Dialysis RN, Part Time 22.5-Hours

Stamford Health • Stamford, CT

6d • Onsite

About The Position

Stamford Health is hiring a part-time, day-shift Registered Nurse for its Inpatient Dialysis Unit, working 22.5 hours per week with rotating weekends and holidays and an on-call requirement. The RN plans, organizes, implements, and evaluates care for adult-to-geriatric patients in an acute hospital setting. The nurse coordinates and provides direct care in collaboration with patients, families, and the care team, and supervises patients and team members according to training and patient acuity.

The dialysis staff nurse coordinates care for patients with end-stage renal disease. Duties include preparing and checking dialysis systems and equipment; reviewing orders and patient records; conducting pre- and post-dialysis assessments; administering prescribed or protocol-based medications; monitoring treatment and patient response; and documenting care. The RN assesses and cannulates vascular access, uses sterile techniques for catheter and access care, monitors access for complications, and may perform ultrasound-based access monitoring after appropriate training. The role also includes patient education, referrals to other services, dialysis water and equipment testing and disinfection, infection prevention, quality improvement participation, emergency response, and charge nurse and staff teaching responsibilities as needed. The RN works with the interdisciplinary dialysis team and must cross-train to Medical Surgical Units to provide nursing support when dialysis volume is low.

Requirements

• Graduate of an accredited school of nursing.
• Valid Connecticut Registered Nurse license.
• BLS certification.
• At least 2 years of acute care dialysis experience.
• Excellent customer service and communication skills.
• Knowledge of medical terminology.
• Ability to read, write, and speak English.
• Part-time schedule of 22.5 hours per week, with rotating weekends and holidays and an on-call requirement.

Nice To Haves

• Previous experience with adult and pediatric clinical assessments.

Responsibilities

• Plan, organize, implement, and evaluate acute hospital nursing care for patients from adult to geriatric age.
• Coordinate, delegate, and provide direct nursing care in collaboration with patients, family members, and patient care team members.
• Supervise patients and team members in accordance with their training and patient acuity.
• Coordinate and deliver care to patients with end-stage renal disease.
• Prepare the dialysis delivery system, dialysate bath, and dialyzer, and confirm required alarm tests are performed.
• Review physician orders and patient records, and collect pre-treatment dialysis data.
• Conduct pre-dialysis assessments, including vital signs, vascular access, laboratory findings, and general health.
• Verify prescribed medications and perform medication reconciliation.
• Document assessment findings and interventions, and advise providers of significant changes in patient condition or other pertinent information.
• Discuss patient concerns and answer care-related questions.
• Oversee dialysis technicians during treatments and monitor patient response and dialysis machine performance.
• Assess, prepare, and cannulate vascular access, including arteriovenous fistulas and grafts.
• Use sterile techniques to assess dialysis catheter exit sites and apply dressings to vascular access according to protocols.
• Monitor dialysis access for early signs of failure or infection and, after appropriate training, perform ultrasound access monitoring per protocol if needed.
• Administer prescribed or protocol-based dialysis-related intravenous and oral medications.
• Conduct post-dialysis assessments, document medication administration and treatment data, evaluate treatment, assess vascular access, and discharge patients when vital signs are stable.
• Provide patient education related to the patient's medical condition.
• Refer patients to other disciplines or services as needed, such as nutrition or social work.
• Perform other treatments and diagnostic tests, including blood sugar testing, as required for patient treatment.
• Oversee disassembly and disinfection of dialysis equipment.
• Maintain skills for regional heparinization, blood sample handling and storage, oxygen setup, saline administration, and dialysis equipment maintenance.
• Conduct surveillance and testing of dialysis water treatment equipment and dialysis water according to facility protocols.
• Participate in quality improvement activities, including collecting data for the dialysis unit QAPI plan.
• Respond appropriately and assist in emergencies.
• Provide leadership in improving patient care, maintaining care standards, directing and teaching personnel, and performing charge nurse responsibilities as needed.
• Work with the dialysis team and participate in interdisciplinary team meetings.
• Cross-train to Medical Surgical Units and provide nursing support when dialysis patient volume is low.
• Work rotating weekends and holidays and meet the on-call requirement.

Benefits

• Competitive salary.
• Comprehensive, low-cost health insurance plans, including GLP-1 coverage options, available day one.
• Wellness programs.
• Paid Time Off accruals.
• Tax-deferred annuity and 403(b) pension plan.
• Tuition reimbursement.
• Free on-site parking and train station shuttle.
• Childcare partnership with Children’s Learning Center.

What This Job Offers

• Job Type: Part-time
• Education Level: Associate degree