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Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. 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 and guidelines.
Learn more about this agency11/26/2024 to 12/05/2024
$44,290 - $116,124 per year
VN 00
1 vacancy in the following location:
No
No
Not required
No
Permanent
Full-time
Excepted
3
No
Yes
CBTC-12611540-25-LB
821256100
Area of consideration: VA Caribbean Healthcare System Current Permanent Employees Only.
The Dialysis Vascular Access RN performs in a specialized area of nursing that focuses on managing a caseload of renal outpatient and inpatients through close coordination of care with multiple team members. The role requires comprehensive knowledge of the hospital system, and community resources, familiarity with personnel in multiple departments, the ability to relate well with patients and families in stressful situations, and the ability to advocate for the best interest of the patients with all clinical staff.
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 will assist in directing the provision of nursing education, orientation, and competencies and providing quality improvement and outcomes utilization consultation. The nurse has advanced knowledge and skills in assessing, inserting, caring for, and managing vascular access devices, including peripheral intravenous catheters, midlines, and peripherally inserted central catheters. They have the advanced knowledge to maintain Central Venous Access Devices. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Evaluates practice in an ongoing process, based on best evidence. Provides peers with informal constructive feedback for improvement.
Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Supports colleagues through knowledge sharing to provide safe, quality nursing care. Shares educational findings, experiences, and ideas with peers. Questions clinical practices to provide evidence-based care. Participates in activities and strategies to sustain an evidence-based practice culture. This nurse has experience with the situations in which they are ultimately expected to perform, integrating theoretical concepts, and strong critical thinking skills, and exhibits a robust technically skilled practice.
Assesses care coordinator identifies the vascular access needs of the patient with renal failure. Procedures, delivers, and coordinates services for the patient in the dialysis facility, outpatient clinic, and hospital setting. Provides for ongoing monitoring of the vascular access to ensure adequate dialysis is obtained, maximum life of the access is achieved and plan for the future intervention area coordinated when necessary. Collaborates with the Vascular Access surgeon and clinics in the coordination, management, and outcomes of patients requiring vascular access for dialysis. When assigned the Vascular Access Care Coordinator nurse collaborates with the Transplant Program and is responsible for screening potential donors and working closely with the medical team and transport services.
The Dialysis Vascular Access Care Coordinator nurse possesses a strong core knowledge base in nursing and has expanded clinical knowledge in the area of nursing expertise. RN staff focuses on providing and arranging for the education of patients approaching End Stage Renal Disease, preparedness and education for permanent vascular access, and preparedness for modalities of dialysis. The role requires extensive knowledge of all forms of renal replacement therapy and experience of dialysis therapy. The Dialysis Vascular Access care coordinator nurse is responsible for collaborating with services internal and external to the VA to facilitate care transition to effectively meet the patient's needs. RN staff provides professional assessment, coordination, and planning of health care services, and acts on behalf of the veteran to ensure the necessary clinical services are received and that progress is being made.
Creates a positive work environment that enhances care delivery and the professional development of clinically competent staff. The nurse acts to ensure patient and employee safety. The nurse participates in performance improvement activities, that include regulatory and accreditation survey activities. RN staff is accountable for adhering to established policies for standards of care and standards of practice. The Dialysis Vascular Access may provide direct patient care in the renal care scenario (dialysis, inpatient, outpatient) in renal procedures, assist with various performance improvement goals in the hemodialysis department, and provide direct patient care in the renal clinic including assessing, planning, documenting health promotion and preventive care as needed.
Work Schedule: Day Shift based on needs 7:00am-3:30 pm
Telework: Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Financial Disclosure Report: Not required
| 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. |
Preferred Experience:
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.
Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
To apply for this position, you must provide a complete Application Package which includes:
FOR INTERNAL EMPLOYEES OCCUPYING A REGISTERED NURSE POSITION:
1. Resume, required. Your RN experience must be reflected on your resume to include hours worked per week and specific dates of employment (i.e., month/year to month/year or month/year to present), see checklist.
2. Copy of your most recent (less than a year) SF-50, "Notification of Personnel Action" showing grade and step, required.
3. Responses to the Online Assessment Questionnaire, required.
FOR INTERNAL EMPLOYEES NOT OCCUPYING A REGISTERED NURSE POSITION:
1. Resume, required. Your RN experience must be reflected on your resume to include hours worked per week and specific dates of employment (i.e., month/year to month/year or month/year to present), see checklist .
2. Copy of your most recent (less than a year) SF-50, "Notification of Personnel Action" showing grade and step, required.
3. Responses to the Online Assessment Questionnaire, required.
4. Copy of your RN Licenses, required.
5. Copy of your current RN Registrations, required.
6. Copy of Diplomas or Copy of Official College Transcripts or Certification of Degree s as applicable, required
*******If the required documents are not submitted your application will be considered ineligible*********
NOTE: BLS certification (selected applicant must have a current BLS Training at time of initial appointment or reassignment
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position.
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 12/05/2024 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12611540.
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/job/821256100. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.
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