Registered Nurse - Dialysis

Veterans Health Administration • Omaha, NE

4d • Onsite

About The Position

The Registered Nurse - Dialysis is accountable for all elements of the nursing process when providing or supervising direct patient care. The nurse supervises and directs dialysis technicians and ensures treatment documentation, patient monitoring, and safety checks are completed. The role provides and directs care for patients with end-stage renal disease (ESRD), acute kidney injury (AKI), and late-stage chronic kidney disease (CKD). The nurse functions as the primary nurse for an ESRD patient panel and helps patients navigate the healthcare system. The position supports the VA Whole Health System of care, emphasizing personalized health plans, healing relationships and environments, and connections to Veterans’ communities.

The nurse completes clinical and technical documentation in the electronic health record and treatment flowsheets, monitors and reports care continuity needs and outcomes to the interdisciplinary team, and coordinates care focused on patient education, self-management, and customer satisfaction. The nurse delegates care appropriately based on patient needs, condition, and safety, and administers medications and procedures according to established policies and guidelines.

This is a 40-hour-per-week position with a rotating schedule: two 10-hour shifts (0500–1530), one 12-hour shift (0430–1700), and one 8-hour shift (0500–1330). The position includes rotating weekends and holidays and participation in a 24/7 on-call rotation supporting inpatient operations. Telework and virtual work are not available.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, or qualifying nursing education as described in the posting.
• Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. state, territory, commonwealth, or the District of Columbia, subject to the stated Graduate Nurse Technician exception.
• Meet the education, experience, and grade-determination criteria applicable to the assigned Nurse grade and level.
• U.S. citizenship, except that non-citizens may be appointed when qualified citizens cannot be recruited in accordance with VA policy.
• Pass the required pre-employment physical evaluation.
• Participate in the seasonal influenza vaccination program.
• Meet applicable background/security, onboarding, identification, and other stated pre-employment requirements.
• Submit an EDRP application within four months of appointment to be considered for the Education Debt Reduction Program; eligibility and award are subject to program review.

Nice To Haves

• Dialysis experience.

Responsibilities

• Provide and direct care for patients with end-stage renal disease (ESRD), acute kidney injury (AKI), and late-stage chronic kidney disease (CKD).
• Serve as the primary nurse for an ESRD patient panel and help patients navigate the healthcare system.
• Supervise and direct dialysis technicians; ensure required treatment documentation, patient monitoring, and safety checks are completed.
• Complete clinical and technical recordkeeping in the electronic health record and treatment flowsheets in accordance with policies and procedures.
• Monitor, track, trend, and report care continuity needs and outcomes to the interdisciplinary team.
• Seek guidance on improving care provided to patients and families.
• Delegate elements of care to appropriate individuals based on assessed needs, patient condition, and safety.
• Coordinate care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
• Administer medications and perform procedures according to established policies and guidelines.

Benefits

• Education Debt Reduction Program (EDRP) student loan reimbursement, with awards up to $200,000 for an eligibility period of one to five years, subject to program approval and eligibility.
• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year: 26 days of annual leave, 13 days of sick leave, and 11 paid federal holidays.
• Traditional federal pension, with five-year vesting.
• Federal 401K with up to 5% in contributions by VA.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
• A recruitment or relocation incentive may be authorized for eligible, highly qualified applicants.

What This Job Offers

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