Registered Nurse-Dialysis

Health Care District of Palm Beach County•Belle Glade, FL

18d•Onsite

About The Position

General Statement of Job: This position provides safe and effective nursing care and treatment to patients undergoing hemodialysis. Under the general supervision of the nurse manager, the acute hemodialysis RN is responsible and accountable for the dialysis of patients in the facility. The acute hemodialysis RN is able to respond quickly and accurately to changes in condition or response to treatment of the patient Essential Functions: Provides nursing care to meet the needs of the patient population served as qualified; i.e., adult, and geriatric patients. Delivers patient care within defined hospital and critical care standards for assessment, care planning, interventions, and reassessment, and delegates care appropriately to other team members and support staff. Evaluates patient's care status frequently. Reports variances in care and/or medication administration for quality improvement. Performs duties with a clear understanding of the JCAHO Safety Goals and delivers care with patient safety as a goal.Follows hospital policies guiding compliance with National Patient Safety Goals. Performs duties in accordance with pathogen transmission practices; i.e., follows hand washing procedures and utilizes protective equipment effectively. Performs nursing care within the guidelines of the Relationship and Results Oriented Healthcare Model utilizing the recommended bundles of best practice. Delegates and supervises care appropriately to LPN & CNAs with follow up and feedback procedures to ensure quality of care. Initiates appropriate actions as needed. Develops plan of care and patient focused goals with the patient and family as appropriate, ensuring patient understanding and involvement in their care. Delivers patient care in accordance with established infection control standards for patient placement, IV therapy, medication administration and the performance of all patient procedures; demonstrating adherence to hand washing policy. Follows policies for administration of high risk drugs, patient identification, documentation and taking telephone orders with read back and communication of critical values/diagnostic results. Communicates effectively with other patient care providers and team members for efficiencies and safety of care through appropriate ordering procedures, preparing patients for surgery and other procedures, communicating fall potential and other risk identifiers. Evaluates clinical/diagnostic reports and reports variances to the physician and documents same. Follows guidelines for performance improvement and demonstrates understanding of participation in the Core Measures for Lakeside Medical Center, and for documentation review and restraint review process. Utilizes patient care equipment and patient restraints appropriately and safely, following hospital policy and procedure. Reports any identified equipment breakdown or malfunction by hospital policy. Maintains cleanliness of equipment after use. Works cooperatively with ancillary departments in ensuring the patient's care is safe, following protocols as applicable. Documents and maintains all patient care records and related required documentation. Maintains records and communications with respect to patient's privacy. Participates in department's QI activities on a daily basis. Participates in the orientation and mentoring of new staff members recognizing importance of bringing new staff into a friendly and supportive work environment. Utilizes and ensures staff uses supplies efficiently, following infection control procedures, avoiding waste and follows patient charging procedures. Follows ACLS protocol for patients as indicated Orders initial lab tests and x-rays by established protocols or per physician orders. Ensures patients are appropriately prepared for tests. Serves as an example for team members in cost saving practices. Assists manager and other staff members to maintain competence and skills for procedures assigned and assist in validation of skills and competence of new staff members prior to delegation of patient care. Participates in the hospital Utilization Management Program by assisting with discharge planning, reporting to case managers, and keeping patient, family, physician, and other personnel informed. Participates with team members and manager to identify opportunities for improvement in patient care processes. Maintains accurate and current record of patient's care and response to care following the guidelines for appropriate electronic documentation. Documents the administration of medicines including dosage, medicine route, medicine site, and patient's response as required in the documentation system. Performs time out procedures on all invasive procedures at the bedside as needed. Utilizes good communication skills, critical thinking and checkpoints for teamwork. Provides patient information timely and effectively during shift report and with patient's hand-offs. Provides teaching and training to staff members as needed. Maintains competencies and participates in required training and in-services for unit. Demonstrates understanding and commitment to hospital's mission, philosophy, standards, policies and procedures. Recognizes all staff, physicians and visitors, as well as, patients as customers and provides courteous and respectful service. Documents and reports any complaints from patients, physicians and visitors to supervisor as guided by hospital policies and procedures. Explains all procedures and care plans to patients, and as appropriate to family. Ensures patient and/or family are educated for appropriate health maintenance. Participates in the cleanliness of the work environment. Demonstrates an understanding of responsibility of emergency plans and is available for patient care as needed or scheduled when hospital emergency preparedness plans are activated. Ensures completion of continuing education requirements in subjects pertinent to critical care nursing or position related information. Serves as a leader for change, positively promoting new systems and changes implemented which improves the hospital and the service provided to its patients. Participates in hospital community activities and helps portray a positive image of the hospital in the community. Observes cardiac rhythm and initiates or ACLS protocol as indicated. Demonstrates competency required to serve the complex needs of the dialysis patients. Performs start up, set-up, operation, rinse and disinfection of the hemodialysis machine and R/O equipment. Primes dialyzer, including all equipment safety checks. Performs pre and post dialysis nursing evaluation of patients, including hand off after each treatment to accepting nurse. Initiates and discontinues dialysis treatment on all assigned patients. Monitors patients throughout their hemodialysis treatment including vital signs, machine checks, emergency intervention and tends to miscellaneous patient needs. Administers medication to patients per physician orders. Implements and signs off all physician orders. Revises patients plan of care as indicated by the patients response to treatment and evaluates overall plan continuously for effectiveness. Performs waived testing (point of care testing) per clinical laboratory policy and procedures. Interprets results of waived testing taking appropriate action on results. Cleans and disinfects all dialysis machines and related equipment. Performs specialized patient assessments as needed. Ensures availability of appropriate supplies and equipment. Customer Service: Every employee knows and understands his/her customers and focuses on delivering to them the highest quality services(s) in the context of the overall mission. Demonstrates the ability to maintain high levels of customer satisfaction by meeting expectations; builds and maintains positive relationships with customers and colleagues; interacts with all customers in a polite, friendly, and courteous manner; actively listens to assess customer needs; promotes a positive public image for the organization. Communication: The ability to express ideas effectively face-to-face, as well as in writing, in individual and group situations, adjusting language and terminology to the needs of the audience, and the ability to synthesize information received verbally and in writing. Demonstrates the ability to share information in an organized, clear, and timely manner, both verbally and in writing; keeps co-workers, colleagues, staff, and supervisor appropriately informed; exhibits interpersonal skills and is an active and participative listener; uses appropriate style and language for audience; processes information in a productive manner. Teamwork: Creates effective working relationships within and across organizational boundaries. Demonstrates the ability to maintain a positive, achievement-oriented attitude that influences others to do the same; demonstrates willingness to work through conflict in a productive manner; invites information, constructive criticism, and cooperation from others; demonstrates integrity through respecting confidentiality and exhibiting high standards of personal conduct. Initiative and Ingenuity: The capacity for self-motivation that is manifested by innovation and creativity. Possesses the ability to focus on improving outcomes by encouraging innovation; demonstrates the ability to anticipate obstacles and develop plans to overcome them; possesses knowledge in a particular area of trends and uses knowledge to modify existing processes; demonstratives creativity and the ability to make decisions that demonstrate a broad and creative range of options with a view toward long-term solutions; demonstrates openness to new information and approaches so as to stimulate in others the use of non-linear thinking; demonstrates initiative by performing duties without required prompting and close supervision; readily accepts responsibility and follows through to completion independently; accepts and adjusts to changes in work environment and/or assignments by demonstrating flexibility. Commitment to Quality: Consistently maintains a high level of quality that meets specific standard operating practices and procedures, consistent with organizational goals. Possesses the abilities to identify quality processes in order to meet organizational standards and minimum standard operating practices and procedures; demonstrates an understanding of the organizational goals and priorities in order to apply quality processes to the work; stays abreast of current techniques, methods and skills appropriate to standard operating procedures and practices; demonstrates abilities in planning for quality evaluation and measurement activities. Productivity: Employee makes use of work time in an efficient and productive manner. Possesses the knowledge, skills and abilities for the position in order to meet facility and departmental requirements; demonstrates the ability to provide services, appropriate to the job description, to better serve our customers; demonstrates the ability to seek assistance from supervisor or other team members to assure good customer service; possesses the ability to seek assistance from supervisor or colleagues to assure good customer service; ability to multi-task and set priorities, according to schedules and guidelines. Leadership/Creating a Shared Vision: Demonstrates leadership in keeping with the District's overall mission, vision, and values. Managing and Developing Human Resources: Manages human resources of a department, division, or work unit by fostering excellence. Promoting Quality, Customer Service and Productivity: Utilizes continuous quality assurance processes to ensure quality, appropriate services are rendered to the customer in order to meet or surpass established goals and objectives Demonstrates the ability to develop and communicate performance objectives, delegate assignments, and monitor customer service, quality and productivity; possesses a thorough knowledge of the needs of the customer necessary to lead others; and develops quality evaluation mechanisms to link customer feedback to performance assessment; demonstrates excellent verbal and written communication skills, including supportive assurances to staff, gathering feedback, mentoring and the ability to lead staff to meet customer needs; maintains compliance with federal, state and local regulations. Meeting Strategic Goals and Objectives: Plans actions to accomplish designated and desired outcomes. Diversity Competencies: In the interest of ensuring continued workforce diversity at the Health Care District management staff is required to: Demonstratethe ability to successfully recruit, retain, and manage a diverse workforce Promoteteam building among a diverse workforce, model a positive attitude regardingdiversity, create and maintain a work environment that is respectful andaccepting of diversity, and demonstrate recognition of the value of individual and cultural differences Ensure that service delivery is provided in a culturally competent way and consistently treat customers, partners, and coworkers with dignity and respect. Additional Duties: This job description reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. The omission of specific statements of duties does not exclude them from the position. Management of the Health Care District of Palm Beach County reserves the right to assign duties not listed herein as necessary to accomplish the goals of the organization.

Requirements

Associate's, Bachelor's, or Diploma in Nursing from an accredited nursing school required.
Two (2) to four (4) years experience in Hemodialysis or Critical Care preferred.
BLS certification required.
State of Florida Registered Nurse license required.

Responsibilities

Provides nursing care to meet the needs of the patient population served as qualified; i.e., adult, and geriatric patients.
Delivers patient care within defined hospital and critical care standards for assessment, care planning, interventions, and reassessment, and delegates care appropriately to other team members and support staff.
Evaluates patient's care status frequently.
Reports variances in care and/or medication administration for quality improvement.
Performs duties with a clear understanding of the JCAHO Safety Goals and delivers care with patient safety as a goal.
Follows hospital policies guiding compliance with National Patient Safety Goals.
Performs duties in accordance with pathogen transmission practices; i.e., follows hand washing procedures and utilizes protective equipment effectively.
Performs nursing care within the guidelines of the Relationship and Results Oriented Healthcare Model utilizing the recommended bundles of best practice.
Delegates and supervises care appropriately to LPN & CNAs with follow up and feedback procedures to ensure quality of care.
Initiates appropriate actions as needed.
Develops plan of care and patient focused goals with the patient and family as appropriate, ensuring patient understanding and involvement in their care.
Delivers patient care in accordance with established infection control standards for patient placement, IV therapy, medication administration and the performance of all patient procedures; demonstrating adherence to hand washing policy.
Follows policies for administration of high risk drugs, patient identification, documentation and taking telephone orders with read back and communication of critical values/diagnostic results.
Communicates effectively with other patient care providers and team members for efficiencies and safety of care through appropriate ordering procedures, preparing patients for surgery and other procedures, communicating fall potential and other risk identifiers.
Evaluates clinical/diagnostic reports and reports variances to the physician and documents same.
Follows guidelines for performance improvement and demonstrates understanding of participation in the Core Measures for Lakeside Medical Center, and for documentation review and restraint review process.
Utilizes patient care equipment and patient restraints appropriately and safely, following hospital policy and procedure.
Reports any identified equipment breakdown or malfunction by hospital policy.
Maintains cleanliness of equipment after use.
Works cooperatively with ancillary departments in ensuring the patient's care is safe, following protocols as applicable.
Documents and maintains all patient care records and related required documentation.
Maintains records and communications with respect to patient's privacy.
Participates in department's QI activities on a daily basis.
Participates in the orientation and mentoring of new staff members recognizing importance of bringing new staff into a friendly and supportive work environment.
Utilizes and ensures staff uses supplies efficiently, following infection control procedures, avoiding waste and follows patient charging procedures.
Follows ACLS protocol for patients as indicated
Orders initial lab tests and x-rays by established protocols or per physician orders.
Ensures patients are appropriately prepared for tests.
Serves as an example for team members in cost saving practices.
Assists manager and other staff members to maintain competence and skills for procedures assigned and assist in validation of skills and competence of new staff members prior to delegation of patient care.
Participates in the hospital Utilization Management Program by assisting with discharge planning, reporting to case managers, and keeping patient, family, physician, and other personnel informed.
Participates with team members and manager to identify opportunities for improvement in patient care processes.
Maintains accurate and current record of patient's care and response to care following the guidelines for appropriate electronic documentation.
Documents the administration of medicines including dosage, medicine route, medicine site, and patient's response as required in the documentation system.
Performs time out procedures on all invasive procedures at the bedside as needed.
Utilizes good communication skills, critical thinking and checkpoints for teamwork.
Provides patient information timely and effectively during shift report and with patient's hand-offs.
Provides teaching and training to staff members as needed.
Maintains competencies and participates in required training and in-services for unit.
Demonstrates understanding and commitment to hospital's mission, philosophy, standards, policies and procedures.
Recognizes all staff, physicians and visitors, as well as, patients as customers and provides courteous and respectful service.
Documents and reports any complaints from patients, physicians and visitors to supervisor as guided by hospital policies and procedures.
Explains all procedures and care plans to patients, and as appropriate to family.
Ensures patient and/or family are educated for appropriate health maintenance.
Participates in the cleanliness of the work environment.
Demonstrates an understanding of responsibility of emergency plans and is available for patient care as needed or scheduled when hospital emergency preparedness plans are activated.
Ensures completion of continuing education requirements in subjects pertinent to critical care nursing or position related information.
Serves as a leader for change, positively promoting new systems and changes implemented which improves the hospital and the service provided to its patients.
Participates in hospital community activities and helps portray a positive image of the hospital in the community.
Observes cardiac rhythm and initiates or ACLS protocol as indicated.
Demonstrates competency required to serve the complex needs of the dialysis patients.
Performs start up, set-up, operation, rinse and disinfection of the hemodialysis machine and R/O equipment.
Primes dialyzer, including all equipment safety checks.
Performs pre and post dialysis nursing evaluation of patients, including hand off after each treatment to accepting nurse.
Initiates and discontinues dialysis treatment on all assigned patients.
Monitors patients throughout their hemodialysis treatment including vital signs, machine checks, emergency intervention and tends to miscellaneous patient needs.
Administers medication to patients per physician orders.
Implements and signs off all physician orders.
Revises patients plan of care as indicated by the patients response to treatment and evaluates overall plan continuously for effectiveness.
Performs waived testing (point of care testing) per clinical laboratory policy and procedures.
Interprets results of waived testing taking appropriate action on results.
Cleans and disinfects all dialysis machines and related equipment.
Performs specialized patient assessments as needed.
Ensures availability of appropriate supplies and equipment.