Registered Nurse - Dialysis

DCH Health System•Tuscaloosa, AL
•Onsite

About The Position

The Registered Nurse - Dialysis plans, coordinates, and directs quality, compassionate nursing care while maintaining professional nursing standards and building positive therapeutic relationships with patients and families. The nurse supervises LPNs, PCAs, PCA/US staff, US staff, Ortho Techs, and other non-licensed staff. The Dialysis Services team serves patients at the DCH Regional and DCH Northport campuses, providing hemodialysis, peritoneal dialysis, and bedside treatments. The Regional unit operates seven days a week as a fully staffed 24-hour service; the Northport unit provides care on Mondays, Wednesdays, and Fridays with dedicated call coverage. The role involves assessing patients, planning and documenting education, evaluating and coordinating care, delegating work to team members, applying safety principles, documenting care and changes, providing handoffs, participating in unit huddles and performance improvement, and completing initial and annual competency requirements. The nurse must follow DCH standards, policies, and procedures and help ensure the safety of patients, visitors, and employees. This is an onsite position requiring physical presence. Schedules vary, and every other weekend (Saturday and Sunday) is required. The position may involve exposure to body fluids, disease, infection, laboratory chemicals, hazardous materials, and cleaning solutions, and requires common protective equipment. It is classified as medium work, with lifting and exertion demands, prolonged standing and walking, and the ability to perform duties with or without reasonable accommodation.

Requirements

  • Current approved Alabama Board of Nursing RN license or multi-state license, or ability to obtain one before starting.
  • Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training; International RNs may obtain it within 30 days of the start date.
  • At least an associate degree; a BSN is preferred.
  • Ability to read, write legibly, speak, and comprehend English.
  • For Dialysis: ACLS required within six months of the start date.
  • Ability to communicate clearly and accurately, make decisions affecting others, achieve outcomes, delegate to and receive delegation from team members and students, and address conflict and stressful situations.
  • Ability to communicate with different personalities, engage in face-to-face discussions, work in groups, and perform structured and unstructured work under time pressure and deadlines.
  • Ability to use electronic mail, telephone, and texting.
  • Ability to tolerate prolonged standing and walking; reach reasonable distances; stand, walk, kneel, bend, sit, stoop, and run in an emergency.
  • Ability to exert up to 50 pounds of force occasionally, up to 30 pounds frequently, and up to 10 pounds constantly, including lifting, pushing, pulling, and carrying objects.
  • Ability to move fingers in a coordinated manner and perceive temperature, texture, shape, and size with fingertips.
  • Stamina to work prolonged shifts; hearing and vision must be normal or corrected to within normal range.
  • Must be able to perform the duties with or without reasonable accommodation.
  • Physical presence onsite is essential.
  • Every other weekend, including Saturday and Sunday, is required.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).

Responsibilities

  • Assess each assigned patient on admission and on an ongoing basis, including physical, psychological, social, spiritual, cultural, pain, nutritional, functional, developmental, age-related, and discharge-planning needs.
  • Plan, provide, and document education for patients and/or significant others after identifying barriers to learning.
  • Evaluate and regularly reevaluate patient care; coordinate care planning with patients, families, providers, and other disciplines to achieve patient-centered outcomes.
  • Assign and delegate nursing care to team members in accordance with patient needs and team members’ capabilities.
  • Apply safety principles when providing care.
  • Accurately document observations, care provided, and changes in the care plan.
  • Provide accurate handoff reports and participate in unit-based huddles.
  • Support performance improvement activities, including serving on teams as warranted, assisting with measures, and implementing improvement changes.
  • Perform initial and annual competency requirements for the job class.
  • Supervise LPNs, PCAs, PCA/US staff, US staff, Ortho Techs, and other non-licensed staff.
  • Meet performance, patient and employee satisfaction, and financial standards outlined in the performance evaluation.
  • Comply with Employee Handbook requirements, DCH Behavioral Standards, and DCH Health System policies and procedures.
  • Perform essential job functions in a way that promotes safety and identify and reduce unsafe practices, risks, and hazards.
  • Use electronic mail, time and attendance software, learning management software, and the intranet.
  • Perform other duties as assigned.
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