Registered Nurse - Specialty Photopheresis-Infusion/Dermatology

SummaryThe Photopheresis-Infusion/Dermatology Registered Nurse (RN) provides specialized care in the assessment - planning - implementing - and evaluation of care for a variety of patients to include - but not limited to - adults undergoing outpatient procedures including photopheresis therapy - outpatient infusions - transfusion of blood products - injections - blood collection - establishing and maintaining intravenous access and therapeutic phlebotomy.QualificationsBasic Requirements:English Language ProficiencyIn 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 EnglishGraduate 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 programUpon 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 programCredit 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 ColumbiaGraduate 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/certificationGrade 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 gradeThe 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/12943462Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competenciesAn Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing requiredNurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complexAn 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 requiredNurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planningSelf-directed in goal setting for managing complex client situationsAn ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2OR a Master's degree in nursing (MSN) and no additional professional nursing experienceOR a Master's degree in a *related field with a BSN and no additional professional nursing experienceNurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersA BSN with 2 years of professional nursing equivalent to Nurse I - Level 3OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Doctoral degree in Nursing with no professional nursing experienceOR a Doctoral degree in a *related field with a BSN with no additional professional nursing experienceNurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice settingMSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 IIIOR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 degreesReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: You must be able to perform work that requires regular and recurrent bending - lifting 30 pounds or more - stooping - climbing - twisting and/or bending - standing and/or walking almost constantly during the course of the day - reaching above the shoulder - stretching - and similar activities supporting various weightswalking and standing for 8 hoursfrequent pushing medication carts - wheelchairs - litters - bedsuse of fingers - both hands and both legsemotional stability (you must be able to care for Veterans with various medical and psychiatric illnesses who at times may exhibit unpredictable behavior and may have the potential to be physically or verbally assaultive)near vision correctable at 13"" to 16"" / far vision correctable in one eye to 20/50 and to 20/100 in the other / both eyes required with ability to distinguish basic colorshearing aid permitted in order to sufficiently hear various alarms and respond immediatelyDutiesN004 pay scale The Photopheresis-Infusion/Dermatology Registered Nurse is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient careAssumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum ofcareAdministers medications and procedures per established policies and guidelinesInfluences care outcomes by collaborating with members of the interdisciplinary teamCore elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programsAssigned Duties: Responsible for providing competent - evidence-based care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the settingThe individual will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultationThe Photopheresis-Infusion/Dermatology RN provides pre-procedural care - including - but not limited to - the nursing assessment of patients - confirmation of documented Informed Consent - venipuncture - assuring all lab work and other pre-procedural testing is completed and communicated to team members - and the administration of medications as orderedProvides clear and concise pre-procedural teaching and reviews discharge instructions to patients and families with written and verbal communicationThey provide a safe working environment while administering - handling - and disposing of drugs and medical wasteThe Photopheresis-Infusion/Dermatology RN manages monitoring requirements for specific drugs - handling immediate infusion reactions - and preventing and managing adverse eventsEvaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populationsResponsible for the documented outcomes at the program or service levelEnsures that the patients are scheduled appropriate for reoccurring infusions/treatmentsThe Photopheresis-Infusion/Dermatology RN may be required to assist in the Dermatology Clinic - after being crossed trained and completing the appropriate competenciesThis would include but not be limited to positioning the patient - participating in the time out process - preparing the surgery tray - ensuring appropriate site marking by the provider - and assisting in patient education - image and specimen collection and transport to the labThe Photopheresis-Infusion/Dermatology RN is responsible for ensuring comprehensive documentation of all phases of care and is timely - complete - and accurate in the electronic health recordAny other duties assignedPreferred experience in Photopheresis - Apheresis - Dialysis - Chemotherapy InfusionVA 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 thru Friday - Tour of Duty: Based on the needs of the service Telework: Ad Hoc Virtual: This is not a virtual positionRelocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized