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The Hemodialysis Registered Professional Nurse provide education and support to patients and caretakers who have chosen home dialysis therapy. This role involves an initial visit to the homes of patients to assess home therapy readiness, as well as training and follow-up visits within the clinic environment.
The Hemodialysis Registered Professional Nurse manage the care of patients who have impaired kidney function, provides chronic hemodialysis care and treatment, develops nursing care plans involving assessment, planning, implementation, evaluation, training and education; communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans, and assists in research studies.
The Hemodialysis Registered Professional Nurse is responsible for assisting and supporting the unit management team in achieving quality, patient satisfaction, staff development, business management as appropriate, teamwork, culture and employee satisfaction.
He/she is also responsible for understanding, supporting, interpreting, and implementing the philosophy and policies of the corporation.
Provides safe, effective delivery of age specific patient care as overseen by the Unit Medical Director in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state and federal agencies.
The Hemodialysis Registered Professional Nurse will be responsible for the performance of all of the duties listed. The distribution of effort between the duties listed can be expected to vary according to the need and to individual assignments, under the supervision of a Coordinator, Director of Nursing, and Unit Medical Director:
1. Demonstrates applicable knowledge of policies and procedures related to the
Hemodialysis Registered Professional Nurse/licensed practical nurse/patient care
technician.
2. Demonstrates ability to perform technical skills for the Hemodialysis Registered
Professional Nurse including the patient's treatment, and water treatment facility, and
emergency procedures, as determined by the competency assessment program.
a. Delivers age specific care to assigned patients as prescribed, including all
aspects of the hemodialysis procedure specifically trained to perform in
accordance to state licensure.
b. Demonstrates ability to work with any patient or staff, regardless of race,
gender, disease process, life-style, religious or cultural beliefs, or
treatment.
c. Obtains, writes, transcribes and notes physician's orders as needed, and
allows through appropriately.
d. Initiates, monitors, and discontinues dialysis treatments according to
established procedures. Assesses patients pre/post treatment and reports
problems to the coordinator/charge nurse.
e. Establishes priorities of care, both emergent and non-emergent.
f. Develops and assimilates theoretical and technical knowledge with
observations, assessment, and communication skills to detect dialysis and non-dialysis related problems.
g. Recognizes and utilizes opportunities for patient and family education and
training.
h. Maintains a safe environment for self, patients and staff by utilizing proper
body mechanics, and following universal infection control precautions and
cleaning procedures under OSHA regulations.
i. Dialyzes isolation patients utilizing isolation precautions and prescribed
procedures.
j. Assesses patients pre/post treatment and reports problems.
k. Performs hemodialysis access care according to established procedures.
l. Administers and documents medications as authorized by a physician and as further authorized or limited by the State Board of Nursing Practice.
m. Reports any significant information or change in patient condition to
Coordinator, Center Director, and physician.
n. Documents clearly, completely, and accurately all pertinent information on patient's manual or electronic record.
o. Participates in the formulation, update, and revision of nursing care plans,
including long and short term goals, according to established guidelines.
p. Performs or assists in the performance of all emergency operational
procedures, including the evacuation of patients in the event of a fire
and/or disaster.
q. Obtains blood samples and other specimens as ordered.
r. Initiates and discontinues blood transfusions and monitors patient progress per established policy in the hospital (if applicable).
s. Cooperates with and supports other departments in the hospital and follows all policies and procedures in the hospital (if applicable).
t. Continues evaluation and provision of individualized quality patient care,
maintaining frequent contact with in-home patients by telephone, home visits, and doctor's appointments when applicable for specific dialysis units.
u. Assesses, evaluates, and recommends patients and their assistants (where
applicable) for home training program.
v. Periodically re-evaluates all home patient's procedures and updates their
training as needed, when applicable for specific dialysis units.
w. Effectively performs reuse of dialyzers and properly documents per policy.
x. Assesses patient treatment outcomes related to the use of reprocessed
dialyzer in conjunction with dialysis adequacy, and implements
prescribed changes.
4. Assists with and performs all procedures of safe operation, disinfections and inventory control according to corporate and departmental policy, manufacturer commendations
and regulatory agency guidelines.
a. Assists in ordering supplies and maintaining supply inventory and records
in an efficient and cost effective manner.
b. Assists in maintaining neat, orderly, and well-stocked unit.
c. Utilizes equipment, time, and supplies economically.
d. Maintains competency in operations, sanitization, maintenance, and
of all equipment used for dialysis, water treatment and
special procedures.
e. Actively participates with the supervisor and Biomedical Engineering
Department in the care, routine cleaning, and use of equipment.
f. Reports all equipment and supply problems appropriately and according
to policy to repair personnel/biomedical support staff.
g. Picks up and delivers supplies, blood samples, records, and reports as
directed by Coordinator or Center Director.
5. Assumes administrative duties under the direction of the Center Director/Coordinator.
a. Assists in orientation and training of new and existing staff.
b. Acts as a resource person for staff members within the scope of practice.
c. Assists in CQI projects with the healthcare team.
d. Communicates any water, equipment, or facility problem quickly and
appropriately following facility guidelines for reporting.
e. Communicates effectively with physicians, supervisor, co-workers, patient and families.
f. Maintains positive working relationships with Medical Director/Medical staff.
g. Actively participates in unit staff meetings and in-services.
h. Consists the Hemodialysis Coordinator/Center Director in staff
scheduling, including rotation, to ensure adequate coverage.
6. Assumes responsibility and utilizes opportunities for personal and professional growth.
a. Promotes, supports, and adheres to all policies outlined in the Employee
Handbook.
b. Completes clinical and corporate training program(s) to successfully
master ESRD patient care for hemodialysis, PD (as appropriate), management skills, leadership development and gain confidence in listening and communication skills.
c. Acquires information on the latest developments of dialysis technique by
participating in scheduled in-service classes.
d. Seeks resources for direction, when necessary.
7. Performs additional duties and is responsible for specific projects that are
assigned by the Director of Nursing.
Machines / Equipment
RN will be responsible for maintaining a working knowledge of all hemodialysis and related ancillary and emergency equipment utilized in the facility such as: reuse equipment, water treatment equipment, computer, hemodialysis machines, sphygmomanometer, conductivity meter, glucometers, scale, electronic thermometers, centrifuge, EKG machine, IV infusion pump, code cart, suction machine, oxygen administration equipment, and personal protective equipment.
MINIMUM QUALIFICATIONS
1. Graduate from an accredited school of nursing. Bachelors in nursing or health
related field preferred.
2. Needs 1 year of RN experience with dialysis experience desired.
3. Current appropriate state licensure.
4. Hemodialysis experience desirable.
5. ICU/CCU experience preferred.
6. Successful completion of training course in theory and practice of hemodialysis.
7. Valid driver's license and insurance, when indicated/applicable for business
travel by automobile.
8. Computer knowledge desirable.
9. Successful completion of current CPR Healthcare Recognition according to the
American Heart Association.
10. Possesses reliable transportation.