The Dialysis (RN) should demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies/guidelines. Influences outcomes by collaborating with members of the interdisciplinary team.

Duties

The Dialysis (RN) is a professional nurse with specialized knowledge and skills who demonstrates proficiency when providing and directing care for patients with end-stage renal disease, acute kidney injury, and late-stage chronic kidney disease. Collaborates 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. Monitors, tracks/trends, and reports ongoing care continuity needs and outcomes to the interdisciplinary team. The nurse will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and enhance outcomes utilization. This nurse integrates knowledge, skills, abilities, and judgment and is self-directed in goal setting for managing complex situations. PRACTICE: Delivers self-directed, professional nursing practice using the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) for complex patients based on conscious and deliberate planning with occasional supervision. 1. Independently plans and delivers technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice. 2. Manages the care of patients, while organizing and prioritizing patient care needs, and ensuring assigned tasks are completed. 3. Functions as an emerging leader in providing direction to staff to identify, implement and evaluate patient care needs. VETERAN/PATIENT DRIVEN CARE: Provides and directs others in Veteran/patient driven care by optimizing the patient experience, satisfaction, and/or safety for a team of patients. 1. Provides and directs others in Veteran/patient driven care that optimizes the patient's experience, satisfaction, and/or safety for a team of patients. 2. Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient. Role models and displays ethical behavior. 3. Recognizes ethical issues related to professional nursing practice and models appropriate action by providing and directing others in the provision of care following established policies and ANA Code of Ethics for Nurses. LEADERSHIP: Communicates and collaborates as an effective member of the interprofessional team demonstrating leadership responsibilities such as team leader/charge nurse. 1. Demonstrates knowledge over a wide range of job responsibilities, effectively communicating with individuals and groups to build a strong sense of teamwork and purpose. 2. Actively contributes to the collaboration process and clearly communicates ideas to promote team success. Makes meaningful and challenging contributions for the betterment of the work group. 3. Demonstrates compassion for self and others. Makes sound decisions under pressure. Effectively handles multiple demands, anticipates, and resolves conflicts. 4. Is consistent and dependable in carrying out responsibilities and exercises sound judgement. PROFESSIONAL DEVELOPMENT: Shares knowledge and learning opportunities that enhance current nursing practice and self-evaluation for self and others on the team. 1. Shares knowledge and learning opportunities that enhance current nursing practice for self and others. 2. Shares knowledge gained from self-directed professional development activities. EVIDENCE-BASED PRACTICE/RESEARCH: Applies evidence-based practice/research, considering patient preferences, to improve quality of care and resource utilization, participating in established improvement activities. 1. Models the application of evidence-based practice/research with peers to improve patient care. 2. Models effective resource utilization through the delegation of cost-effective care delivery. 3. Recruits' peers to participate in unit level performance improvement activities. 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: 3-12 hour days every week, 7:00a- 7:30p. An additional 8 hour day every other week from 11:00a- 7:30p. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements

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: https://apply.usastaffing.gov/ViewQuestionnaire/12599123. 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 https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: A minimum of two years experience as an RN in dialysis is preferred. Physical Requirements: Heavy lifting and carrying (45+ lbs); Heavy carrying (45+ lbs); straight pulling (four hours); pushing (four hours); use of fingers; reaching above shoulder; both hands required; walking (8-12 hours); standing (8-12 hours); repeated bending (eight hours); both legs required. 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. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. 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.

Education

IMPORTANT: A transcript, either official or unofficial, must be submitted with your application for ALL degrees. A copy of your certificate/degree or screenshot of your current classes are not a replacement of your transcript and they will not be used in the qualifying process. Transcripts must include the following information:

• Your Name
• Name of the college or university
• Full address of the college or university
• Degree Received
• Date Conferred

We cannot accept a screenshot of your classes or a picture of your degree for qualification purposes.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address John D Dingell Department of Veterans Affairs Medical Center 4646 John R Street Detroit, MI 48201 US
• Name: Megan Giffel
• Email: [email protected]