Job Summary:
An Acute Hemodialysis Staff Nurse is a qualified Registered Nurse who provides nursing care to acute dialysis patient.
Qualifications:
- Graduate of an accredited school of nursing and currently licensed as a Registered Nurse
- Training and/or experience (one year preferred) in an outpatient hemodialysis setting
- CPR Certification
- ACLS
Job Specific Accountabilities:
The statements below describe the general nature and level of work being performed in this role. They are not intended to be a complete list of all duties, and additional responsibilities may be delegated as required.
- Perform nursing care to acute dialysis patient such as execution of patient care nursing treatment, monitor and follow up acute dialysis treatment plans; performs documentation of all dialysis nursing plan and treatment.
- Assist, support doctors and nephrologist in dialysis treatment procedures.
- Carry out md order and performs nursing assessment and review of the patient labs.
- Ensures safety and comfort to acute dialysis patient upon initiation, during and post treatment.
- Ensures compliance of state and federal regulations.
- Adheres to hospital’s policies and guidelines in providing acute dialysis nursing care.
- Start-up, set-up, operation, rinse and disinfection of dialysis machines.
- Priming of dialyzers including all safety checks.
- Pre- and post-dialysis nursing evaluation of patients, including sign-off after each dialysis shift on treatment records for assigned patients.
- Initiates and discontinues dialysis treatment on all assigned patients.
- Monitors patients throughout their hemodialysis treatment including vital signs, machine checks, emergency intervention and tends to miscellaneous patient needs.
- Administration of medications to patients per physician order.
- Neat and legible charting of treatment information, meds, routine tests, etc. per procedure.
- Implementation and signs-off physician orders.
- Cleaning of dialysis machines, patient chairs and other ancillary equipment as needed.
- Routine and non-routine EKG monitoring for symptomatic patients if there is a monitor or defibrillator on site.
- Maintains Basic Life Support CPR Certification which includes CPR and other resuscitative measures as indicated and operation of the AED where appropriate as prompted in emergency situations.
- Restocking of supplies, set-us, meds, etc. as needed in the dialysis room.
- Performance of dialysis lab assignment including preparation and labeling of blood and other specimens, hematocrits, chemstrips, etc. per procedure and hospital/rehab policy.
- Reviews patient medications.
- Attends general staff meetings and in-service meetings.
- Responsible for notifying the physician, or other team member of any aspect of a patient’s condition, which warrants further attention, whether it be medical, psychosocial, dietary, etc.
- Transfer/transport of patients within the facility with sufficient assistance from other staff.
- Performance of ancillary duties, which contribute to the smooth operation of the acute program provided the duties are within his/her ability to perform.
- Participate and adheres to hospital and skilled nursing rehab policy and procedure to include mandatory in-services, orientation and training.
- Other duties as assigned such as on-calls during the week and weekends.
Core Competencies:
Employees must consistently exhibit behaviors that enhance professional conduct and reflect the core values, standards of conduct and business ethics, work rules, values and philosophy of Pure Life Renal.
- TECHNICAL/PROFESSIONAL KNOWLEDGE: Achieving satisfactory level of technical and professional skill and knowledge in position-related areas; keeping up with current developments and trends in areas of expertise.
- COMMUNICATION/TEAMWORK: Works effectively with others toward common goals. Uses effective communication strategies with co-workers to achieve acceptable outcomes and resolve issues.
- QUALITY OF WORK: Accomplishing tasks by considering all areas involved; showing concern for all Aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
- PATIENT FOCUS: Effectively meeting patients’ needs; building productive patient relationships; taking the responsibility for patient satisfaction.
- CONFIDENTIALITY: Maintains confidentiality of patient medical and personal information.
- SAFETY: Demonstrates knowledge of and follows safety practices. Understands the importance of safety in the workplace.
- DEPENDABILITY/RELIABILITY: Accepts assignments willingly and ensures thorough and timely completion with minimum supervision. Adapts to changes in workload and job demands to maintain goals. Meets attendance and punctuality expectations.
- ETHICS/INTEGRITY: Demonstrates the ability to conduct business processes in a fair manner, compliant with company and regulatory agencies policies and requirements.
Position Demands:
Physical: Essential Function
- Work is active; requires frequent lifting and carrying up to 50 lbs., for assisting with patient lifts and transfers and moving pieces of equipment and supplies.
- Requires long periods of standing and walking, as well as frequently sitting, reaching at or above shoulder height, twisting and stooping/bending to perform patient care duties.
- Finger and hand dexterity adequate to handle and manipulate equipment, instruments, keyboarding, telephone systems.
- Hearing and vision acuity adequate to detect changes in equipment and detect machine alarms.
Temperament:
- Able to alter plans/routines when unexpected, stressful situations and multiple interruptions occur without projecting stress/frustrations that would adversely affect the work environment.
- Maintains professionalism and confidentiality with socially challenging situations and problems.
- Notify and offer immediate solutions for potential threatening, belligerent, or emotional situations involving disconcerted employees, patients and/or patient families.
- Able to perform multiple tasks simultaneously in an efficient and calm manner.
Work Hazards:
- Exposure to chemicals used within the facility (Renalin, Bleach and Acidified Concentrate; refer to MSDS for other chemicals used within the facility).
- Exposure to blood and other potentially infectious materials (ongoing training provided for employee safety).