Veterans Affairs, Veterans Health Administration Registered Nurse - Infusion, Cancer Care Center in Indianapolis, Indiana
Summary The Staff Nurse is accountable for the delivery of quality, age-specific healthcare; for utilizing critical thinking skills and sound clinical judgment to ensure positive patient outcomes; demonstrates ethical practice; and for participating in performance improvement activities to improve the quality of care and ensure performance measures are met and/or exceeded. The incumbent supports the Medical Center's mission through the utilization of Relationship Based Care to support Indy Excellence Responsibilities Duties include but are not limited to: a. Facilitates communication between providers. Includes working with the patient's care team, attending departmental meetings, developing working relationships with multiple departments, and ensuring treatment plans are completed accordingly and in a timely manner. b. Collaborates with other service team members during the patient's course of treatment to manage the care being provided. c. Identifies potential emergency/crisis situations and provides appropriate interventions. Possesses the ability to recognize impending or actual cardiac and/or respiratory arrest and initiates & prioritizes appropriate actions on an organized and efficient manner consistent with the policies of the hospital. d. Seeks out and participates in committees and tasks forces as needed/appropriate. e. Participates in program and clinic activities and meetings. Development of Clinical-specific standards of care, QA monitors, analysis of results and action plans based on PI results. Adheres to Clinic specific standards. f. Safely administers and documents all forms of medication administration, including but not limited to appropriate Chemotherapy and blood product regimens. g. Monitors for possible reactions to Chemotherapy and blood product regimens. Properly handles reactions according to ONS and Facility Policies. h. Performs acceptable de-access to venipuncture/IV and/or Port-a-Catheters,following hospital policy and procedures. i. Systematically collects significant data and information from all available resources including patient, family, medical history, physical findings, pertinent scientific literature, community agencies, and other relevant data. j. Identifies, anticipates and prioritizes physical, psychosocial, cultural, spiritual, and learning needs to the patient and family. k. Performs chair side monitoring per hospital/unit policy & procedures. Accurately and completely documents assessments, findings, all changes in patient status & nursing interventions in a timely manner, following established Clinic procedure/protocol utilizing electronic medical record. l. Follows hospital/Cancer Care Center policy & procedures in the use of oxygen support equipment/devices. m. Recognizes abnormal vs. normal lab values and follows up appropriately. n. Incorporates patient/family teaching, safety, and infection control issues into plan of care. Practices principles of infection control and environmental safety. o. Coordinates discharge/transfer planning including multidisciplinary team members. p. Appropriately guides and delegates the performance of non-professional personnel in performance of technical skills. q. Identifies comprehensive discharge needs, initiates appropriate consults and follows through with nursing interventions relative to discharge. r. Demonstrates ability to initiate and lead groups of patients and/or nursing personnel. s. Validates the appropriateness of written physician orders. t. Utilizes electronic reporting systems as a constructive means of risk management and quality improvement. u. Participates in the peer review process. v. Services as a role model in the prudent use and maintenance of patient and hospital equipment and supplies; monitors orders in this regard and intervenes as appropriate. w. Adapts to rapid changes in the acuity and workload and is flexible in changing assignments and floating to other areas of the Cancer Care Center and hospital when needed. x. Demonstrates understanding of professional responsibility to extend beyond one's own patient assignment to include the goals established for the Clinic and Nursing service. y. Effectively and willingly functions in the triage nurse role when assigned. Applicant must obtain ONS/ONCC Chemotherapy and Biotherapy Certification within 6 months as a condition of employment into position. Work Schedule: Monday - Friday 8:30am-5:00pm Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 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. Required: Applicant must obtain ONS/ONCC Chemotherapy and Biotherapy Certification within 6 months as a condition of employment into position. 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's 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position involves considerable amount of standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused clients, repositioning patients, assisting with transfers from wheel chairs/stretchers and transporting them to other departments or facilities. Mechanical devices are available and are required to be used for heavy or difficult to lift clients. The work may involve pushing or lifting in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The position requires the nurse to work for periods of time with arms above shoulder level or with neck in a fully flexed or extended position and the ability to physically control or defend against emotionally ill clients. The position also requires ability to work on computers for extended periods of time. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.