RN Dialysis

Under the direction of assigned dialysis leadership, provides quality nursing care established by regulatory standards to adults / aging adults requiring hemodialysis / peritoneal in both inpatient and outpatient settings.

Licensure:

• Current state licensure as a Registered Nurse
• CPR required within three (3) months of hire.

 Education:

• Associates Degree in Nursing.

General Responsibilities: 

• Reviews physician orders for dialysis patients, collects pre-treatment dialysis data, and reviews patient records prior to dialysis.  Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patient’s vascular access, laboratory findings, and the patient’s general health.  Safely gives routine meds based on physician orders.  Verifies that patients are taking all prescribed medications and performs medication reconciliation
• Documents findings of patient assessments and interventions and advises providers of any significant change in the patient's condition and other pertinent information. Discusses patient concerns and answers questions relevant to care. Accurately obtains blood work according to protocol.
• Maintains skills necessary to perform surveillance on dialysis access (catheter, fistula, graft) for early signs of failure or infection; this includes (if needed and after receiving the appropriate training) the ability to perform arterioveinous access monitoring using ultrasound machine per protocol.
• Performs routines dialysis activities: blood transfusion, IV med and oxygen administration.
• Oversees dialysis technicians in the performance of dialysis from start to finish, monitors patient reaction to treatment and performance of the dialysis machines, and demonstrates an in-depth understanding of the mechanics of dialysis.
• Participates in quality improvement activities to include collection of data for the dialysis unit Quality Assurance Performance Improvement (QAPI) plan.  Provides leadership in improving patient care, maintaining standards of care, directing and teaching personnel in a variety of settings, and providing charge nurse responsibilities as needed.
• Works closely with others on the dialysis team and participates in interdisciplinary team meetings.
• Completes documentation regarding daily treatment sheets and progress notes. Completes incident reports for unusual occurrences.
• Demonstrates an in-depth understanding of infection control and prevention of transmission of blood borne pathogens.
• Performs other related duties as assigned.
• Attitude - Provides highest quality service and meeting customers' needs with utmost kindness, care, compassion, courtesy, empathy, respect and friendliness. Always acknowledges and serves customers with a friendly, open smile and direct eye contact.
• Appearance - Takes pride in personal appearance, the facility and its surroundings.
• Commitment to Coworkers -  Recognizes we are linked to one another by a common purpose; serving our patients and our community, that we are team members with our physicians and co-workers, and that we each deserve respect and support.
• Communication - Listens attentively to our customers to fully understand needs. Pays close attention to both verbal and non-verbal communication. Is committed to exceeding customers' expectations and providing more than what is expected.
• Customer Waiting - Provides prompt service, keeps customers informed regarding the time in which the service will be performed and makes customers comfortable while they are waiting.  
• Privacy – Maintains customer privacy and confidentiality
• Responsiveness - Acknowledges every approaching patient or family member. Responds in a way that demonstrates the care, courtesy and respect our customers deserve.
• Safety Awareness - Ensures an accident-free environment. Establishes, promotes and monitors a proactive innovative approach to enhance hospital and patient safety. Adheres to and ensures compliance with Joint commission Patient Safety Goals and hospital safety policies.
• Sense of Ownership - Demonstrates a sense of ownership in their job, takes pride in what they do, and how they do it. Accepts responsibility for and is in control of the job that needs to be done
• Team Member is accountable for areas of responsibility meeting regulatory requirements including but not limited to maintaining annual TB testing, completing annual mandatories (ALC and competency), and maintaining current registration/certification/licensures as appropriate to position requirements.