Registered Nurse (Ambulatory Infusion Center)

Summary

SPECIALTY CARE: OUTPATIENT STAFF RN-AMBULATORY INFUSION CLINIC. The Ambulatory Infusion Center (AIC) nurse is a highly skilled direct care provider whose scope of practice includes providing comprehensive nursing care for patients at the Ambulatory Care Infusion Center who are receiving complex chemotherapy, blood products, other therapies such as anti-infective, antiemetic, hydration therapy. The Infusion nurse oversees the scheduling and the necessary preparation for each patient's treatment.

Duties

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Functions or Scope of Assigned Duties include, but are not limited to: This nurse provides patient care, care coordination, health promotion, health education, and coaching on wellness, disease prevention, and chronic care management. Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines. Demonstrates performance and leadership that is broad enough to improve the care for specialty care outpatients. Specialty care program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility. Care and management of the Oncology and Hematology patients, which consist of 90% of the total patients served in the AIC. This includes, but is not limited to, infusion of chemotherapeutic agents, as well as the pre- and post-infusion regimens ordered. Provides visual monitoring of the patient during the administration of the infusion therapy. Provides care for the Nurse Treatment Clinic, which is comprised of referrals for acute interventions such as wound care, venous access device care, and dressing changes. Ability to apply the Nursing Process and effectively use the Nursing Diagnoses for the assessment and treatment of pain and other problems that may be physical, psychosocial, and spiritual. Obtains patient histories. Takes and records various readings such as heart and respiratory rates, blood pressure, height and weight, body temperature, and mental status. Obtains and synthesizes laboratory results before and/or after the administration of infusion therapies.- Collects samples from patients, including blood and urine. Administers medications by mouth, subcutaneous or intramuscular injections as ordered by the physicians. Adapts to fast-paced workflow, works under pressure, with a high daily volume of patients. Works in partnership with the health care providers, primarily oncology and hematology, in the delivery of comprehensive outpatient care/services to the patients. Functions as an integral member of the Clinic Interdisciplinary Team and is responsible for accurate clinical assessments and triage. Provides patient and family teaching on chemotherapy, side effects, regimens, radiation therapy and side effects, as well as general medical health education. Adapts Katharine Kolcaba's Comfort Theory. Ability to integrate the three concepts of the theory: relief, ease, and transcendence. Adapts Kübler-Ross model of coping and dying: Ability to integrate the five stages of grief: Denial, Anger, Bargaining, Depression, and Acceptance Adapts the concept of Palliative Care. Ability to integrate an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering. Works closely with the Nurse Manager to determine patient care and Clinic needs. Functions as a team leader and directs and supervises LVNs and support staff as needed. Continually analyzes and evaluates clinic functions and activities in order to improve care/services to patients utilizing the principles of Advanced Clinic Access (ACA). Supports evidence-based practices in the AIC and Ambulatory Care Clinic (ACC), and supports unit-based research projects as appropriate. Assists in orientation and education of the staff. Documents nursing interventions/ actions using VISTA/ CPRS. Manages resources in a variety of settings to meet patient care needs and ensure quality care. Orders and accounts for medical supply stock. Orders chemotherapy administration supplies. Consults with other medical personnel and may provide expert information about chemotherapy, side effects, etc. Ability to be cross-trained and float to Ambulatory Care Specialty Clinics as needed. This position potentially requires flexibility in schedule and assignments. BLS certification. Preferred: Minimum one (1) year of full-time experience administering Chemotherapy and immunotherapy infusion. Preferred: Current Oncology Nursing Society (ONS) Chemotherapy and Immunotherapy Provider Card certification. Other duties as assigned. 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 U.S. state or territory Work Schedule: M-F 8:30 am - 5:00 pm or as determined by the supervisor. Compressed/Flexible: This may be authorized at the supervisor's discretion. Telework: Not Available. Virtual: This is not a virtual position.

Requirements

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. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation/examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications and evaluation

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy. Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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.

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 08/27/2026 to receive consideration. To preview the questionnaire, click https://apply.usastaffing.gov/ViewQuestionnaire/13041798. 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. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation are submitted prior to the closing date. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

Required documents

To apply for this position, you must provide a complete Application Package, which includes: License Resume Transcript Special Note for Applications: To complete your application, please use the following link: https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field. Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field. The following documents are accepted and may be required if applicable to your eligibility and/or qualifications for this position. Cover Letter DD-214/ Statement of Service Disability Letter (VA) License Other (1) Professional Certification Resume SF-50/ Notification of Personnel Action Transcript Veterans' Preference Note: Preference-eligible candidates and other Veterans will be given preference when qualifications of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days, you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

Additional information

This job opportunity announcement may be used to fill additional vacancies. 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.