Registered Nurse - Dialysis

Bestica•Rochester, NY

20d

About The Position

The Registered Nurse - Dialysis provides dialysis care in chronic outpatient and acute settings. The role may be assigned as charge nurse for a 24-chair unit and includes coverage of an acute 8-station unit. The nurse may float to other dialysis locations. The position guarantees 40 hours per week, generally scheduled as four 10-hour shifts depending on department needs. Weekend and occasional holiday Sunday shifts, as well as possible call coverage, are part of the schedule.

Requirements

At least 1 year of experience.
Charge Nurse experience required.
Outpatient Chronic and Acute experience required.
BLS required.
Skills in chronic outpatient dialysis.
Experience with administration of blood and blood products.
Familiarity with 20008T Fresenius and absence of disinfectant in system.
Ability to cannulate AV grafts and AV fistulas.
Dialysate conductivity testing.
Knowledge of tunneled and non-tunneled catheters.
Ability to recognize and respond to air foam detector, arterial pressure, blood leak detector, blood pump, conductivity, dialysate pressure, power failure, temperature, ultrafiltration, and venous pressure alarms.
Blood glucose monitoring and interpretation/management of dysrhythmias.
Infection control and management of air emboli, cardiac arrest/CPR, chest pain, clotted access or poor blood flow rate, disequilibrium syndrome, filter blood leak, fluid overload, hemolysis, hyperkalemia, hypotension, muscle cramps, pericarditis, pyrogenic reaction, and seizures.
Local candidates must live more than 75 miles away to avoid being offered a lower rate.

Responsibilities

Provide care in chronic outpatient and acute dialysis settings.
Serve as charge nurse for a 24-chair unit when assigned.
Provide coverage for an acute 8-station unit.
Float to other dialysis locations.
Administer blood and blood products.
Cannulate AV grafts and AV fistulas.
Perform dialysis equipment and system checks, including dialysate conductivity testing.
Monitor and respond to dialysis machine alarms and complications, including air emboli, blood leaks, access problems, fluid overload, hemolysis, hypotension, and other listed complications.
Perform blood glucose monitoring and interpret/manage dysrhythmias.
Provide infection control and respond to emergencies, including cardiac arrest and chest pain.