Summary

The 2-page Resume requirement does not apply to this occupational series. For more information - refer to Required Documents below. The LTC Charles S. Kettles VA Medical Center is seeking a Registered Nurse (RN) - Dialysis - aligned under Specialty Care service - at the VA Ann Arbor Healthcare System in Ann Arbor - MI. This position supports the Electronic Health Records Management (EHRM) system implementation.

Qualifications

Basic Requirements:

• English Language Proficiency
• In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (Reference VA Handbook 5005 - Appendix G6)
• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12936191
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Preferred Experience: Previous dialysis experience
• Physical Requirements: The primary age of Veterans treated is in their middle years (ages 40 to 50) or at the geriatric level (ages 60 or older)
• There are occasionally younger patients between the ages of 25 to 40 years of age that require care
• The position requires the incumbent to possess or develop an understanding of the particular needs of these types of patients
• Sensitivity to the special needs of all patients in respect to age - developmental requirements - and culturally related factors must be consistently achieved
• The incumbent takes into consideration age-related differences of the various veteran populations served.

Duties

• The Registered Nurse (RN) - Dialysis 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)
• Duties include - but are not limited to: 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
• Uses a team approach to identify - analyze - and resolve patient care problems with measurable outcomes
• Assists 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
• Leads professional practice using the nursing process (assessment - diagnosis - outcome identification - planning - implementation - and evaluation) to improve evidence-based and/or data-driven outcomes for an identified patient population and/or specialized areas within immediate practice setting
• Applies clinical knowledge/judgment to lead staff involvement in planning - decision making - and evaluating outcomes
• Improves Veteran/patient driven care by optimizing the patient experience - satisfaction and/or safety
• Applies patient - family - and caregiver knowledge - values - and beliefs into care delivery without judgement or discrimination
• Serves as an advocate for patients - families - and caregivers - improving outcomes
• Serves as a resource for patients - caregivers - and staff to address and resolve ethical issues
• Communicates and collaborates as an effective leader of the interprofessional team - at the expert level - with improved evidence-based and/or data-driven outcomes
• Demonstrates the ability to improve the effectiveness of communications and interactions with others - to inspire their cooperation and confidence to ensure safe and effective outcomes
• Expands knowledge base and practice evaluation through mentoring - precepting - and/or teaching to improve outcomes
• Takes responsibility for personal and professional career goals
• Participates in the advancement of the profession through mentoring - precepting - and/or teaching
• Leads the integration of evidence-based practice/research with clinical expertise to improve quality of care and resource utilization with improved outcomes
• Assesses the immediate practice setting to identify efficient - cost-effective care delivery
• Leads patient care improvement through monitoring - analyzing - and evaluating care outcomes
• Leads initiatives for expanding best techniques to identify and apply patient preferences to shared care delivery decisions
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Saturday (Varied Hours) Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized