Dialysis Registered Nurse - Long Beach Acute

U.S. Renal Care, Inc.•Long Beach, CA
•Onsite

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 nurse may report to an Acute Manager, Administrator, or first-line regional operational management, which may include an Area Director, Regional Director, or Vice President of Operations. The role supports patient health and quality outcomes, accurate treatment and charge documentation, effective use of supplies and staff labor, and operational readiness. Duties include administering physician-ordered medications; educating and following up with patients; conducting assessments and handoffs; initiating and terminating dialysis treatments; preparing and maintaining equipment and water treatment systems; following infection-control and safety procedures; documenting care; and collaborating with physicians, hospital staff, and colleagues. The nurse may provide Hemodialysis, Peritoneal Dialysis, CRRT, or Plasmapheresis when these services are contracted. The role also includes participation in staff development, meetings, in-service training, and surveys.

Requirements

  • Current RN license in the applicable state or compact; license must remain 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 required within 90 days of hire.
  • Meet applicable state practice requirements.
  • Ability to meet minimum 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 dialysis patients preferred.

Responsibilities

  • Assist with clinical and operational processes 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.
  • Support program quality metrics and company goals for patient outcomes and quality care.
  • Comply with applicable laws, regulations, practice-act requirements, and company and hospital policies and procedures.
  • 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 communication 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 and/or Acute Manager.
  • Clean, disinfect, and perform quality control of dialysis machines as required.
  • Participate in infection-control monitoring, implementation, and recording as requested; use personal protective equipment as necessary.
  • Know hospital emergency equipment and follow emergency operating 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 surveys as required.
  • Ensure nursing care is carried out as directed and treatment is administered according to physician orders.
  • Ensure required information is documented in patient records.
  • Report incidents, conditions, and concerns related to patient care and 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 ongoing 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 across the organization.
  • Address patient concerns promptly and professionally according to hospital policy.
  • Participate in staff meetings and complete required company and hospital in-service and continuing education.
  • Delegate tasks to competent licensed and unlicensed staff when appropriate under applicable state practice acts.
  • Assist with staff training as requested and promote teamwork.

Benefits

  • Medical and pharmacy benefits for full-time employees.
  • Dental insurance for full-time employees.
  • Vision insurance for full-time employees.
  • Voluntary benefits for full-time employees.
  • 401(k) with employer match for full-time and part-time employees.
  • Virtual care for full-time employees.
  • Life insurance for full-time employees.
  • Paid time off (PTO) for full-time and part-time employees.
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