About The Position

The Registered Nurse (RN) in Hemodialysis provides direct, age-specific patient care based on medical orders and an integrated, multidisciplinary plan of care. The role integrates clinical skills and theoretical knowledge to meet the needs of patients and families, support prevention of illness and injury, maintain wellness, and provide comfort. The nurse accurately documents care and safely administers prescribed medications, identifying incompatibilities or interactions. Responsibilities and leadership expectations vary by clinical level. Clinical Nurse I provides direction and education and begins developing unit-level leadership skills. Clinical Nurse II demonstrates mastery of clinical skills, recognizes changes in patient situations and intervenes appropriately, mobilizes resources for individualized patient and family needs, and assumes unit-level leadership responsibilities. Clinical Nurse III demonstrates unit-level clinical knowledge, anticipates changes in patient situations and intervenes appropriately, and serves as a role model in a clinical setting. Nurses follow physician or licensed independent provider orders, Virginia nursing regulations, the ANA Code of Ethics, national nursing practice standards, and VCUHS policies and procedures. They organize work and may delegate and supervise assignments carried out by RNs, LPNs, Care Partners, Unit Secretaries, and others. Clinicians work rotating shifts, weekends, and holidays; schedules may be adjusted to meet unit requirements. The position serves age-specific groups as appropriate to the unit assignment. Work involves lifting 20–50 pounds, exposure to potentially hazardous and infectious substances, prolonged standing and sitting, frequent bending, walking, climbing, and reaching. The environment may be fast-paced and noisy and involves multiple priorities and frequent, intense customer interactions. Compensation ranges are $34.65–$51.97 for Clinical Nurse I Dialysis, $36.38–$54.58 for Clinical Nurse II Dialysis, and $37.45–$58.05 for Clinical Nurse III Dialysis. Actual offers depend on relevant work experience, credentials, and qualifications.

Requirements

  • Current RN licensure in Virginia or an eligible or compact state at hire.
  • Current RN licensure in Virginia and AHA BLS HCP Certification or equivalent for continued employment.
  • Diploma or associate degree from a professional nursing program recognized or approved by the corresponding state Board of Nursing.
  • Clinical Nurse II: 12 to 24 months of RN experience.
  • Clinical Nurse III: 3 years of clinical experience.
  • Nurses without a bachelor's degree in nursing or higher must enroll in an approved RN-to-BSN program within two years of their start date and complete it within five years, unless grandfathered under previous requirements.
  • Physical ability to lift 20–50 pounds; role includes prolonged standing and sitting, frequent bending, walking, climbing, and reaching.
  • Ability to handle multiple priorities and frequent, intense customer interactions in a potentially fast-paced and noisy environment.

Nice To Haves

  • Clinical Nurse I: Experience as an LPN, nursing assistant, or care partner in an acute care setting or as applicable to the area of practice.
  • Clinical Nurse II and III: Academic health care experience.
  • Clinical Nurse II and III: Experience with a similar patient population in an acute care setting or as applicable to the area of practice.
  • Completion of a bachelor's degree in nursing or higher from an accredited program.
  • Clinical Nurse III: Certification in a specialty area.

Responsibilities

  • Deliver and accurately document direct, age-specific care according to medical orders and an integrated, multidisciplinary plan of care.
  • Safely administer prescribed medications and identify incompatibilities or interactions.
  • Assist the health care team with prevention of illness and injury, maintenance of wellness, and provision of comfort.
  • Recognize or anticipate changes in patient situations and intervene appropriately, according to clinical level.
  • Provide direction and education; assume unit-level leadership or serve as a clinical role model, according to clinical level.
  • Mobilize resources to meet individualized patient and family needs.
  • Follow provider orders, Virginia nursing regulations, the ANA Code of Ethics, national nursing practice standards, and VCUHS policies and procedures.
  • Organize work and delegate and supervise assignments carried out by RNs, LPNs, Care Partners, Unit Secretaries, and others.
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