Registered Nurse - RN - Dialysis

Fresenius Medical Care•Waianae, HI

1d•$42 - $60

About The Position

The Staff Registered Nurse functions as part of the hemodialysis health care team and provides quality daily care to patients in accordance with Fresenius Medical Care policies, procedures, training, and applicable regulations. The role supports the company’s mission, vision, values, customer service philosophy, compliance program, and Quality Enhancement Program, and participates in continuous quality improvement activities. The nurse coordinates and oversees patient care and staff activities during the shift, including delegation, assignments, monitoring staff practices, training, and orientation. The role provides and evaluates hemodialysis therapy, assesses patient needs and responses, implements prescribed treatments, communicates concerns to physicians and team leaders, and educates patients and families about ESRD, dialysis, vascular access, medications, diet, fluid, laboratory results, transplantation, and treatment options. The position also involves medication administration, emergency readiness, laboratory orders and specimens, accurate clinical documentation and medical information system entries, patient records and care plans, facility safety and sanitation, equipment competency, and completion of required quality and nursing reports. The employee may provide coverage at area facilities as required by management.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Successfully complete a training course in the theory and practice of hemodialysis.
Successfully complete CPR certification.
Meet applicable state requirements, if any.
Complete the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.
Complete ICD-9 coding training and Nurses Technical Training.

Nice To Haves

Minimum of one year of medical-surgical nursing experience preferred.
Hemodialysis experience preferred.
ICU experience preferred.

Responsibilities

Direct and delegate the work of patient care staff, including LVN/LPNs, Patient Care Technicians, and Dialysis Assistants; assess daily care needs and make appropriate assignments.
Monitor staff techniques and compliance with facility policies and procedures, and participate in staff training, new-staff orientation, and required meetings.
Provide safe and effective chronic hemodialysis care in accordance with prescriptions, company procedures, and applicable regulations.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, laboratory results, treatment adequacy, transplantation, and treatment modalities.
Assess patients’ responses to hemodialysis and modify treatment plans as indicated by the prescribing physician; communicate patient concerns and changes to the Team Leader or physician.
Complete initial, annual, and ongoing nursing assessments and document patient care needs and evaluations.
Participate in pre-evaluation, treatment initiation and monitoring, termination, access homeostasis, and post-treatment evaluation; intervene when adequacy or access-flow issues arise.
Provide, supervise when applicable, and monitor hemodialysis access care.
Administer and monitor prescribed transfusions and medications, document responses and effectiveness, report adverse reactions, and maintain required controlled-substance records.
Review, transcribe, and enter physician orders and laboratory orders into the Medical Information System; prepare and route laboratory requisitions and specimens according to procedures.
Follow up on missed or insufficient specimens, report alert or abnormal laboratory results to physicians, and forward results as requested.
Maintain safe and effective shift operations, serve as a resource for staff, and communicate with the Clinical Manager about personnel and patient-care matters.
Collaborate with physicians and other healthcare team members to interpret, adjust, and coordinate patient care.
Maintain emergency readiness, including competency in emergency procedures, initiating CPR when needed, and verifying availability of emergency equipment.
Ensure appropriate vaccinations, immunizations, and annual tuberculosis testing are provided.
Maintain a clean, safe, and sanitary treatment area; ensure patient stations and equipment are clean, and address blood spills according to policy.
Ensure staff and patient treatment information, documentation, and records are accurate, complete, and entered into the Medical Information System.
Implement patient admission, transfer, and discharge policies; verify Patient Care Technician documentation and treatment sheets.
Follow opening and closing procedures and ensure staff and patients safely leave the premises.
Initiate, document, and complete Continuous Quality Improvement activities and monthly reports; complete monthly nurses’ progress notes.
Complete patient care plans, nursing histories and assessments, long-term programs, and annual standing-order reviews as required.
Review patient transplant status and follow established procedures.
Assist with prescription refills and coordinate patient transportation when necessary.
Perform additional duties as assigned and provide coverage at area facilities as required by management.