RN Staff Nurse - Dialysis

Location
Los Angeles, CA
Salary
Competitive
Posted
Aug 30, 2017
Closes
Sep 30, 2017
Specialty
Renal-Dialysis
Contract Type
Permanent
Hours
Full Time
As a Staff Nurse you will provide prescribed medical treatment and personal care services to ill and injured veterans. Duties include documenting observations, assessments, and changes in patient's condition; collaborating with health team members to facilitate positive patient care outcomes; providing a full range of nursing care to patients with a variety of physical and/or behavior problems; and accountable for meeting and maintaining the qualification standards and functional statements of assigned grade. Our facility is seeking individuals who possess good organizational skills which enable completion of work, a demonstrated ability to assume leadership in a patient centered program, and the ability to establish effective communication with patients, families, visitors and members of the interdisciplinary team.

Specific Duties include, but not limited to, the following:

1. Assesses the patient prior to and following dialysis. Develops a database on the dialysis patient with pertinent history and physical assessment.

2. Initiates and terminates hemodialysis, hemoprofusion, isolated ultrafiltration and peritoneal dialysis as ordered.

3. Inserts needles into peripheral veins or vascular accesses including those created by A.V. fistula or grafts using intradermal Lidocaine 1% as needed.

4. Monitors the patient during treatment, determining body fluid loss and saline replacement requirements during dialysis.

5. Recognizes and responds to emergencies such as: hypovolemia, anaphylaxis, first use syndrome, blood loss, air embolism, disequilibrium syndrome, needle infiltration, etc.

6. Sets up, prepares and sterilizes all dialysis equipment as necessary.

7. Assists the physician in the insertion of temporary vascular access.

8. Ensures that standards of practice and care are maintained.

9. Implements and maintains procedures to ensure and control safety of the unit environment.

10. Assists in developing, conducting and evaluating patient, family and significant others education programs to achieve optimal health.

11. Responsible for the primary care of a determined number of patients.

12. Instructs, supervises, assesses and evaluates hemodialysis and peritoneal dialysis patients in all aspects of self and home care.

13. Supervises hemodialysis technicians in completion of their duties.

14. Participates in educational activities to improve clinical knowledge and enhance performance.

15. Acts as a patient advocate to facilitate care and appropriate follow-up.

16. Participates in unit based quality improvement activities.

17. Facilitates equipment repair.

Tour of Duty: Schedule days of work will vary depending on the needs of the unit and may be any day(s) of the week Monday - Saturday. Shifts: 6:00 am - 6:30 PM and 10:00 am - 10:00 pmFunctional Statement: Staff Nurse

BASIC REQUIREMENTS:

  • U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Full unrestricted Licensure, Certification, or Registration required
  • 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 National League for Nursing Accrediting Commission (NLNAC) 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. 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)
  • 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.

EDUCATION/EXPERIENCE REQUIREMENTS:

  • Basic Life Support (BLS) certification from the AmericanHeart Association, AmericanRed Crossor Military Training Network
  • Specialty Certification in Nephrology (CNN) or Dialysis (CDN) preferred.

  • BSN preferred.


Preferred Experience:

  • One year of successful Dialysis RN experience.
  • Demonstrated evidence ofself-direction and organizational skills.
  • Demonstrated evidence of excellent interpersonal skills.
  • Demonstrated evidence of effectively educating patients and patient families.

  • GRADE DETERMINATIONS:
    Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.

    The criteria are as follows:

    • Practice: practice, ethics and resource utilization;
    • Professional Development: performance, education/career development;
    • Collaboration; collaboration, collegiality;
    • Scientific Inquiry: quality of care, research.

    Reference: VA Handbook 5005, Part II, Appendix G6 Nurse Qualification Standard.

    IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

    Applicant's education and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and salary of the applicant selected. Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel. The criteria are as follows: Practice: practice, ethics and resource utilization, Professional Development: performance, education/career development, Collaboration; collaboration, collegiality, Scientific Inquiry: quality of care, research. Education/Experience Requirements:

    * Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience.

    * Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of experience, or an ADN or Diploma in Nursing and a bachelor's degree in a related field and no experience; or a Bachelors of Science in Nursing (BSN) and no experience.

    * Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of experience, or an ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 1-2 years of experience; or a BSN with approximately 1-2 years of experience, or a Master's degree in nursing (MSN) or related field with a BSN and no experience.

    * Nurse II - A BSN with approximately 2-3 years of experience, or ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 2-3 years experience or a Master's degree in nursing or related field with a BSN and approximately 1-2 years experience, or a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no experience.

    * Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years experience or Doctoral degree in nursing or related field and approximately 2-3 years experience.

    IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

    Reference: VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD

    Physical Requirements:

    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, kneeling, pulling, and pushing. Transferring patients and objects may be required. The candidate 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 candidate 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. The candidate will be working closely with others and mayhave protracted or irregularhours of work.

    Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation.

    Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist or visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
    All applicants are required to submit the following supporting document type(s):
    *Resume

    Applicants may also submit the following supporting document type(s),which may not be required for all applicants:

    *Cover Letter
    *DD-214
    *OF-306
    *Other
    *Other Veterans Document
    *SF-50
    *Transcript
    VA Greater Los Angeles Healthcare System Employees ONLY:
  • Memo to be uploaded- Include your(1) Full Name, (2) Current Department, (3) Contact Number, (4) Signatureand (5) VIN886052 (required)
  • Resume to be uploaded - with references (required)
  • Answer the onlineQuestionnaire(required)
  • All other applicantsmust provide a complete Application Package which includes:

  • CV or Resume (required)
  • VA Form 10-2850a - Application for NurseandNurse Anesthetist (Available at http://www.vacareers.va.gov/job-search/applications.asp) This is a required form and include signatures.
  • If youneed additional space to describe yournursing professional experience, please also include the Nurse Application Addendum with your documents (Available at http://www.losangeles.va.gov/documents/nurseApplicationAddendumFillable.pdf).
  • Please list all nursing experience, including LVN/LPN (if applicable).
  • If you have mixed work experience at an employer (e.g. LVN and RN) the time worked must be listed as separate entries according the the position held.
  • If working part-time, the number of hours per week must be listed.
  • All licenses ever held must be listed including other fields (e.g. RT, EMT, LVN, CNA, etc.)
  • Transcripts [all levels of nursing education (ie. LVN/LPN), if applicable]. This is a required form and must be submited to verify education.In cases of graduates of foreign schools of professional nursing, possession of documentation from the Commission on Graduates of Foreign Nursing Schools (CGFNS) or the International Consultants of Delaware (ICD) is required.
  • Optional Form 306 - Declaration for Federal Employment (Available at http://www.va.gov/vaforms/va/pdf/OF306.pdf). This is a required form and must be submitted with signatures.
  • If prior military service, include all copies of your DD Forms 214 (required). Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application forcompensable Veteran Preference (available at http://www.opm.gov/forms/pdf_fill/SF15.pdf).

  • YOU MUST INCLUDE VA FORM 10-2850a IN YOUR APPLICATION PACKAGE TO BE CONSIDERED FOR THIS VACANCY.

    If you cannot apply online:

  • Click the following link to view and print the occupational questionnaire: Online Questionnaire.
  • Print this 1203FX form to provide your response to the occupational questionnaire: http://www.opm.gov/forms/pdf_fill/OPM1203fx.pdf .
  • Fax the completed 1203FX form along with all supporting documents to (478)757-3144. Your 1203FX form must be placed on top of all materials being faxed and will serve as a cover page for your fax transmission.
  • Keep a copy of your fax receipt in case verification is needed.
  • To fax supporting documents you are unable to upload:

  • Complete this cover page http://staffing.opm.gov/pdf/usascover.pdf using the following 1901501. You must use this fax cover sheet in order for your documents to be matched with your online application.
  • Fax your documents to (478)757-3144.
  • *The complete Application Package must be submitted by 11:59 PM (EST) on Friday, December 01, 2017. If materials are not received, your application will be evaluated solely on the information available and you may not receive full consideration or may not be considered eligible. Any materials you send will not be returned. Mailed/Emailed applications will not be accepted.

    If you completed the occupational questionnaire online and are unable to upload supporting document(s):
    1. To fax your documents, you must use the following cover page http://staffing.opm.gov/pdf/usascover.pdfand provide the required information. The Vacancy ID is 1901501.
    2. Fax your documents to 1-478-757-3144.
    If you cannot complete the Application Package online, you may fax all of your materials. The complete application package must be submitted by 11:59 PM (EST) on Friday, December 01, 2017 to receive consideration. Keep a copy of your fax confirmation in the event verification is needed.

    To complete the occupational questionnaire and submit via fax:
    1. Click the following link to view and print the occupational questionnaire View Occupational Questionnaire.
    2. Print the 1203FX form, follow the instructions and provide your responses to the occupational questionnaire items http://www.opm.gov/forms/pdfimage/opm1203fx.pdf.
    3. Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144. Your 1203FX will serve as a cover page for your fax transmission.