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					                                                               This career map provides a standardized framework and career enhancing information to individuals and managers for the professional development of the Army Civilian Corps. The map serves as the professional
                  Civilian Career Map                                                                           blueprint for your successful civil service career while providing information and guidance for advancement.

Career Program:           CP 53 - Medical
Career Series:            0610 Registered Nurse (Dialysis)

Qualifying for a Career   OPM Qualification Standards
Series Description                General Schedule                   General Schedule                          General Schedule                           General Schedule                           General Schedule                          General Schedule
0610 Description                          DB 2                              DB 2                                     DB 2/3                                    DB 3/4                                      DB 4                                      DB 4/5
                                         NH 1/2                             NH 2                                      NH 2                                      NH 3                                       NH 3                                       NH 4
                                         GS 4-9                            GS 10                                     GS 11                                     GS 12                                      GS 13                                     GS 14/15
                              Supervisory/Nonsupervisory        Supervisory/Nonsupervisory                Supervisory/Nonsupervisory                 Supervisory/Nonsupervisory                 Supervisory/Nonsupervisory                          Executive
Key Assignments/Key       Location:                          Locations:                                Locations:                                 Locations:                                Locations:                                   Locations:
Billets                                                      Medical Centers                           Medical Centers                            Medical Centers                           N/A                                          N/A

                          Positions:                         Positions:                                Positions:                                 Positions:                                Positions:                                   Positions:
                                                             Clinical Level                            Leader/Expert Level                        Leader/Expert Level II
                                                             Clinical Level II                         Leader/Expert Level I                      Supervisory Level
                                                             Dialysis Nurse                                                                       Supervisory Dialysis Nurse

Leadership                                                   Accountability                            Accountability                             Accountability
Competencies                                                 Administration and Management             Administration and Management              Administration and Management
                                                             Business Acumen                           Business Acumen                            Business Acumen
                                                             Conflict Management                       Conflict Management                        Conflict Management
                                                             Creativity and Innovation                 Creativity and Innovation                  Creativity and Innovation
                                                             Decisiveness                              Decisiveness                               Decisiveness
                                                             Financial Management                      Financial Management                       Financial Management
                                                             Human Resources Management                Human Resources Management                 Human Resources Management
                                                             Influencing and Negotiating               Influencing and Negotiating                Influencing and Negotiating
                                                             Labor Relations                           Labor Relations                            Labor Relations
                                                             Leveraging Diversity and Cultural         Leveraging Diversity and Cultural          Leveraging Diversity and Cultural
                                                             Awareness                                 Awareness                                  Awareness
                                                             Management Functions                      Management Functions                       Management Functions
                                                             Mentoring                                 Mentoring                                  Mentoring
                                                             Political Savvy                           Political Savvy                            Political Savvy
                                                             Public Safety and Security                Public Safety and Security                 Public Safety and Security
                                                             Resource Requirements                     Resource Requirements                      Resource Requirements
                                                             Strategic Thinking                        Strategic Thinking                         Strategic Thinking
                                                             Supervisory functions                     Supervisory functions                      Supervisory functions
                                                             Team Building                             Team Building                              Team Building
                                                             Technology Management                     Technology Management                      Technology Management
                                                             Vision                                    Vision                                     Vision

Functional Competencies                                      Alternative Care Procedures               Alternative Care Procedures                Alternative Care Procedures
                                                             Basic interviewing and                    Basic interviewing and                     Basic interviewing and
                                                             communication techniques                  communication techniques                   communication techniques
                                                             Consultation with doctors and             Consultation with doctors and              Consultation with doctors and
                                                             patients                                  patients                                   patients
                                                             Critical evaluation of research           Critical evaluation of research            Critical evaluation of research
                                                             Diagnosis                                 Diagnosis                                  Diagnosis
                                                             Education                                 Education                                  Education
                                                             Ethics                                    Ethics                                     Ethics
                                                             Health Care Management                    Health Care Management                     Health Care Management
                                                             Health Care Practices                     Health Care Practices                      Health Care Practices
                                                             Legal Princples applied to nursing        Legal Princples applied to nursing         Legal Princples applied to nursing
                            Medicine and Dentistry            Medicine and Dentistry              Medicine and Dentistry
                            Nursing                           Nursing                             Nursing
                            Patient Advocacy                  Patient Advocacy                    Patient Advocacy
                            Patient Instruction               Patient Instruction                 Patient Instruction
                            Pediatrics                        Pediatrics                          Pediatrics
                            Psychology                        Psychology                          Psychology
                            Review laboratory findings        Review laboratory findings          Review laboratory findings
                            Technical Credibility             Technical Credibility               Technical Credibility
                            Biology                           Biology                             Biology
                            Chemistry                         Chemistry                           Chemistry
                            Dialysis Specialist Nursing       Dialysis Specialist Nursing         Dialysis Specialist Nursing
                            Evidence Based Practice           Evidence Based Practice             Evidence Based Practice

Core Competencies           Computers                         Computers                           Computers
                            Continual Learning                Continual Learning                  Continual Learning
                            Customer and Personal Service     Customer and Personal Service       Customer and Personal Service
                            Customer Service                  Customer Service                    Customer Service
                            Communication                     Communication                       Communication
                            External Awareness                External Awareness                  External Awareness
                            Flexibility                       Flexibility                         Flexibility
                            Integrity and Honesty             Integrity and Honesty               Integrity and Honesty
                            Interpersonal Skills              Interpersonal Skills                Interpersonal Skills
                            Judgement                         Judgement                           Judgement
                            Mathematics                       Mathematics                         Mathematics
                            Oral Communication                Oral Communication                  Oral Communication
                            Organization                      Organization                        Organization
                            Partnering                        Partnering                          Partnering
                            Problem Solving                   Problem Solving                     Problem Solving
                            Public Service Motivation         Public Service Motivation           Public Service Motivation
                            Resilience                        Resilience                          Resilience
                            Writing                           Writing                             Writing
                            Written Communication             Written Communication               Written Communication

Leader Development          Foundation Course                 Foundation Course                   Foundation Course
                            Action Officer Development Course Action Officer Development Course   Action Officer Development Course

                            Supervisor Development Course     Supervisor Development Course       Supervisor Development Course
                            Basic Course                      Basic Course                        Basic Course
                            Intermediate Course (DL only)     Intermediate Course                 Intermediate Course
                            Manager Development Course        Manager Development Course          Manager Development Course
                            DoD Civilian Emerging Leader      DoD Civilian Emerging Leader        Advanced Course (DL only)
                            Program                           Program
                                                                                                  DoD Civilian Emerging Leader

Professional                Computer Literacy                 Computer Literacy                   Computer Literacy
Development                 Public Speaking                   Public Speaking                     Public Speaking
                            Speaking Strategies               Speaking Strategies                 Budget/Resource Mgt
                                                                                                  Preparing Publications
                                                                                                  Publishing Research
                                                                                                  Information Resource Mgt

Occupational / Functional   Preceptorship Training            Risk Management                     Civilian Residency Program
Training                    Risk Management                   Infection Control                   Risk Management
                            Infection Control                 Case Management                     Infection Control
                            Case Management                   Pharmacology Math                   Case Management
                                                           Pharmacology Math                Quality Improvement                   Pharmacology Math
                                                           Quality Improvement              Continuous Renal Resplacement         Quality Improvement
                                                           Continuous Renal Resplacement    Hemodialysis                          Hemodialysis
                                                           Hemodialysis                     Peritoneal Dialysis                   Peritoneal Dialysis
                                                           Peritoneal Dialysis              Renal Transplant Course               Renal Transplant Course
                                                           Renal Transplant Course          Bloodborne Pathogen Course            Bloodborne Pathogen Course
                                                           Bloodborne Pathogen Course       Charge Nurse Course                   Instructor Training Course
                                                                                                                                  Critical Reading of Research
                                                           Charge Nurse Course              Preceptor Development Course          Publications
                                                                                                                                  Pharmacotherapeutics for
                                                           Preceptor Development Course     Instructor Training Course            Advanced Practice
                                                                                            Critical Reading of Research
                                                                                            Publications                          Nursing Informatics
                                                                                            Pharmacotherapeutics for Advanced
                                                                                            Nursing Informatics
Academic Training                                          ASN                              ASN                                   Nurse Specialty Training
                                                           BSN                              BSN                                   Nursing Theory
                                                           MSW/MSN                          MSW/MSN                               MSW/MSN
                                                           USA Baylor Program               USA Baylor Program                    DNP/PhD/DrPH
                                                                                                                                  USA Baylor Program

Certifications                                             Registered Nurse (License)       Registered Nurse (License)            Registered Nurse (License)
                                                           Specialty Certification          Specialty Certification               Specialty Certification
                                                           BLS (Clinical Positions )        BLS (Clinical Positions )             BLS (Clinical Positions )
                                                           ACLS (Specialty Positions)       ACLS (Specialty Positions)            ACLS (Specialty Positions)
                                                           PALS                             PALS                                  PALS
                                                           NRP                              NRP                                   NRP
                                                           Nephrology Nurse Certification   Nurse Manager and Leader              Nurse Manager and Leader
                                                                                            Nephrology Nurse Certification        Nephrology Nurse Certification

Mandatory Training
                     Mandatory Training for DA Civilians

                                                                                                  Self Development
Learning Resources   ACTEDS Training Catalog                                                Army Civilian Education Courses                                        Army Distributed Learning

                     Army-e-Learning - SkillPort                                            AMEDD Virtual Lbrary                                                   Army Management Staff College

                     ATIA ACCP "My Courses"                                                 The Textbooks of Military Medicine                                     Defense Medical Readiness Institute

                     Smart Books                                                            Mosby's Nursing Skills

Career Guides /      AMEDD Civilian Corps Chief                                             Civilian Career Management - AR 690-950                                Defense Civilian Personnel Advisory Service
                     Civilian Life Long Learning (CAC Required)                             Civilian Personnel Career Management                                   U.S. Department of Defense

                     Civilian Education System                                              Total Army Performance Evaluation System                               Office of Personnel Management

                     CP 53 Training Prerequisites                                           Training and Career Development Program                                Army Nursing Team Creed

                     CP 53 ACTEDS Plans                                                     Civilian Personnel Administrative Publication                          Civilian Corps Creed

                                                                                            Multi-dimensional feedback                                             AR 40-68 Clinical Quality
                     Army Civilian Handbook                                                 (MSAF360) AR 350-1                                                     Management

Career Links         Army Civilian Service
                      The Army Civilian Human Resources Agency

                      Army Nurse Corps

                      Army Benefits Center - Civilian

                      Army Civilian Personnel On-line Portal

Professional          American Organization of Nurse Executives   National League for Nursing                              American Board of Nursing Specialties
Organizations and
Journals              American Nurses Association                 American Health Care Association                         Nursing Certification Guide

                      American Society of Registered Nurses       AMSUS - The Society of Federal Health Professionals      American Organization of Nurse Executives

                      American Nurse Today                        American Medical Association                             American Board for Occupational Health Nurses

                      Association of the US Army                  The Society of Medical Consultants to the Armed Forces   American Nephrology Nurses Association

                      Soldier Magazine                            AMEDD Journal                                            Nephrology Nursing Journal

Miscellaneous Links   Army Management Staff College               Army Medicine

                      Army Civilian Employment                    Army Medical Command Career Opportunities

                      All Federal Vacancies                       AMEDD Civilian Corps Chief

                      Feds Hire Vets                              AMEDD Civilian Education System

                      US Office of Personnel Management           AMEDD Center & School

                      OPM Salary Charts                           US Army Aeromedical Center

                      DoD Civilian Expeditionary Workforce        U.S. Department of State

                      Army Knowledge Online                       U.S. Department of Defense
      Occupational Series
0610 Registered Nurse (Dialysis)





Clinical Nurse (Entry)

Clinical Level I

Clinical Level II

Leader/Expert Level I
Leader/Expert Level II

Supervisory Nurse Administrator

Chief, Clinical Operations

Nurse Administrator
This series includes positions that require a professional knowledge of nursing. Positions involve
providing care to patients in hospitals, clinics, occupational health units, homes, schools and
communities; administering anesthetic agents and supportive treatments to patients undergoing
surgery or other medical procedures; promoting better health practices; teaching; performing research
in one or more phases of the field of nursing; or consulting and advising nurses who provide direct
care to patients. A Registered Nurse is specifically prepared in the scientific basis of nursing; is a
graduate of an accredited school of nursing; and possesses a license to practice as an RN in a State,
Commonwealth, territory, or jusisdiction.

The new Dialysis nurse generally requires on-the-job-training (OJT) experience and technical training.
Emphasis is placed on involvement with and training in: (a) Dialysis nursing fundamentals; (b)
fundamentals of federal law, DA regulations, and directives in promoting wellness; and (c) computer
training to assist in managing Dialysis health programs. Personnel have responsibility for assisting
with training subordinates, peers, and students. Typical assignments include, but are not limited to:
(a) providing comprehensive nursing care to Dialysis patients based on the physician's medical care
plan and the needs of the patient; (b) obtaining initial information and history of symptoms from
patients and parents, (c) educating and preparing patients for tests, examinations, and treatment; and
(d) preparing and reviewing records, laboratory sheets, etc., under the supervision of a senior RN.

Employee has the basic education for professional nursing, with limited or no practical experience.
Emphasis is placed on training to gain experience necessary for skill development, to learn clinical
protocol to guide actions, and to experience clinical care situations.

Represent fulls journeyman performance. The primary focus is on increasing the technical knowledge
and skills of the Dialysis nurse. Secondarily, emphasis is placed on management and human relations
skills. Work assignments will be selected to add to the depth and breadth of their technical and
leadership competence. Some of the assignments include: (a) serving as the technical expert or point
of contact for program direction, and (b) assisting in training of subordinates, peers, and students.

Emphasis is placed on training in the supervisory aspects of clinical nursing. This employee is
expected to be competent in most all areas of nursing practice in order to develop greater expertise in
positions of increasing complexity. This employee must be aware of the new concepts and changes in
nursing, training, employee development, and executive development. This employee is encouraged
to participate in Army Competitive Training Courses, graduate study, speaking and writing activities,
temporary duty assignments, rotation through developmental assignments, crossing functional lines
while dealing with managerial operations (e.g., program planning, evaluation, manpower, budget,
etc.), and participation in professional group activities.
Advanced Dialysis nurses are recognized as subject-matter-experts (SMEs). At this level, emphasis is
placed on strategic planning and administrative/managerial responsibilities. They make decisions or
recommendations that significantly affect the content, interpretation, or development of Army policies
or programs concerning critical matters or major issues within the Dialysis nursing community. They
also are responsible for training subordinates, peers, and students. They are assigned
positions/studies where limited guidance exists as to the method of evaluation for the potential
experience identified or where possible, new experiences need to be identified. Training will be on
topics that are emerging issues in the specialized aspects of the Dialysis nurse as well as seminars
and conferences where these position topics are likely to be discussed. At this level, the employee
must have a mastery of one or more specialty fields evidenced by application of new developments
and theories to critical and novel problems, and extension and modification of approaches and
methods to solve a variety of problems with unconventional solutions.

Upon employment, the Nurse will be paired up with a preceptor to facilitate the transition of new
graduates (with less than six months experience) into practicing nursing in a military environment. The
length of the Preceptorship Program is a minimum of 6 weeks (in Accelerated Nurse Training
Program [5-7-9] will advance a grade at 6 mos intervals to 2 grades within 12-18 mos) and can be
expanded if an individual requires additional training time. After completing the preceptorship, a
Clinical Staff Nurse will usually spend one year on a general medical--surgical ward to hone clinical
and time management skills, gain a greater understanding of the military healthcare system and
develop their interests in specialty areas of the nursing profession. They will be members of treatment
teams and primarily be responsible for direct hands-on patient care. During the first year, the Nurse
develops the required foundation of techniques and knowledge that will guide them and be developed
upon throughout their career.

As a Clinical Level I Nurse, the key positions are Clinical Nurse and Staff Nurse. Nurse works under
close supervision and works in a developmental capacity performing assignments and completing
training, both of which are aimed in preparing the incumbent to gain the knowledge and skills
necessary to perform the duties at the next higher grade. The incumbent receives progressively more
responsible assignments as experience and training are received. Can be a charge nurse, depending
on setting and individual nurse capabilities.
As a Clinical Level II Nurse, key positions include: Assistant Clinical Nurse Officer in Charge (OIC);
Charge Nurse; Team Leader; Staff Nurse. Additional duties may include: unit or clinic level preceptor,
safety officer, Quality Improvement (QI) monitoring, and educator. Performs a wide variety of nursing
functions in an outpatient clinic setting, requiring broad knowledge of nursing specialties, to include,
but not limited to: Hematology/Oncology, gastroenterology, cardiology, endocrinology, rheumatology,
and pulmonary. Assesses health care needs of beneficiaries. Triage patients, eliciting needed
information utilizing the nursing process to determine nature and urgency of health problem.
Responsible for provision of professional nursing care, coordination of clinical components of unit
operation, and possible technical supervision of 1 to 5 professional assistant staff.

As a Level I Leader/Expert Nurse, key positions include: Clinical Nurse Officer In Charge (OIC of a
smaller, less complex facility; Staff Nurse with specialty certification; Instructor at Phase II of the
Practical Nurse Course Program. Advanced practice registered nurse (APRN) certifications and staff
areas are: Occupational Health Nurse; Pediatric Nurse; Community Health Nurse; Psychiatric Nurse;
Operating Room Nurse; Nurse Practitioner; Emergency Room Nurse; Certified Nurse Midwife;
Hematology-Oncology Nurse; Dialysis Nurse Specialist; Infection Control Nurse; Nurse Educator;
Nurse Case/Outcomes Manager; Certified Registered Nurse Anesthetist.
As a Level II Leader/Expert Nurse, key positions include: Clinical Nurse OIC for a larger, more
complex facility; Clinical Nurse Specialist in the specialty areas of nursing. Additional specialty
positions include: Quality Improvement; Nurse Method Analyst; Assistant Course Director; Research
Nurse; Informatics Nurse; Wound Care/Ostomy Nurse.

Supervisory Nurses lead clinical units and perform duties in key positions such as: Clinical Nurse OIC;
Chief of Nursing Research; Health Promotion Manager; Section Chief/Director; Course Director;
Supervisor of Managed Care; Advanced Practice Registered Nurse Supervisor.
As a GS-14 Chief of Clinical Operations, provides leadership and direction over the strategic planning,
development and execution of clinical operations for a small medical treatment facility or health clinic.
Integrates standardized clinical models for all MTF clinics. From a systems perspective, creates a
solid base of clinical leadership (knowledge, skills and abilities) preparing junior nurses for future
senior management roles.

As a GS-14/15 Nurse Administrator, key positions include: Chief of Nursing Operations; Chief of
Clinical Operations; Clinical Investigations Officer; and Department Chief.
Type                              Competency
Functional, or
L                Accountability

L                Administration and Management

F                Alternative Care Procedures

F                Basic interviewing and communication
L                Business Acumen

C                Computers

L                Conflict Management

F                Consultation with doctors and patients

C                Continual Learning

L                Creativity and Innovation

F                Critical evaluation of research

C                Customer and Personal Service

C                Customer Service

L                Decisiveness

F                Diagnosis

F                Education
C   Communication

F   Ethics

C   External Awareness

L   Financial Management

C   Flexibility

F   Health Care Management

F   Health Care Practices

L   Human Resources Management

L   Influencing and Negotiating

C   Integrity and Honesty

C   Interpersonal Skills

C   Judgement

L   Labor Relations

F   Legal Princples applied to nursing

L   Leveraging Diversity and Cultural

L   Management Functions

C   Mathematics
F   Medicine and Dentistry

L   Mentoring

F   Nursing
C   Oral Communication

C   Organization

C   Partnering

F   Patient Advocacy

F   Patient Instruction

F   Pediatrics

L   Political Savvy

C   Problem Solving

F   Psychology

L   Public Safety and Security

C   Public Service Motivation

C   Resilience

L   Resource Requirements

F   Review laboratory findings

L   Strategic Thinking

L   Supervisory functions

L   Team Building

F   Technical Credibility
L   Technology Management
L   Vision

C   Writing

C   Written Communication
F   Biology

F   Chemistry

F   Dialysis Specialist Nursing

F   Evidence Based Practice

Assures that effective controls are developed and maintained to ensure the integrity of the
organization. Holds self and others accountable for rules and responsibilities. Can be relied upon to
ensure that projects within areas of specific responsibility are completed in a timely manner and within
budget. Monitors and evaluates plans, focuses on results and measuring attainment of outcomes.

Knowledge of planning, coordination, and execution of business functions, resource allocation, and
 Knowledge of the procedures to refer clients to alternative resources as appropriate and the ability to
make such referrals in order to ensure the optimal level of care to patients.
 Skill in basic interviewing and communication techniques in order to formulate an accurate
assessment of the patient's condition and needs.
Has an intuitive and applicable understanding of the business and the interrelationships enabling a
person to make better business decisions.
 Ability to use computer programs in order to accomplish data entry, retrieval, and management.

Identifies and takes steps to prevent potential situations that could result in unpleasant confrontations.
Manages and resolves conflicts and disagreements in a positive and constructive manner to minimize
negative impact.
 Ability to seek consultation in complex, multifaceted patient health problems in order to promote
integrated continuous care.
Grasps the essence of new information. Masters new technical and business knowledge. Recognizes
own strengths and weaknesses and pursues self-development. Seeks feedback from others and
opportunities to master new knowledge.
Develops new insights into situations and applies innovative solutions to make organizational
improvements. Creates a work environment that encourages creative thinking and innovation.
Designs and implements new or cutting-edge programs/processes.
Ability to critically evaluate research studies and apply findings to practiced discipline in order to
incorporate/disseminate relevant results (evidence-based practice).
Knowledge of principles and processes for providing customer and personal services. This includes
customer needs assessment, meeting quality standards for services, and evaluation of customer
Balances interests of a variety of clients and readily readjusts priorities to respond to pressing and
changing client demands. Anticipates and meets the need of clients and achieves quality end-
products. Is committed to continuous improvement of services.
Makes sound and well-informed decisions. Perceives the impact and implications of decisions.
commits to action, even in uncertain situations, in order to accomplish organizational goals.
Ability to formulate a nursing diagnosis based on the nursing assessment, in order to develop a plan
of care to meet defined patient needs in concert with other health care disciplines, and
Ability to plan, implement, and evaluate the effectiveness of educational programs designed for the
educational needs of patients and staff in order to enhance education and wellness.
Ability to apply the principles of teaching to patients, patient's sponsors, and patients support groups
in order to provide information, evaluate understanding, and enhance adherence.
Ability to maintain a current knowledge regarding new nursing principles and technology in order to
maintain competence and certification by attending continuing education and professional
development programs.
Knowledge of principles and methods for curriculum and training design, teaching and instruction for
individuals and groups, and the measurement of training effects.
English language. Includes grammar, vocabulary, diction, idioms, syntax, composition, spelling,
punctuation, capitalization, abbreviations, compound words, prefixes, suffixes, and sentence
Knowledge of ethical theories and principles in order to protect patient rights and confidentiality.

Ability to identify professional liability and malpractice issues relating to access of records, Nurse
Practice Acts, and the Nursing Code of Ethics in order to ensure adherence within legal
Identifies and keeps up-to-date on economic, political, and social trends which affect key agency
policies/priorities. Understands where the organization is headed and how to make a contribution.

Understands the principles of financial management and marketing expertise necessary to ensure
appropriate funding levels. Prepares, justifies, and or administers the budget for the program area.
Uses cost-benefit thinking to set priorities. Monitors expenditures in support of programs and policies.
Identifies cost-effective approaches. Manages procurement and contracting.

Is open to change and new information. Adapts behavior and work methods in response to new
information, changing conditions, or unexpected obstacles. Adjusts rapidly to new situations
warranting attention and resolution.
Knowledge of and the ability to apply the principles of health care management in order to promote
the best outcomes for the health of the patient.
 Knowledge of cultural variables in health practices, in order to determine their impact on health and
wellness, and the ability to accommodate such variables in developing a plan of care.
Assesses current and future staffing needs based on organizational goals and budget realities. Using
merit principles, ensures staff is appropriately selected, developed, utilized, appraised and rewarded.
Takes corrective action.
Persuades others and develops networks and coalitions. Gains cooperation from others to obtain
information and accomplish goals. Negotiates to find mutually acceptable solutions and builds
consensus through give and take.
Instills mutual trust and confidence and creates a culture that fosters high standards of ethics.
Behaves in a fair and ethical manner toward others and demonstrates a sense of corporate
responsibility and commitment to public service.
Considers and responds appropriately to the needs, feelings, and capabilities of different people in
different situations. Is tactful, compassionate and sensitive, and treats others with respect.
Ability to make independent nursing judgements appropriate to the practiced discipline in order to
provide appropriate nursing care.
Labor Relations. Procedures pertinent to non-government union contract labor (for example,
International Longshoreman Association contracts).
 Knowledge of legal aspects regarding nursing and the provision of nursing care in order to protect
the patient, the nurse, and the employer.
Leads and manages an inclusive workplace that maximizes the talents of each person to achieve
sound business results. Respects, understands, values and seeks out individual differences to
achieve the vision and mission of the organization. Develops and uses measures and rewards to hold
self and others accountable for achieving results that embody the principles of diversity.

Knowledge of personnel management functions and responsibilities, management theories, nursing
management principles, and general leadership styles in order to execute responsibilities.

Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
Knowledge of the diagnosis and treatment of injuries, diseases, and deformities, including preventive
health-care measures.
Ability to serve as a mentor in order to provide relevant information and enhance role performance.

Comprehension of medical Terminology - Complete understanding of medical terms and medical
occupational areas in order to effectively communicate with other medical personnel and effectively
advocate for customers/clients to ensure continuity of care.
Ability to complete a thorough nursing assessment and health history to include physiological and
psychosocial aspects in order to implement, evaluate, and monitor an effective nursing care program.

Knowledge of nursing techniques in personal, therapeutic, preventive, and rehabilitative care in order
to develop effective individualized plans of care.
Makes clear and convincing oral presentations to individuals or groups. Listens effectively and
clarifies information as needed. Facilitates an open exchange of ideas and fosters atmosphere of
open communication.
Knowledge of organizational structure, policies and procedures, communication systems, and
reporting procedures in order to ensure effective coordination of information.
Develops networks and builds alliances, engages in cross-functional activities. Collaborates across
boundaries, and finds common ground with a widening range of stakeholders. Utilizes contacts to
build and strengthen internal support bases.
Ability to function as a health care advocate for individuals, families, and communities in order to
provide support to the patient.
 Skill in providing instructions to clients, families, and other health care providers in order to meet the
patient's health care needs.
Knowledge of normal growth and development patterns of patients from infants to geriatric in order to
recognize deviations from normal.
Identifies the internal and external politics that impact the work of the organization. Approaches each
problem situation with a clear perception of organizational and political reality, recognizes the impact
of alternative courses of action.
Identifies and analyzes problems; uses sound reasoning to arrive at conclusions. Finds alternative
solutions to complex problems. Distinguishes between relevant and irrelevant information to make
logical judgments.
Knowledge of human behavior and performance in various contexts, mental processes, or the
assessment and treatment of behavioral and affective disorders.
Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local,
state, or national security operations for the protection of people, data, property, and institutions.

Shows a commitment to serve the public. Ensures that actions meet public needs. Aligns
organizational objectives and practices with public interests.
Deals effectively with pressure and maintains focus and intensity and remains optimistic and
persistent, even under adversity. Recovers quickly from setbacks. Effectively balances personal life
and work.
The interrelationship between resource requirements (for example, manpower, dollars, materiel) and
programming in support of mission accomplishment.
Knowledge and ability to review, interpret, & appropriately refer diagnostic and consultative findings.

Formulates effective strategies consistent with the business and competitive strategy of the
organization in a global economy. Examines policy issues and strategic planning with a long-term
perspective. Determines objectives and sets priorities. Anticipates potential threats or opportunities.

Ability to develop job descriptions, performance plans, and performance evaluations in order to
accomplish supervisory duties.
Inspires, motivates, and guides others toward goal accomplishments. Consistently develops and
sustains cooperative working relationships. Encourages and facilitates cooperation within the
organization and with customer groups. Fosters commitment, team spirit, pride, trust. Develops
leadership in others through coaching, mentoring, rewarding and guiding employees.
Ability to understand the group process in establishing goals and objectives in order to provide
guidance and direction.
Executes procedures, requirements, regulations, and policies related to specialized expertise.
Uses efficient and cost-effective approaches to integrate technology into the workplace and improve
program effectiveness. Develop strategies using new technology to enhance decision making.
Understands the impact of technological change on the organization.
Takes a long-term view and acts as a catalyst for organizational change. Builds a shared vision with
others and influences others to translate vision into action.
Uses correct English grammar, punctuation, and spelling to communicate thoughts, ideas,
information, and messages in writing.
Expresses facts and ideas in writing in a clear, convincing and organized manner.
Knowledge of the environment, plant and animal living tissue, cells, organisms, and entities, including
their functions, interdependencies and interactions with each other and the environment.

Knowledge of chemicals, including hazardous materials, and their uses, interactions, dangers,
production, and disposal.
Administrative knowledge and technical proficiency in use of dialysis equipment, hemodialysis, all
forms of Peritoneal Dialysis (PD), continuous venous hemofiltration, and Continuous Renal
Replacement Therapy (CRRT) in order to assess, initiate therapy, and participate in nursing
management of patients throughout the dialysis procedure. Knowledge of the physiologic concepts
involved with dialysis and specific of all forms of peritoneal catheter care, to include antibiotics and
infection control in order to train and treat patients. Knowledge and skill to accomplish pre-catheter
insertion preparation of patient, post-catheter insertion nursing care, and initial and long-term site care
in order to maintain catheter longevity, free of infection, and other catheter related publications.
Knowledge of and skill to conduct bag exchange procedure to include standard spike, luerlock, and Y-
set in order to perform peritoneal dialysis in a safe and effective manner, implementing measures for
an infection and complications free environment during peritoneal dialysis. Knowledge and skill to
use assistance devices, transfer set change, initiation and termination of PD, evaluation of alarms
and troubleshooting, and care of the patient with end stage renal disease using Continuous
Ambulatory Peritoneal Dialysis (CAPD), Continuous Cycle Peritoneal Dialysis (CCPD), and
Intermittent Peritoneal Dialysis (IPD) in order to monitor the appropriate method of dialysis.
Knowledge and skill to perform exit-site swab, analyze and perform intervention for infected exit-site
and evaluation of tunnel infection to obtain peritoneal dialysate sample collection in the face of
peritonitis and the administration of intra-peritoneal medication in order to provide effective nursing
care of the patient with peritonitis and exit site or tunnel infection. Knowledge of normal kidney
function and alternatives to include patient physiologic derangement which occur as a result of End-
Stage Renal Disease (ESRD) in order to assess, train and treat patients. Knowledge of peritoneal
dialysis to include intermittent peritoneal dialysis, CCPD, and CAPD in order to provide personalized
care. Knowledge and ability to prescribe, administer, and evaluate pharmacologic and therapeutic
treatment regimens in order to provide appropriate and safe pharmacological and therapeutic
interventions for desired outcomes in the care of patients with renal insufficiency. Ability to train
patient and dialysis partner the principles of dialysis (interrelationships between dialysis, diet, medical
therapy, and blood chemistries), dialysis technique, aseptic technique, and cardiopulmonary
resuscitation (CPR) (to include encouraging patient and family to attend formal CPR class) in order to
ensure adequate performance in the home setting.

Ability to integrate (a) clinical experitise/opinions, (b) external scientific evidence, and (c)
client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values,
needs, and choices of the individuals served.
Type                                         Course Description
F      Preceptorship Training. An opportunity for students to apply concepts and techniques, and
       to develop attitudes, value,s and an individual approach to patient care in accordance with
       professional and Army standards. Preceptors provide specific responsibilities that
       correspond to the student’s abilities and program objectives. The goal of this training is to
       transition from civilian nursing to the Army Health Care Team
       environment is as smooth as possible. This training is locally provided.

PD     Computer Literacy Training/Computer Courses. Literacy training provides an introduction
       to an understanding of automated systems in word processing and data management.
       Computer Courses provide an introduction to computer programs such as the Internet,
       Microsoft Word, Excel, Power Point, and courses to support specific applications as
MT     Basic Life Support (BLS) Course. Provides certification in cardiopulmonary resuscitation
       (CPR), an annual requirement provided by the local command..
F      Risk Management. Provides insights and addresses issues related to practice
       liability.Provided locally.
F      Infection Control: Tuberculosis (TB)/Human Immunodeficiency Virus (HIV) Training.
       Provides information on TB and HIV patient management to ensure compliance with
       OSHA health and safety requirements. (Source: Local Installation/SWANK/Professional
F      Tuberculosis Training. Provides information on tuberculosis patient management. The
       Centers for Disease Control (CDC) provides two training options: An Interactive CD-
       ROM for Clinicians (http://www.cdc.gov/phtn/catalog/tb-cd-rom.htm) or Self-Study Modules
       on Tuberculosis (http://www.cdc.gov/phtn/catalog/tb-web.htm).
F      Case Management. Provides an introduction to the principles and practice of case
A      Nursing Theory for Advanced Practice. Provides information about the theoretical
       frameworks that guide practice of the advanced practitioner of community based health
       care delivery. This is a university-provided program.
F      Clinical Nurse OIC Leader Development. Course instruction is presented through subject
       matter experts utilizing lectures, conferences, small group exercises and video
       teleconferencing. Major areas of instruction are the five learning domains established by
       the American Organization of Nurse Executives: Communication and Relationship
       Management, Knowledge of Healthcare Environment, Leadership, Professionalism, and
       Business Skills.
F      The AMEDD Advanced Nurse Leadership Course is a multiphase course with Phase 1
       being Distance Learning (DL), utilizing 18 modules of the Joint Medical Executive Skills
       Institute (JMESI) to deliver competencies needed by senior leaders. Phase 2 is conducted
       in a Video Tele Training (VTT) format over a five day period covering major areas of
       instruction of both phases to include leadership, management, productivity, organizational
       structure, utilization of resources, and decision making.
PD     Public Speaking, Briefings, and Presentations. Provides instruction in communication
       principles as well as the basic principles of business presentations. Covers how to plan
       presentations and provides guidance on choosing the right physical location and learning
       environment. Techniques of presentations include presentations to inform or persuade,
       Q&A techniques, and technical presentations. Students will be provided the opportunity to
       practice the different presentations and to critique their own performance on video.

PD     Speaking Strategies: Confident Public Speaking. This one-hour distance learning course
       provides basic instruction in public speaking.
F    Pharmacology Math for Practical Nurse. Basic math skills (addition, subtraction,
     multiplication, division, fractions, decimals, percentages, and ratio and proportion);
     systems of measurement; computing medication dosages; computing intravenous infusion
     rates; and basic dose calculations.
PD   Budget Preparation/Resource Management. Presents the basic strategies of establishing
     a budget and assigning the resources required to reach objectives. Specific areas
     investigated are: obligated and non-obligated funds, mid-year and end of the year review.
     Course is provided locally.
PD   Preparing Publications, Research Methodology, and Data Analysis. Presents methods
     required for preparation of research for publication. Emphasis will focus on correct
     statistical tests for appropriate data collected, research methodology, and writing
     techniques. The source of this training is university-based.
PD   Publishing Research. Introduces the RN to the organization, writing, and preparation of an
     article for publication. Levels of research will be presented and methods to present the
     data will be discussed. This is a university-based course.
PD   Executive Management Principles. Presents a broad perspective of personnel
     management in relation to the total management function, relationship of operating and
     staff officials in the discharge of personnel management responsibilities, and current and
     projected developments in personnel administration. Course is provided locally.

PD   Information Resource Management Course. Examines ways an organization can enhance
     the business value of its information resources. Focuses on the future of information
     resources management and provides an understanding of the concepts, theory and
     principles that under-pin current trends in corporate information management. This is a
     locally provided course.
F    Clinical Nurse OIC Leader Development. Course instruction is presented through subject
     matter experts utilizing lectures, conferences, small group exercises and video
     teleconferencing. Major areas of instruction are the five learning domains established b

A    Associate Degree in Nursing - An Associate of Science in Nursing (ASN) is a tertiary
     education nursing degree. This type of degree is usually awarded by community colleges
     or similar nursing schools. Some four year colleges also offer this degree. Students
     awarded an Associate of Science in Nursing are qualified to sit for the NCLEX-RN and
     apply for licensure as a Registered Nurse.
A    Bachelor of Science in Nursing - The Bachelor of Science in Nursing (BSN) is a four year
     academic degree in the science and principles of nursing, granted by a tertiary education
     university or similarly accredited school. Though one is eligible to sit for the a licensing
     examination to become a registered nurse after graduating from either a two year program
     with an Associate's Degree (ADN) or from a four-year program with an Bachelor's Degree
     (BSN), the BSN prepares nurses for a professional role away from the bedside with
     coursework in nursing science, research, leadership, and nursing informatics.

A    Master's Degree in Nursing or Related Field - A Master of Science in Nursing (MSN) is an
     advanced-level postgraduate degree for registered nurses and is considered an entry-level
     degree for nurse educators and managers. The degree also may prepare a nurse to seek
     a career as a nurse administrator, health policy expert, or clinical nurse leader.Graduate
     degree in a related field for the position to be hired and years of experience at the previous
     level. For example, Health Care Administration, Master of Business Administration,
     Human Resources, And Information Technology.
A   Army Master's Degree in Social Work - Students must complete a foundation phase of
    training, which consists of 24 didactic and 8 field practicum course hours, for a total of 32
    semester hours. Once these non-BSW degreed students have successfully completed the
    foundation phase, they must complete the concentration phase of the MSW Program. The
    concentration phase consists of 22 didactic and 8 field practicum course hours, for a total
    of 30 semester hours. Students must successfully complete the didactic requirements at
    the foundation phase before they will allowed to proceed to foundation field; furthermore,
    they must also complete the didactic requirements in concentration phase before they can
    proceed to the concentration field practicum. Students must complete a minimum of 460
    agency work hours during foundation field and 500 agency work hours during their
    concentration field practicum.

A   Doctoral Degree in Nursing or Related Fields - The Doctor of Nursing Practice (DNP) is a
    terminal professional degree that focuses on the clinical aspects of nursing rather than
    academic research. The curriculum for the DNP degree generally includes advanced
    practice, leadership, and application of clinical research. The DNP is intended primarily to
    prepare registered nurses to become advanced practice registered nurses. Advanced
    practice roles in nursing include the nurse practitioner (NP), certified registered nurse
    anesthetist (CRNA), certified nurse midwife (CNM), and the clinical nurse specialist (CNS).

F   Civilian Residency Program. The Army is developing a program to provide Army civilian
    nurses with residency opportunities within AMEDD. For further information, contact
    AMEDDC&S AMEDD Personnel Proponent Directorate:(210) 221-9936
A   Nurse Specialty Training - The Army supports a number of nursing specialties including:
    Occupational Health Nurse, Pediatric Nurse, Community Health Nurse, Operating Room
    Nurse, Psychiatric Nurse, Nurse Anesthetist, Nurse (Hematology/Oncology, Nurse
    Practiotioner (Adult, Family, Pediatrics, OB/GYN), Nurse (Critical Care-SICU, MICU,
    Neonatal), Nurse (Dialysis), Nurse (OB/GYN, Labor and Delivery), Nurse Midwife, Infection
    Control Nurse, Clinical Case Manager, Research Nurse, Nurse Educator, Nurse
    Consultant, Emergency Room Nurse, Medical and Surgical Nurse.

F   Continuous Renal Replacement Therapy (CRRT) (Outpatient/ Inpatient). Provides a
    cognitive understanding of the concepts, principles, and clinical application of CRRT and a
    review of nursing care of the acutely ill patient. The participant will review the nursing care
    necessary to assure safe, effective therapy for the patient diagnosed with acute renal
    failure and who are at risk for renal impairment, who will benefit from early intervention for
    fluid and solute management. (Source: Local) (6 Hours)

F   Hemodialysis. Provides a basic understanding of dialysis principles, patient care, nursing
    interventions and current technological advances. During this home study, the participant
    will review fluids, electrolytes & renal physiology; learn principles of hemodialysis and
    examine delivery systems. Includes medications, renal failure, complications, transplants,
    quality assurance, & nutrition. Course includes elderly, pediatric, diabetes, and home
    dialysis. (Source: Professional Organization) (30 Hours)
F   Peritoneal Dialysis Course. Provides a basic understanding of peritoneal dialysis concepts
    and principles, patient care and nursing interventions for the peritoneal dialysis patient,
    and current catheters used for peritoneal dialysis access. Provides clinical experience with
    the peritoneal exchange or cycler, to include troubleshooting and signs and symptoms of
    peritoneal complications. (Source: MEDCEN/local civilian hospital) (Length varies)
F   Transplantation Course. Provides the basic concepts related to renal transplantation. The
    individual will have a working knowledge of the immunogenetic basis of transplantation,
    define transplantation rejection, list major immunosuppressive agents and their side
    effects, identify long-term complications of renal transplantation, and components of a
    discharge plan for a transplant recipient. (Source: MEDCEN/local civilian hospital) (Length
F   Bloodborne Pathogen Training. Instructs the student in managing a program in
    accordance with Occupational Safety and Health Administration (OSHA) mandated
    requirements in 29 CFR 1910.1030. Course content includes identifying the scope of the
    act, developing exposure control plans, identifying infectious materials, methods of
    compliance, and hepatitis B vaccinations. (Source: OSHA) (Length varies)
F   Charge Nurse Course. Designed to provide the inexperienced Charge Nurse with the
    necessary skills so he/she can approach their role with confidence. (Source: Local) (13
F   Preceptor Development Course. Prepares experienced nursing personnel to serve as
    preceptors. Facilitates the transition of new nursing personnel to clinical nursing. (Source:
    Local) (3.5 Hours)
F   Instructor Training Course. Emphasis is placed on communication skills, audio-visual
    support, writing lesson plans, writing objectives, and writing test items. (Source:
    AMEDDC&S) (80 Hours)
F   Critical Reading of Research Publications (CRRP). This course is designed as an
    Independent Study for use by Clinical Interest Groups, Journal Clubs, or small groups who
    want to become more comfortable in reading and evaluating research. The primary
    characteristic of this program is that it must be carried out by at least two or more people
    in order to obtain continuing education credit. The course is available on-line at: (Source:
    RMC NESDS) (12 Hours)
F   Pharmacotherapeutics For Advanced Practice. Presents an advanced course in
    pharmacology for advanced practitioners. (Source: University-Based) (Length varies)

F   Nursing Informatics. An overview of how computer science, information science, and
    nursing science are used to manage information. The focus of the course is on how
    nurses can use information technology with clinical practice, research, education,
    administration, and communication to improve the delivery of nursing care and patient
    health. A current health care information system is examined. Basic computer applications
    are explored through hands on training. (Source: University-Based) (Length varies)


Nurse Case Management Program

Clinical Nurse OIC Leadership Course

AMEDD Advanced Nurse Leadership

Speaking Strategies: Confident Public Speaking
Pharmacology Math for Practical Nurse

Organizational Budgeting Activities and the Master Budget
Army Master's Degree in Social Work
Bloodborne Pathogen Training

Instructor Training Course

Critical Reading of Research Publications
Basic Life Support (BLS) - The level of medical care which is used for patients with life-threatening
illnesses or injuries until the patient can be given full medical care at a hospital. It can be provided by
trained medical personnel, including emergency medical technicians, paramedics, and by laypersons
who have received BLS training. BLS is generally used in the pre-hospital setting, and can be provided
without medical equipment. Required by all nurses in accordance with AR 40-68, paragraph 5-1.e..
Provided locally or through commercial vendors.
Advanced Cardiac Life Support or Advanced Cardiovascular Life Support (ACLS) refers to a set of
clinical interventions for the urgent treatment of cardiac arrest, stroke and other life threatening medical
emergencies, as well as the knowledge and skills to deploy those interventions. Required if working in
specialty area. Provided locally or through commercial vendors.
Pediatric Advanced Life Support (PALS) - The PALS Course is for healthcare providers who respond to
emergencies in infants and children. These include personnel in emergency response, emergency
medicine, intensive care and critical care units such as physicians, nurses, paramedics and others who
need a PALS course completion card for job or other requirements. Required if working in specialty
area. Provided locally or through commercial vendors.

The Neonatal Resuscitation Program™ is an educational program that introduces the concepts and
basic skills of neonatal resuscitation. Completion of the program does not imply that an individual has
the competence to perform neonatal resuscitation. Each hospital is responsible for determining the
level of competence and qualifications required for someone to assume clinical responsibility for
neonatal resuscitation. This course has been designed to teach an evidence-based approach to
resuscitation of the newborn. The causes, prevention, and management of mild to severe neonatal
asphyxia are carefully explained so that health professionals may develop optimal knowledge and skill
in resuscitation. Required if working in specialty area. Provided locally or through commercial vendors.

RN Licensure - A registered nurse (RN) is a nurse who has graduated from a nursing program at a
university or college and has passed a national licensing exam. Whatever specialization they select,
nurses still need to pass a licensure exam to practice their profession. There are two licensure
examinations in the United States developed by NCSBN (National Council of State Boards Nursing
Inc.) – these are NCLEX-PN (National Council Licensure Examination – Practical Nurses) and NCLEX-
RN (National Council Licensure Examination – Registered Nurses) – to test the abilities, skills, and
knowledge of candidates for an effective and safe nursing practice. When the students pass, they will
acquire a license as LPN/LVN (Licensed Practical/Vocational Nurses) or RN (Registered Nurses).
Current Office of Personnel Management Qualification Standards do not include the requirement for
NCLEX-RN, thus the civilian RN is exempt from this requirement. This license is highly desireable for
Army civilian RNs.

Specialty Certification - ANCC is the world's largest and most prestigious nurse credentialing
organization, and a subsidiary of the American Nurses Association (ANA). The Army supports a
number of nursing specialties including: Occupational Health Nurse, Pediatric Nurse, Community
Health Nurse, Operating Room Nurse, Psychiatric Nurse, Nurse Anesthetist, Nurse
(Hematology/Oncology, Nurse Practiotioner (Adult, Family, Pediatrics, OB/GYN), Nurse (Critical Care-
SICU, MICU, Neonatal), Nurse (Dialysis), Nurse (OB/GYN, Labor and Delivery), Nurse Midwife,
Infection Control Nurse, Clinical Case Manager, Research Nurse/Nurse Educator/Nurse Consultant,
Emergency Room Nurse, Medical and Surgical Nurse.
American Board of Nursing Certification. ABNS is a not-for-profit, membership organization governed
by an elected group of representatives. They are focused on improving patient outcomes and
consumer protection by promoting specialty nursing certification. The Accreditation Board for Specialty
Nursing Certification (ABSNC), formerly the ABNS Accreditation Council, is the only accrediting body
specifically for nursing certification. ABSNC accreditation is a peer-review mechanism that allows
nursing certification organizations to obtain accreditation by demonstrating compliance with the highest
quality standards available in the industry.

Certified Occupational Health Nurse. The American Board for Occupational Health Nurses administers
this certification, which is a voluntary mechanism for validating professional knowledge and expertise in
a specialty. In contrast to licensure, which assures the public of safe practice at a beginning level,
certification reflects specialty practice and knowledge at a proficient level. By meeting the challenge of
certification, the certified individual has made a commitment to a specialty and to continued
professional growth and development. Certification is recognized by employers and peers as an
achievement and leads to employment opportunities, advancement, and professional prestige. ABOHN
uses the definition of occupational and environmental health nursing and the standards of practice, in
addition to other criteria, to determine eligibility for certification. The American Association of
Occupational Health Nurses, Inc. (AAOHN) establishes the definition and standards of specialty

The Certified in Executive Nursing Practice (CENP) is geared to nurse leaders who are engaged in
executive nursing practice. To be eligible for this certification, you must hold a valid and unrestricted
license as a registered nurse; and either a master’s level degree or higher plus two (2) years of
experience in an executive nursing role (one of your degrees must be obtained in nursing from an
accredited institution) or a bachelor of science in nursing (BSN) plus four (4) years in an executive
nursing role.

Nurse Manager and Leader. The Certified Nurse Manager and Leader (CNML) — offered in
partnership with the American Association of Critical-Care Nurses (AACN) — is designed exclusively
for nurse leaders in the nurse manager role. To be eligible for this certification, you must hold a valid
and unrestricted license as a registered nurse; and either a bachelor of science in nursing (BSN)
degree or higher plus two (2) years of experience (minimum of 1,040 hours per year) in a nurse
manager role or a non-nursing bachelor’s plus three (3) years of experience (minimum of 1,040 hours
per year) in a nurse manager role or a diploma or associate degree plus five (5) years of experience
(minimum of 1,040 hours per year) in a nurse manager role.

Nephrology Nurse Certification. Completion of National Certification exam that documents validation of
the professional achievement of identified standards of practice by an individual registered nurse
providing care for dialysis patients. (Source: Professional Organization) (Length varies)
Basic Life Support

Advanced Cardiac Life Support

Pediatric Advanced Life Support

Neonatal Resuscitation Program

Registered Nurse License

American Nurses Credentialing Center
American Board of Nursing Certification

American Board for Occupational Health Nurses

Certified in Executive Nursing Practice (CENP)

Certified Nurse Manager and Leader (CNML)

Nephrology Nurse Certification

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