Registered Nurse - Dialysis

Veterans Health Administration • Hot Springs, SD

18d • Onsite

About The Position

The Dialysis Registered Nurse at VA Black Hills Health Care System Hot Springs provides Veteran-centered nursing care to patients with end-stage renal disease, acute kidney injury, and late-stage chronic kidney disease. The nurse delivers individualized care across the continuum, builds therapeutic relationships with Veterans and their families, supports patient education and self-management, and collaborates with an interdisciplinary team to improve outcomes and care coordination.

The role includes providing safe hemodialysis treatment, serving as a primary nurse for an assigned end-stage renal disease patient panel, administering medications and performing procedures under established policies and standards, and monitoring continuity needs and patient outcomes. The nurse applies specialized knowledge of vascular access anatomy, dialysis catheter types, treatment pathophysiology, infection control, and disinfection practices.

The position is based at VA Black Hills Health Care System Hot Springs. The work schedule is 05:30 a.m. to 4:00 p.m. on an alternating schedule depending on unit needs. Telework is not available, and this is not a virtual position. Relocation and recruitment incentives and permanent change of station are not authorized. A pre-employment physical evaluation is required.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from a professional nursing program approved by the appropriate accrediting agency and accredited by ACEN or CCNE when the program was completed, subject to the listed education exceptions for bridge-program candidates and foreign nursing graduates.
• Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. State, Territory, or Commonwealth, or the District of Columbia; a Graduate Nurse Technician temporary appointment exception is described for eligible candidates pursuing licensure.
• Meet the education and experience requirements for the applicable Nurse grade and level, as detailed in the announcement.
• U.S. citizenship, except that non-citizens may be appointed when qualified citizens cannot be recruited in accordance with VA policy.
• Submit to urinalysis for illegal drug use if tentatively selected for a testing-designated position.
• Meet Selective Service registration requirements for males born after December 31, 1959.
• Undergo a background/security investigation and complete the online onboarding process.
• Provide acceptable identification for pre-employment requirements; beginning May 7, 2025, a non-REAL-ID-compliant driver's license or state identification card cannot be used as acceptable identification for employment.
• Pass a pre-employment physical evaluation.
• Participate in the seasonal influenza vaccination program.
• Complete all application requirements in the Required Documents section; a probationary period may be required.

Nice To Haves

• Dialysis experience preferred.
• Bachelor of Science in Nursing (BSN) preferred but not required.

Responsibilities

• Deliver knowledge-based nursing care to Veterans receiving dialysis services, including assessment, planning, implementation, and evaluation of individualized care.
• Provide and support safe hemodialysis treatment, including treatment start-up, machine programming, monitoring during treatment, and treatment completion.
• Serve as a primary nurse for an assigned end-stage renal disease patient panel and help Veterans navigate care needs across the healthcare system.
• Coordinate care focused on patient education, self-management, continuity, and patient satisfaction throughout the care continuum.
• Administer medications and perform procedures in accordance with established policies, guidelines, and dialysis care standards.
• Collaborate with interdisciplinary team members and other departments to achieve desired patient outcomes and support shared care delivery decisions.
• Monitor, track, trend, and report care continuity needs and patient outcomes to the interdisciplinary team.
• Apply specialized dialysis knowledge, including vascular access anatomy, dialysis catheter types, treatment pathophysiology, infection control, and disinfection practices.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• Paid time off, including annual leave, sick leave, and 11 paid Federal holidays per year.
• Federal pension and Thrift Savings Plan, with VA contributions and matching as described in the announcement.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
• Premium pay opportunities, including overtime, Saturday, Sunday, holiday, on-call, and night work.
• Incentive and recognition awards.
• Paid parental leave, organ donor leave, military leave, and disabled veteran leave.
• Flexible Spending Accounts for medical and dependent care.
• Leave Sharing Program.
• Child Care Subsidies.
• Employee Assistance Program.
• Wellness and Physical Fitness Programs.
• Transit Subsidies.
• Continuing Education Opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree