Registered Nurse Dialysis Lead - Hemodialysis

CHRISTUS Health•Corpus Christi, TX

About The Position

The Registered Nurse Dialysis Lead oversees and coordinates the day-to-day activities of nursing personnel in dialysis units. The role provides direction to clinical staff, supports safe and effective dialysis care, and promotes compliance with regulatory standards. The lead responds to emergencies, guides staffing, and collaborates with other departments to support high-quality patient outcomes. The position oversees dialysis nursing services, including supply checks to prevent use of expired items, timely servicing of dialysis equipment by vendors and Biomed, and water quality testing in accordance with AAMI and CMS standards. It supports daily productivity and resource stewardship by adjusting staffing to census changes and maintaining staffing in compliance with state regulations, under the direction of the clinical director. The lead provides direct dialysis care when needed, but does not assume primary nursing functions except to ensure patient safety. Duties include responding to dialysis-related emergencies; completing documented pre- and post-dialysis assessments; following organizational procedures for complications, emergencies, technical issues, specimen collection, and medication administration; helping ensure timely patient transport; and accurately entering charges and documenting billable services. The role manages time to maintain efficient workflow and performs other duties as assigned.

Requirements

Associate’s degree in nursing.
At least 1 year of dialysis experience obtained within the last 2 years.
At least 1 year of experience in an acute care setting.
RN license in the state of employment or compact license.
BLS certification.
ACLS certification for adult dialysis nursing staff.
PALS certification for pediatric dialysis nursing staff.
Obtain required certifications for the position within the designated time frame, in accordance with the CHRISTUS Health License, Certification and Registration Verification Policy.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Experience in an Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) setting.
1 year of previous healthcare management experience.

Responsibilities

Oversee dialysis nursing services and coordinate the day-to-day activities of dialysis nursing personnel.
Validate supplies to prevent use of expired items.
Ensure timely servicing of dialysis equipment by vendors and Biomed.
Test water quality in accordance with AAMI and CMS standards.
Achieve daily productivity targets and adjust staffing appropriately as census changes, while maintaining staffing in compliance with state regulations.
Provide direct dialysis care per policy when needed, without assuming primary nursing functions except to ensure patient safety.
Respond to dialysis-related emergencies and maintain familiarity with emergency equipment and procedures.
Document pre- and post-dialysis nursing assessments, including patient weight and fluid removal calculations, lung sounds, edema, vital signs, current lab review, and dialysis access assessment and care.
Follow federal, state, and local healthcare laws and regulations applicable to acute dialysis patient care.
Follow organizational policies and procedures for dialysis-related complications, emergencies, technical issues, and medication administration, including PRN medications, blood and blood products, and ESAs.
Obtain required leadership approval through the House Supervisor before collecting lab cultures from dialysis catheters.
Ensure timely patient transport to and from dialysis treatments; transport patients when necessary to prevent care delays or support timely discharge.
Accurately enter charges and complete timely documentation of billable services according to departmental procedures.
Manage time to maintain efficient and consistent workflow.
Perform other duties as assigned.