Vascular Access Registered Nurse Job in San Diego, CA

Summary

This job is open to

• The public

  U.S. Citizens, Nationals or those who owe allegiance to the U.S.

Duties

The Vascular Access Nurse assumes the following roles and responsibilities:

• Maintains ACLS/BLS Certification.
• Applies advanced vascular access knowledge, and skills in the caring of patients requiring intravenous (IV) access.
• Demonstrates competence in ultrasound technique, sterile procedure, and is current on best practice and established standards of care.
• Collaborates with clinical staff to provide device recommendations, vascular access insertions, maintenance, as well as patient and staff education.
• Places peripherally inserted central lines utilizing modified Selinger's technique (MST). Utilizes Tip positioning system (TPS) and 3CG technology to verify proper catheter tip placement.
• Places midline catheters, ultrasound guided peripheral intravenous catheters, and performs ultrasound guided blood draws.
• Accesses and de-accesses implantable ports and troubleshoots difficult complications of Vascular Access Devices (VAD's).
• Declots VAD's and/or assists staff as a resource in declotting.
• Assesses patient's learning needs, learning preference, and readiness to learn and provides teaching to patient, family or significant other (with patient's permission), regarding PICC line care and maintenance.
• Communicates proper referral or recommendations to healthcare provider if patient does not meet the criteria for bedside PICC Line placement.
• Provides education pertaining to competency-based skills and knowledge related to intraosseous insertion, PIV insertion, dressing changes, sterile technique, and phlebitis signs and symptoms.
• Rounds and assesses all vascular access devices. Performs dressing changes, maintains data, reports, and keeps up to date on latest recommendations for best practice.
• Demonstrates cardiac rhythm recognition, detects cardiac arrhythmias, understands arrhythmia significance, recognizes symptoms, and anticipates or initiates appropriate nursing measures.
• Performs on going assessment of patient condition and responses to treatment.
• Demonstrates effective analytical and critical thinking skills, with ability to quickly analyze problems, determine appropriate level of intervention, develop, and applies effective solutions, recognizing his/her own scope of practice.
• Performs care coordination and case management duties to include scheduling, lab review, medication reconciliation, and interdisciplinary collaboration.
• Communicates and initiates referrals to other disciplines and/or services.
• Demonstrates strong interpersonal skills for effective information exchange and problem solving with all levels of management and staff, consultants, and outside agencies.
• Demonstrates strong analytical and critical thinking skills, with ability to quickly analyze problems, determine appropriate level of intervention, and develop and apply effective solutions, recognizing his/her scope of practice.
• Responds to changing priorities and resources with optimism, encouraging staff to respond positively and proactively.
• Supports department strategic planning and assists unit-based educational program and activities.
• Ensures equipment is functional before use. Removes broken equipment from services and immediately reports defective equipment to supervisor.
• Participates in training for self and others for professional development activities aligned with VA mission, goals, and objectives. Participates in completion of initial and ongoing staff competencies.
• Demonstrates ability to utilize computer systems in the performance of daily duties. Reads work emails on each assigned shift.
• Monitors economic use of supplies and equipment.
• Demonstrates ability to utilize computer systems and clinical applications in performance of daily duties.
• Practices ergonomics for workplace safety.
• Participates as a member on formal organizational-wide committees, councils, or performance improvement teams.
• Demonstrates flexibility in schedule, tours of duty, and assignments. The position potentially requires flexibility in schedule and assignments, as this is a 24/7 hospital.
• Performs other duties as assigned.

Requirements

Conditions of Employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

How You Will Be Evaluated

Required Documents

How to Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 11/15/2024 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12600819.

1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
2. Click Submit My Answers to submit your application package.

Next steps

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.