Registered Nurse RN - Dialysis

Good Shepherd Health Care•Hermiston, OR

18h•Onsite

About The Position

The Acute Inpatient Dialysis Registered Nurse provides direct and indirect nursing care to patients requiring hemodialysis, peritoneal dialysis, and/or continuous renal replacement therapies within the hospital setting. This position is responsible for the assessment, planning, implementation, and evaluation of dialysis care for acutely ill patients in accordance with physician orders, hospital policies, CMS Conditions for Coverage, AAMI standards, and applicable state and federal regulations. The Acute Dialysis RN functions independently while collaborating closely with nephrologists, hospitalists, intensivists, nursing staff, pharmacy, laboratory, and ancillary departments to ensure safe, timely, and high-quality patient care. The nurse must be able to respond quickly and appropriately to changes in patient condition and treatment needs in a fast-paced critical access hospital environment. This role includes patient assessment, dialysis treatment administration and monitoring, patient and staff education, emergency response, documentation, quality improvement participation, infection prevention practices, and equipment/water safety monitoring. Participates in performance improvement activities and supports the mission, vision, and values of the organization.

Requirements

Graduate of an accredited school of professional nursing.
Evidence of continuing education appropriate for skill level and area of practice.
Current RN license in the State of Oregon; BLS
At least one year of acute care nursing experience
Ability to provide care for the patient's age-specific, cultural, physical, and psychosocial well-being.
Ability to communicate effectively with patients, families, physicians, and other health care team members.
Ability to work with others within a team to ensure quality patient care.
Strong critical thinking skills.

Nice To Haves

Bachelor of Science Nursing (BSN)
Previous Dialysis Experience.

Responsibilities

Performs comprehensive nursing assessments for patients requiring dialysis therapies.
Initiates, monitors, and discontinues hemodialysis, peritoneal dialysis, ultrafiltration, and/or continuous renal replacement therapies as ordered.
Assesses patients’ responses to treatment therapy and communicates concerns or needed treatment modifications to the nephrologist and interdisciplinary team.
Monitors patients during dialysis treatments and responds appropriately to complications, emergencies, or changes in patient condition.
Administers medications, blood products, and intravenous therapies in accordance with physician orders and hospital policy.
Implements, monitors, and documents patient response to intradialytic transfusions and appropriately reports adverse reactions.
Maintains accurate and timely documentation within the electronic medical record.
Ensures dialysis equipment is functioning appropriately prior to treatment initiation.
Performs and documents required dialysis machine alarm testing, safety checks, dialysate testing, chlorine/chloramine testing, and water quality monitoring in accordance with policy and regulatory standards.
Operates dialysis equipment safely and performs basic troubleshooting when appropriate.
Cleans and disinfects dialysis machines, equipment, chairs, and surrounding treatment areas according to infection prevention standards.
Participates in infection prevention and control practices specific to dialysis services.
Collaborates with nephrologists, ICU staff, hospitalists, nursing staff, pharmacy, and interdisciplinary team members regarding patient care planning.
Educates patients, families, and staff regarding dialysis treatments, access care, medications, and disease processes.
Provides direction, education, and support to hospital staff as appropriate.
Participates in quality improvement, competency validation, emergency preparedness, and survey readiness activities.
Reports unusual incidents, patient concerns, adverse events, and equipment issues according to hospital policy.
Assists with maintaining dialysis supplies, equipment, and treatment areas.
Responds to dialysis-related emergencies and codes as appropriate.
Participates in on-call coverage, weekends, holidays, and after-hours emergency dialysis response as assigned.
The employee supports the hospital mission, vision, values, policies, and procedures.
Participates in required education for DNV programs as applicable to position (reference program education curriculum).
Performs other related duties as assigned.