The duty station is the John Cochran Division; however, the duty station may be changed based on the needs of the medical center. This position is in the bargaining unit. Work Schedule: Rotates Financial Disclosure Report: Not required This Staff Nurse position is located within the Dialysis section of Specialty Outpatient Service, VA St. Louis Health Care System (VASTLHCS), St. Louis, Missouri. The Dialysis Staff Nurse is responsible for working in collaboration with the nurse manager, chief of nephrology, and the interdisciplinary team to ensure the proper program services to patients with acute and chronic renal disease. The incumbent is responsible for all elements of the nursing process when providing and/or supervising direct patient care. Provides direct and indirect care to veterans and their families in Dialysis. The incumbent is accountable to adhering to established policies, standards of care, and standards of practice. Consistently demonstrates sound clinical judgment and the ability to effectively provide and/or direct the care provided by team members for patients on an assigned tour of duty and modifies and updates the plans of care/treatment plans for patients on an assigned tour or duty. Documentation consistently reflects the use of the nursing process in recording patient responses/outcomes and revising and modifying the plan of care and/or treatment plans. The incumbent appropriately and consistently revises and modifies the plan of care or treatment plan for patients with complex nursing care needs, based on nursing assessment. Assessing, accessing and managing dialysis vascular accesses (fistulas, grafts, catheters) May be required to coordinate care of patients requiring interventional / surgical procedures to provide or maintain venous access for dialysis. Participates in basic monitoring and interventions, such as RO bypass, and determining when unit dialysis treatments need to be terminated due to poor water quality. Administer medications and procedures per established policies and guidelines. Considers all characteristics of the individual, including sex and sex role identification, age and life stage, state of health, race and culture, socio-economic status, values and previous experience with similar events, in order to assist each patient to identify and meet basic health needs an improve his/her health status to the individual's maximum potential. Provides and directs nursing care for clients with complex nursing care needs; i.e. multi-system health care issues, complex psychosocial issues, etc. Participates in studying, identifying, evaluating and implementing creative process and system improvements that facilitate the mission of the Medical Center at the program or service level and which can be documented through demonstrated outcomes. Demonstrates understanding of patient rights, policies relating to patient rights (i.e. Advanced Directives, DNR, patient confidentiality) and understanding of ethics for Federal employee. Acts as a patient advocate, guides, directs or supports co-workers regarding ethical issues and makes appropriate referrals when issues are suspected or identified; i.e. knowledgeable regarding the chain-of command and ensures referrals are made to the Medical Ethics Committee when appropriate. Completes assignments in a timely and effective manner and follows safety protocols designed to reduce/eliminate employee risk of injury. Guides and ensures that other health team members follow established safety protocols that have been designed to reduce/eliminate the risk of injury and when in charge, makes assignments in a manner that appropriately utilizes and optimizes the resources available for the shift. Identifies risk areas and analyzes resources available in the use of patient care equipment and body mechanics, while evaluating options available and selecting a course of action resulting in favorable patient/organizational outcomes. Formally and informally coaches and/or mentors staff by identifying learning needs and sharing information related to new or unfamiliar technology, procedures, medications, trends, practices, etc. and participates in clinical orientation of new personnel. Collaborates with other health professionals as a member of the multi-disciplinary team to ensure continuity of patient care by evaluating patient needs and identifying continuum of care strategies. When needed, the dialysis nurse will assist in unit cleanliness and disinfection by cleaning beds and chairs, computers, dialysis machines, wall boxes, removing linen bags, etc. Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care When performing Charge Nurse duties, the RN will make assignments and directs activities of unit staff, (RNs, LPNs, students, PSAs, MITs, other team members) Formulates and implements a plan of care based on the ANA Standards of Nursing Practice. Position-specific Competency Checklist is completed annually and is rated competent in all measured area. Must be willing and able to learn all aspects of peritoneal dialysis provision and care.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.