Registered Nurse (RN) Dialysis

Department of Veterans Affairs • Miami, FL

37d • Onsite

About The Position

This position is located in the Dialysis Clinic at the Miami VA Healthcare System. The Dialysis Registered Nurse provides comprehensive nursing care to Veterans with end-stage renal disease in both chronic and acute care settings. The nurse delivers safe, effective hemodialysis using the nursing process and follows all established policies, procedures, and clinical guidelines. VA offers a comprehensive total rewards package: VA Nurse Total Rewards This position is located at the main facility of the Miami VA Healthcare System, 1201 NW 16th Street, Miami, FL 33125. The Registered Nurse - Dialysis is located in the Dialysis Clinic within Nursing, Ambulatory Care Service at the Miami VA Healthcare System. The RN is responsible to the assigned rating and approving supervisor and is accountable to the Chief Nurse of Medical Specialty Clinics under the Associate Director for Patient Care Services (ADPCS). The Dialysis Registered Nurse (RN) is a professional nurse with specialized knowledge and skills who demonstrates leadership when providing, directing, and improving care for patients with end-stage renal disease (ESRD), acute kidney injury (AKI), and late-stage chronic kidney disease (CKD). Collaborates with other disciplines/departments to achieve desired patient outcomes. Functions as primary nurse for ESRD patient panel and serves as key resource assisting patients navigate the healthcare system. Completes documentation for all clinical and technical recordkeeping in the electronic health record and treatment flowsheets in accordance with established policies and procedures. The Dialysis Registered Nurse (RN) uses a team approach to identify, analyze, and resolve patient care problems with measurable outcomes. The nurse will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Evaluates practice in an ongoing process, based on best evidence. Provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Supports colleagues through knowledge sharing to provide safe, quality nursing care. Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain an evidence-based-practice culture.

Requirements

• Licensure: 1 full and unrestricted license from any US State or territory

Responsibilities

• Oversees the preparation of the delivery system, dialysate bath, and dialyzer and confirms that all mandatory alarm tests on the dialyzer and equipment are performed.
• Reviews physician orders for dialysis patients, collects pre-treatment dialysis data, and reviews patient records prior to dialysis.
• 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.
• Documents findings of patient assessments and interventions and advises providers of any significant change in the patient's condition and other pertinent information.
• Discusses patient concerns and answers questions relevant to care.
• Oversees dialysis technicians in the performance of dialysis from start to finish, monitors patient reaction to treatment and performance of the dialysis machines and demonstrates an in-depth understanding of the mechanics of dialysis.
• Assesses, prepares, and cannulates a patient' s vascular access (including needle insertion in arteriovenous fistula or grafts for aseptic connection with dialysis equipment).
• Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing on the patient's vascular access (dialysis catheter, arteriovenous access) per protocols.
• Maintains competency 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 arteriovenous access monitoring using ultrasound machine per protocol.
• Other Duties as assigned.

Benefits

• Pay: Competitive salary, regular salary increases, potential for performance awards
• Paid 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 VA
• Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

What This Job Offers

• Job Type: Full-time
• Industry: Administration of Human Resource Programs
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees