The Robert J. Dole VA Medical Center is seeking to hire an Intermittent (PRN) Oncology Infusion Registered Nurse in the Specialty Care Clinic. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Nursing pay is based on education, years of experience, and documentation of performance. To be recommended for a higher level of pay, documentation of performance must meet the standards of the grade. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G6 Nurse Qualification Standard. Preferred Experience: Chemotherapy Biotherapy ONS Provider Card is required and must be maintained The full performance level of this vacancy is Nurse 3. The actual grade at which an applicant may be selected for this vacancy is in the range of Nurse 1 to Nurse 3. Physical Requirements: This position requires visual acuity, keen hearing; clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["The Oncology Infusion Clinic RN monitors and patient response to acute and chronic processes based on Nursing Practice Standards, including monitoring lab results and other clinical data. She/he collaborates with patients to assess and identify needs, issues, care goals, and resources in achieving desired outcomes related to diagnosis, post hospital recovery and health maintenance/wellness in developing the patient-driven holistic care plan. Common duties include, but are not limited to: Provides specialized nursing care to acute and chronically ill patients with a multitude of diagnoses. She/he uses the nursing process and evidence- based practice to collaborate with the core team (patient, specialty care provider, Primary Aligned Care Team, Clerical Associate) and families. Recognizes emergency situations and demonstrates effective action in emergencies. Utilizes patient information databases to identify at-risk Veterans requiring coordination of care, utilization of and participation in shared medical appointments, and use of decision support tools. Utilizes appropriate resources, such as, Computerized Patient Record System (CPRS) to provide efficient and effective patient care. Functions independently and demonstrates the ability to assign, organize, and delegate assessed needs to other members of the interdisciplinary team and peers. Demonstrates excellent communication skills in communicating with patient, family, co-workers and interdisciplinary team members. Ensures excellent customer service. Performs basic physical and psychosocial assessment of patients arriving in the Oncology, Chemotherapy, and Infusion Clinics. Proceeds with chemotherapy administration if patient meets ordered parameters or, if there are concerns contact provider before proceeding. Demonstrates knowledge of vascular access types; to include peripheral intravenous catheter (PIV), peripherally inserted central catheter (PICC), centrally inserted central catheter (CICC), and implanted venous ports (Port-A-Cath) and medication and actions. Administer IV fluid and other ordered therapeutic regimens as ordered. Plan and coordinate health education related to chemotherapy and infusions, including but not limited to home care following chemotherapy or infusions, vascular access types, neutropenic precautions and how to access care on off tours and weekends Performs other duties as assigned by the Assistant Nurse Manager and/or Nurse Manager. The nurse's primary commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses). Work Schedule: Intermittent (PRN) between the hours of 7:30am-4:00pm, Monday-Friday\nTelework: Not available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Discloser Report: Not required"]
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.