Dialysis - Registered Nurse 6A-6:30P

JOB SUMMARY

The Registered Nurse provides hemodialysis therapies to patients in a safe and efficient manner. The Registered Nurse works under the supervision of the coordinator and director of the department.

JOB REQUIREMENTS

Minimum Education

• Holds an active Registered Nurse license and is eligible to practice in the state of Kentucky. 
• ACLS required
• CPR required

 

Required Skills

• Must work effectively as a member of the dialysis team.
• Must be a self-motivator.
• Must be able to work independently as well as in collaboration with Nephrologist, Social Worker, Dietitian, and staff.
• Demonstrate proper technique when accessing AVF's, AVG's, and catheters.
• Must possess knowledge in ESRD lab values, diet and fluid restriction.
• Must possess good communication skills.
• Must have a flexible work schedule and adaptability in work duties.

 

FUNCTIONAL DEMANDS

 

Physical Requirements

Sitting - 1-15%

Walking - =>32%

Standing - =>32%

Bending/Squatting - 16-31%

Climbing/Kneeling - 16-31%

Twisting - 16-31%

 

Visual and Hearing Requirements

Must be able to see with corrective eyewear if needed.

Must be able to hear clearly with assistance if needed.

Color vision ability required.

 

Physical/Environmental Requirements

Lifting - 0 -50 lbs, 50 or more with assistance

Carrying - 0- 50 lbs, 50 or more with assistance

Pulling - Up to 100 lbs

Pushing - Up to 100 lbs

 

OSHA

High Potential for Direct Body Fluid Exposures 

 

LEADERSHIP CAPABILITIES

Supports the hospital Mission, Service and Values.

 

ESSENTIAL FUNCTIONS

• Completes initial, 90 day, and annual assessment of patient.
• Makes ID Team (physician, social worker, dietitian, and director) aware of any issues, concerns or medical needs that were voiced during initial assessment.
• Provide education to patients- infection control, access care (AVF, AVG, or catheter), fluid restriction, process for involuntary discharge, grievance policy, emergency take off procedure, importance of adherence to treatment regimen and complications that occur when treatments are missed.
• Maintains proper documentation for up-to-date patient vaccinations (flu, pneumococcal and hepatitis).
• Develop and implement nursing process.
• Enforce approved policies and procedures.
• Be familiar with all emergency equipment and all emergency operational procedures.
• Performs competent hemodialysis treatments.
• Recognize, interpret, and document signs and symptoms of special care needs.
• Monitor patients for potential problems with hypo tension, inadequate fluid removal, access related problems such as inadequate BFR (blood flow rate), or increased venous pressure and excessive bleeding.
• Maintains proper technique when accessing AVF, AVG, and catheters.
• Demonstrates Dialysis water system monitoring.
• Notifies BioMed if there is a problem with the water system.
• Follows proper procedure if Chlorine/Chloramine levels are elevated - notifies physician, BioMed, and the Director.
• If Chlorine/Chloramine levels are elevated protocol is followed for increased monitoring - every 30 minutes with documentation in the logbook and until the physician deems appropriate to return to routine monitoring.
• Mixes acid bath according to physician order.
• Monitors ESRD labs and discusses plan of care with physician.
• Performs set-up and maintenance of hemodialysis equipment.
• Trouble shoot machine alarms as appropriate.
• Safely operates all dialysis related equipment.
• Reports machine problems to biomedical technician.
• Cleans, disinfects, and rinses dialysis machines according to protocol.
• Follows infection control procedures.
• Administers medications and documents accordingly.
• Assist physicians during patient rounds.
• Transcribes and implements physician orders.
• Seeks to improve work processes and participates in work improvement processes and committees.
• Participates in staff training.
• Participates in Performance Improvement activities.
• Participates in Patient Care Planning meetings.
• Participates in gathering data for comparative and trending to aid in identifying opportunities for improvement.
• Responsible for reporting all incidents, information, complaints, or problems to the Director of Dialysis.
• Meets all in-service requirements.
• Monitors l