The Dialysis Vascular Access RN performs in a specialized area of nursing that focuses on managing a caseload of renal outpatient and inpatients through close coordination of care with multiple team members. The role requires comprehensive knowledge of the hospital system, and community resources, familiarity with personnel in multiple departments, the ability to relate well with patients and families in stressful situations, and the ability to advocate for the best interest of the patients with all clinical staff.
Responsible for providing competent, evidence-based care to assigned patients and oversight of licensed vocational nurses/nursing assistants, as appropriate to the setting. The nurse will assist in directing the provision of nursing education, orientation, and competencies and providing quality improvement and outcomes utilization consultation. The nurse has advanced knowledge and skills in assessing, inserting, caring for, and managing vascular access devices, including peripheral intravenous catheters, midlines, and peripherally inserted central catheters. They have the advanced knowledge to maintain Central Venous Access Devices. 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. Questions clinical practices to provide evidence-based care. Participates in activities and strategies to sustain an evidence-based practice culture. This nurse has experience with the situations in which they are ultimately expected to perform, integrating theoretical concepts, and strong critical thinking skills, and exhibits a robust technically skilled practice.
Assesses care coordinator identifies the vascular access needs of the patient with renal failure. Procedures, delivers, and coordinates services for the patient in the dialysis facility, outpatient clinic, and hospital setting. Provides for ongoing monitoring of the vascular access to ensure adequate dialysis is obtained, maximum life of the access is achieved and plan for the future intervention area coordinated when necessary. Collaborates with the Vascular Access surgeon and clinics in the coordination, management, and outcomes of patients requiring vascular access for dialysis. When assigned the Vascular Access Care Coordinator nurse collaborates with the Transplant Program and is responsible for screening potential donors and working closely with the medical team and transport services.
The Dialysis Vascular Access Care Coordinator nurse possesses a strong core knowledge base in nursing and has expanded clinical knowledge in the area of nursing expertise. RN staff focuses on providing and arranging for the education of patients approaching End Stage Renal Disease, preparedness and education for permanent vascular access, and preparedness for modalities of dialysis. The role requires extensive knowledge of all forms of renal replacement therapy and experience of dialysis therapy. The Dialysis Vascular Access care coordinator nurse is responsible for collaborating with services internal and external to the VA to facilitate care transition to effectively meet the patient's needs. RN staff provides professional assessment, coordination, and planning of health care services, and acts on behalf of the veteran to ensure the necessary clinical services are received and that progress is being made.
Creates a positive work environment that enhances care delivery and the professional development of clinically competent staff. The nurse acts to ensure patient and employee safety. The nurse participates in performance improvement activities, that include regulatory and accreditation survey activities. RN staff is accountable for adhering to established policies for standards of care and standards of practice. The Dialysis Vascular Access may provide direct patient care in the renal care scenario (dialysis, inpatient, outpatient) in renal procedures, assist with various performance improvement goals in the hemodialysis department, and provide direct patient care in the renal clinic including assessing, planning, documenting health promotion and preventive care as needed.
Work Schedule: Day Shift based on needs 7:00am-3:30 pm
Telework: Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Financial Disclosure Report: Not required
Starting at $44,290 Per Year (VN 00)