and both hands required. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://www.opm.gov/qualifications

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Jerry L Pettis Memorial Veterans Hospital 11201 Benton Street Loma Linda, CA 92357 US
• Name: Robin Curtis
• Phone: (909) 583-6138
• Email: [email protected]