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.

  1. 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.
  2. Assist, support doctors and nephrologist in dialysis treatment procedures.
  3. Carry out md order and performs nursing assessment and review of the patient labs.
  4. Ensures safety and comfort to acute dialysis patient upon initiation, during and post treatment.
  5. Ensures compliance of state and federal regulations.
  6. Adheres to hospital’s policies and guidelines in providing acute dialysis nursing care.
  7. Start-up, set-up, operation, rinse and disinfection of dialysis machines.
  8. Priming of dialyzers including all safety checks.
  9. Pre- and post-dialysis nursing evaluation of patients, including sign-off after each dialysis shift on treatment records for assigned patients.
  10. Initiates and discontinues dialysis treatment on all assigned patients.
  11. Monitors patients throughout their hemodialysis treatment including vital signs, machine checks, emergency intervention and tends to miscellaneous patient needs.
  12. Administration of medications to patients per physician order.
  13. Neat and legible charting of treatment information, meds, routine tests, etc. per procedure.
  14. Implementation and signs-off physician orders.
  15. Cleaning of dialysis machines, patient chairs and other ancillary equipment as needed.
  16. Routine and non-routine EKG monitoring for symptomatic patients if there is a monitor or defibrillator on site.
  17. 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.
  18. Restocking of supplies, set-us, meds, etc. as needed in the dialysis room.
  19. Performance of dialysis lab assignment including preparation and labeling of blood and other specimens, hematocrits, chemstrips, etc. per procedure and hospital/rehab policy.
  20. Reviews patient medications.
  21. Attends general staff meetings and in-service meetings.
  22. 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.
  23. Transfer/transport of patients within the facility with sufficient assistance from other staff.
  24. Performance of ancillary duties, which contribute to the smooth operation of the acute program provided the duties are within his/her ability to perform.
  25. Participate and adheres to hospital and skilled nursing rehab policy and procedure to include mandatory in-services, orientation and training.
  26. 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.

  1. 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.
  2. COMMUNICATION/TEAMWORK: Works effectively with others toward common goals. Uses effective communication strategies with co-workers to achieve acceptable outcomes and resolve issues.
  3. 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.
  4. PATIENT FOCUS: Effectively meeting patients’ needs; building productive patient relationships; taking the responsibility for patient satisfaction.
  5. CONFIDENTIALITY: Maintains confidentiality of patient medical and personal information.
  6. SAFETY: Demonstrates knowledge of and follows safety practices. Understands the importance of safety in the workplace.
  7. 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.
  8. 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).
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