Registered Nurse (Dialysis)

Job-specific competencies encompass those tasks, duties, and responsibilities that are critical and
fundamental to the job and comprise the means of accomplishing the job’s purpose and objectives. They are
the major functions for which the person in the job is held accountable.

• Serves as an expert resource for all aspects of nursing.
• Listens to report on all patients on unit.
• Reviews all information.
• Conducts patient rounds with each nurse and evaluates goals and plans of care for all patients.
• Monitors each patient’s progress with the plan of care and adjustments as needed.
• Collaborates with interdisciplinary team members to identify potential barriers and variances to the plan of care.
• Acts as a liaison between patients, caregivers and community resources and all departments.
• Promotes development of evidenced based clinical practice.
• Utilizes disease specific protocols to meet patient goals.
• Promotes patient safety.
• Demonstrates creativity and innovation in approach to complex problem solving.
• Good communication & teamwork skills.
• Knowledgeable of all policies and procedures.
• Working knowledge of all normally used equipment

• One (1) years nursing experience
• Graduate of an accredited School of Nursing. BS degree in nursing required
• Current D.C. licensure as a Registered Professional Nurse
• Have and maintain current Basic Life Support (BLS)
• Attends in-service and education programs; attends continuing education required for maintenance of professional certification or licensure

Delivers and maintains optimum patient care during Hem dialysis through safe technical skills and
thorough understanding of the physical principles of the Dialectic procedure

Essential Duties and Responsibilities:

• Assembles supplies
• Sets up machine
• Primes dialyzer
• Reviews low dose heparin and standard heparin policies
• Prepares heparin and adjusts heparin dosages
• Prepares dialysate, test conductivity and checks temperature
• Calculates TMP for negative pressure mode
• Utilizes ultrafiltration mode UF or négative pressure mode on Cordis Dow 480
• Drains UF collection bag utilizing appropriate precautions with effluent
• Performs ACT procedure

Delivers and maintains optimum patient care during Hem dialysis through safe technical skills and
thorough understanding of the physical principles of the Dialectic procedure.

• Obtains necessary blood work
• Checks and sets alarms
• Monitors patient as necessary
• Adjust negative pressures and blood flow rates
• Performs dressings
• Maintains aseptic technique and unit isolation precautions
• Administers medication according to IPD procedure
• Documents all information
• Assists with A-V shunt declotting, vascular catheters insertion
• Change dialyser during dialysis
• Change blood lines during dialysis
• Performs take off procedure
• Develops patient care plans
• Call reports to floor nurse concerning dialysis procedure
• Applies cardiac monitor and observes for arrhythmias
• Locates code button, emergency cart, and cardiac monitor
• Checks water treatment system and states unsafe gauge levels
• Performs DPT tests for chloramines correctly
• Terminates dialysis procedure by sterile technique and accurately assesses patient post treatment status