Registered Nurse (Hemodialysis) Jobs

Duties

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The Registered Nurse working at the Durham VA dialysis unit is responsible for providing care to Veterans with End Stage Renal Disease in both the acute hospital and outpatient stretcher bound setting. The Registered Nurse will be cross trained to work at the Durham VA Health Care System or the Brier Creek Dialysis Unit as determined by the Manager which is based on the staffing needs of the two units. Duties of the dialysis nurse include but not limited to:

• Participates in quality improvement activities to include collection of the data for the dialysis unit Quality Assurance Performance Improvement (QAPI) plan.
• Provides Leadership in improving patient care, maintaining standards of care, directing and teaching personnel in variety of setting, and proving charge nurse responsibilities as needed.
• Performs other treatments and diagnostics tests required as part of patient treatment.
• Discusses patient concerns and answers questions relevant to care.
• Maintains skills necessary to perform surveillance on dialysis access catheter, fistula, graft) for early signs of failure or infection; this includes (if needed and after receiving the appropriate training) the ability to perform arterial/venous access monitoring using Transonic machine per protocol.
• Provides patient education/teaching applicable to the patient's medical condition.
• Works closely with others on the dialysis team and participates in interdisciplinary team meetings and other internal and external customers.
• Overseas disassembly and disinfection of dialysis equipment.
• Utilizes sterile technique to assess the dialysis catheter exit site and to apply dressing on the patient's vascular access dialysis catheter, arterial/venous access per protocols.
• Assess, prepares and consulates a patient's vascular access including needle insertion in arterial/venous fistula or grafts for aseptic connection with dialysis equipment.
• Performs surveillance and testing of dialysis water treatment equipment and dialysis water (such as chlorine, hardness, conductivity, water cultures) ensure that these machines are operating within the parameters set in the facility's written protocols.
• Demonstrates a working knowledge of the national guidelines and the facility's protocols for immunization of the dialysis patients (such as influenza, pneumococcal, and hepatitis-B vaccination), dialysis laboratory tests and medications.
• Follows Infection Control and CDC guidelines when dealing with patient care. Demonstrates an in-depth understanding of infection control and prevention of the transmission of blood- borne pathogens.
• Demonstrates an in-depth understanding of the mechanics of dialysis, ESRD, Transplantation and Nephrology.
• Oversees the preparation of the delivery system, dialysis bath, and dialyzer and confirms that all mandatory alarm test on the dialyzer and equipment are performed.
• Document's findings of patient assessment and interventions and advises providers of any notable change in the patient's condition and other pertinent information.
• Conducts post dialysis assessment and patient discharge by evaluating treatment, documenting medication administration utilizing the appropriate protocols, assessing condition of vascular access, discharging the patient when vital signs are stable, and documenting and recording patient treatment date.
• Maintains skills necessary to do regional heparin administration, separate and store blood sample, set up oxygen, administer saline, and maintain dialysis equipment, PPD administration and other medications as ordered or by protocol.
• Responds appropriately and aids in emergency situations.
• Verifies that patients are taking all prescribed medications and performs medication reconciliation.
• Oversees dialysis technicians in the performance of dialysis from start to finish, monitors patient reaction to treatment and performance of dialysis machines.
• Refers patient to other disciplines or services as needed (nutrition, social work, Radiology, etc.).
• Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patients' vascular access, laboratory findings, and the patients' general health.

Requirements

Conditions of Employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Must pass pre-employment physical examination
• Must be proficient in written and spoken English.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.

How You Will Be Evaluated

• Click Submit My Answers to submit your application package.
• Other (3)
• To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
• Performance Appraisal
• SF-50/ Notification of Personnel Action
• Reasonable accommodation policy
• Financial suitability

• How to Apply

  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 04/13/2023 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11913581.

  • To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.

  • Click Submit My Answers to submit your application package.

  
  NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
  To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

  Agency contact information

  Tierra White

  Phone

  919-286-0411 X172651

  Email

  [email protected]

  Address

  Durham VA Medical Center
  508 Fulton Street
  Durham, NC 27705
  US

  Next steps

  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.

• Signature and false statements
• Professional Certification
• VA 10-2850a (Highly recommended see link in announcement)
• DD-214/ Statement of Service

• Fair and Transparent

  The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

  • Equal Employment Opportunity (EEO) Policy
  • Reasonable accommodation policy
  • Financial suitability
  • Selective Service
  • New employee probationary period
  • Signature and false statements
  • Privacy Act
  • Social security number request
• Transcript
• Privacy Act
• Resume
• Disability Letter (VA)
• Resume
• Social security number request
• BenefitsA career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
• Selective Service

• Required Documents

  As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.

  To apply for this position, you must provide a complete Application Package which includes:
  

  • Resume

  
  VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: About VA Form 10-2850A | Veterans Affairs. Must be complete, current (within six months), and all questions that require additional explanation must be provided on a separate sheet of paper, signed, and dated on pages 3 & 4. All previously help licenses must be listed (HIGHLY recommended to assist hiring managers determine all skill sets among a large pool of candidates).
  Must be complete, current (within six months), and all questions that require additional explanation must be provided on a separate sheet of paper, signed, and dated on pages 3 & 4. All previously help licenses must be listed (HIGHLY recommended to assist hiring managers determine all skill sets among a large pool of candidates).
  
  
  ***Note: No Award or LWOP SF-50 will be accepted.
  REQUIRED IF: you are Current Federal employee seeking internal 1st consideration to validate eligibility.
  DD-214, Certificate of Release or Discharge from Active Duty. Must be the Member 4 or member 2 copy of the DD-214 that shows Character of Service. (As applicable)
  Documentation of Service-Connected disability: Service-Connected disability letter AND SF-15 Application for 10-Point Veteran Preference (As applicable)
  
  The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.
  

  • Cover Letter
  • DD-214/ Statement of Service
  • Disability Letter (VA)
  • License
  • VA 10-2850a (Highly recommended see link in announcement)
  • Other (2)
  • Other (3)
  • Performance Appraisal
  • Professional Certification
  • Resume
  • SF-15
  • SF-50/ Notification of Personnel Action
  • Transcript

  
  Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and 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 Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

  If you are relying on your education to meet qualification requirements:

  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.

• SF-15
• License
• Cover Letter
• Equal Employment Opportunity (EEO) Policy
• New employee probationary period
• Other (2)

Required Documents

Clarification from the agency

Open to U.S. Citizens; All qualified candidates encouraged to apply. 1st AOC: Veterans Health Administration Employees; 2nd AOC: U.S. Citizens and/or Naturalized U.S. Citizens.