Registered Nurse Dialysis

Dialysis NurseThe Dialysis Nurse is a professional registered nurse (RN) with specialized knowledge and skills who demonstrates proficiency when providing and directing care for patients with end-stage renal disease (ESRD), acute kidney injury (AKI), and latestage chronic kidney disease (CKD). Collaborates with other disciplines/departments to achieve desired patient outcomes.Adheres to Centers for Medicaid Services (CMS) Conditions for Coverage (CfC) for ESRD facilities; VHA Handbook 1042.01, VA Dialysis Programs Standards and Criteria under authority 38 U.S.C. 1703, 1710, and 7301(b); Centers for Disease Control (CDC) Guidelines for Infection Control in Dialysis Settings, Association for the Advancement of Medical Instrumentation (AAMI) Standards as they relate to dialysis solutions and water purification, the Joint Commission, and all other regulatory requirements.Team leads unlicensed assistive personnel such as hemodialysis medical instrument technicians (HDMITs). Participates in peer reviews and evaluation of other nurse colleagues and technicians.Functions as primary nurse for ESRD patient panel and serves as key resource assisting patients navigate VASDHS.Completes daily treatment encounters, annual clinical reminders, annual assessments, monthly and/or just-in-time patient education using TEACH-BACK methodology. Completes monthly ESRD patient care plans aligned with goals of care and coordinates advance care planning for end-of-life (EOL).Monitors, tracks/trends, and reports ongoing care continuity needs and outcomes to multi/interdisciplinary teams. Tracks/trends K-DOQI (kidney disease quality outcomes initiatives), VA Outpatient Dialysis Dashboard Metrics, and VA Outpatient Dialysis IPEC CLABSI outcomes. Orders and collects required specimens and submits to laboratory for processing.Completes documentation for all clinical and technical recordkeeping in the electronic health record and treatment flowsheets in accordance with established policies and procedures. Completes electronic encounters according to VA Directives for appropriate VERA allocation and managerial cost accounting (MCA).Uses a team approach to identify, analyze, and resolve patient care problems with measurable outcomes. Handles multiple projects and duties simultaneously, prioritizing as needed. Identifies potential and actual problems involving resources and/or safety. Takes action to avert or manage situation(s) in a manner which meets patient needs in a safe/therapeutic manner and promotes healthy workplace environments.Engages in daily Huddles using STEPS (safety, teams, equipment, process, supplies) and reports to leadership chain via Daily Management System (DMS).Participates in training for self and others for professional development activities aligned with VA mission, goals, and objectives. Engages in department/program performance improvement as measured against regulatory standards and takes action to correct deficits to ensure compliance as part of sustained clinical operations and continued readiness.Demonstrates effective interpersonal communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers. Treats all patients and employees with respect, regardless of their level, personality, culture, and/or background.Participates in shared governance, team meetings, and process improvement activities, monitors results, and advocates for self and staff compliance to regulatory requirements. Responds to changing priorities and resources with optimism, encouraging staff to respond positively and proactively. Supports department strategic planning and assists unit-based educational program and activities.Performs dialysis on-call duties for inpatient urgent/emergent acute hemodialysis and peritoneal dialysis procedures.Performs all other duties as assigned.VA offers a comprehensive total rewards package: VA Nurse Total RewardsPay: Competitive salary, regular salary increases, potential for performance awardsPaid 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 VAInsurance: 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 territoryWork Schedule: Intermittent; As needed to cover patient care needs.Telework: N/AVirtual: This is not a virtual position.Relocation/Recruitment Incentives: N/A