This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. 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 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 Accreditation Commission for Education in Nursing (ACEN) 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. 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. 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. 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: See VA Directive and Handbook 5019. This position requires potentially long periods of continued walking, standing, and sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands, both legs and repeated bending. Heavy lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 4 hours); Pushing (up to 4 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 8 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision :20/40 in one eye; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted). The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders; Emotional and Mental Stability: 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. ["The Salisbury VAMC is seeking one Acute-Dialysis RN. Duties include but are not limited to: Demonstrates knowledge and skills necessary to the delivery of care to patients with end stage renal disease and acute kidney injury. Communicates and interacts appropriately and courteously with all internal and external customers. Maintains a clean, safe, and therapeutic environment and relationship with patients, families, peers, and interdisciplinary team members. Maintains confidentiality of electronic, written, and/or verbal patient information. Demonstrates working practices that include adherence to infection control standards and the safe use and operation of equipment. Verifies and validates provider orders accurately and timely. Prepares the delivery system, dialysate bath, and dialyzer, and confirms that all mandatory alarm tests and safety checks are performed. Conducts pre-dialysis patient assessment, including obtaining patient vital signs and assessing the patient's vascular access, laboratory findings, and the patient's general health. Performs pre-dialysis time out with verifier, per facility policy. Utilizes the SBAR (hand-off communication) when providing hand-off report to receiving nurse. Conducts post-dialysis assessment, including obtaining vital signs and assessing the patient's vascular access; ensuring documentation is complete for patient treatment, including computerized and paper documentation, as needed; and ensuring patient is hemodynamically stable prior to returninghim/her to the inpatient room. Provides patient education/teaching applicable to the patient's medical condition. Performs surveillance and testing of dialysis water treatment equipment and dialysis water (e.g., chlorine, chloramine, hardness, conductivity, pH, cultures, etc.) to ensure that the machines are operating within the parameters set in the facility's written protocols. Demonstrates a working knowledge of dialysis laboratory tests and practices necessary infection control procedures based on test results, per facility's protocols. Demonstrates a working knowledge of dialysis medications. - Administers medications as governed by facility policy. -Documents all scheduled dialysis medications, administered or held, as per facility policy. Participates in quality improvement activities, to include collection of data for the dialysis unit Quality Assurance Performance Improvement (QAPI) plan. Responds appropriately and assists in emergency situations. Provides leadership in improving patient care, maintaining standards of care, and directing and teaching personnel in a variety of settings. Works closely with others on the dialysis team and participates in interdisciplinary team meetings. Responsible for providing on-call coverage to the dialysis unit. Assesses, prepares, and cannulates a patient's vascular access per facility's protocol, including needle insertion into arteriovenous fistula or graft for aseptic connection with dialysis equipment. Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing over the patient's central venous vascular access, per facility's protocols. Performs disassembly and disinfection of dialysis equipment. Assists in maintaining of any testing needs for dialysis machines, chemicals, cleanliness of room, or other task given by manager or designee. Provides discharge education needed to successfully transition to the non-acute care setting, which includes a plan for dialysis access, how to safely care for dialysis access, a plan for proper nutrition, a plan for proper fluid intake, and any other patient-specific education, as necessary. Maintains Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) certifications; ensures no lapse in certification. Completes required trainings via Talent Management System (TMS) and classroom settings, as assigned and within expected and communicated time frames. May be required to work in other areas of Acute Care/PCS, nursing, or HCC dialysis units. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Tour will be discussed with hiring manager. On-call required.\nCompressed/Flexible: Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: May be Authorized"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.