Dialysis Registered Nurse - Hilo Acutes

U.S. Renal Care, Inc.•Hilo, HI

13d

About The Position

The Acute Registered Nurse provides acute dialysis care and treatment to patients in a hospital environment. The nurse performs duties assigned by the Charge Nurse or Acute Manager and may assist and supervise Patient Care Technicians and Licensed Vocational Nurses. Depending on the region and demographics, the position may report to an Acute Manager, Administrator, or first-line regional operational management, such as an Area Director, Regional Director, or Vice President of Operations. The role includes administering physician-ordered medications, educating patients, conducting assessments before and after treatment, and initiating and terminating treatments. The nurse sets up and maintains dialysis equipment and water-treatment systems, completes safety and quality checks, documents patient care, and communicates with physicians and hospital staff. The nurse also contributes to operational readiness, infection control, quality outcomes, staff development, and patient service.

Requirements

Current RN license in the applicable state or compact, maintained as current and in good standing.
CPR certification through a hospital-approved program.
Ability to pass color screening.
Working knowledge of English and ability to communicate verbally and in writing.
Basic computer skills; proficiency in all USRC clinical applications is required within 90 days of hire.
Meet practice requirements for the applicable state.
Meet applicable hospital or agency hiring standards, which may include additional background clearances and orientation requirements.

Nice To Haves

12 months or more of current nursing experience preferred.
Previous experience providing nursing care to patients on dialysis preferred.

Responsibilities

Assist with clinical and operational processes intended to improve patient health and minimize hospitalizations and rehospitalizations.
Ensure patient and treatment charge information and related data are accurate and submitted appropriately.
Use supplies and staff labor hours effectively; may participate in inventory management and follow purchasing protocols.
Perform duties assigned to meet patient-care or operational needs.
Administer medications as ordered by the physician.
Provide patient education and follow-up as needed.
Assist the program in meeting quality metrics and patient-outcome goals.
Comply with applicable laws, regulations, company policies, procedures, and hospital policies.
Complete water-quality verification and equipment safety checks before each treatment, including a second verification when required.
Complete pre- and post-treatment physical assessments and handoff communications with hospital nurses.
Initiate and terminate patient treatments, including connecting and disconnecting catheters and cleaning catheter sites.
Set up dialysis machines and report machine problems to the biomedical technician or Acute Manager as appropriate.
Clean, disinfect, and perform quality control of dialysis machines according to policy and procedures.
Participate in infection-control monitoring, implementation, and recording as requested; use personal protective equipment as necessary.
Know hospital emergency equipment and operational procedures.
Demonstrate effective staffing based on acuity, skill mix, and company guidelines.
Provide contracted dialysis services, which may include hemodialysis, peritoneal dialysis, continuous renal replacement therapy (CRRT), and plasmapheresis (TPE).
Participate in required surveys and ensure nursing care and treatment follow directions and physician orders.
Ensure required information is documented in patient records.
Report incidents, conditions, and concerns related to patient care and staff or patient safety to the Supervisor, Medical Director or Physician, and Hospital Liaison in accordance with company policy.
Prepare and maintain dialysis machines and systems, maintain dialysis records, prepare the water-treatment system for use, and troubleshoot technical problems independently.
Notify the Biomedical Technician of machine or water-treatment malfunctions and out-of-parameter values, and document as required.
Communicate patient assessment, reassessment, and monitoring results to the physician.
Maintain collaborative working relationships with physicians, nurse practitioners, and other hospital healthcare professionals.
Promote GUEST customer-service standards and develop effective relationships throughout the organization.
Address patient concerns promptly and professionally, following hospital policy.
Attend required staff meetings, in-services, and continuing education.
Delegate tasks to competent licensed and unlicensed staff when permitted by the applicable state practice act.
Assist with staff training as requested and promote teamwork.