Registered Nurse - RN - Dialysis

Fresenius Medical Care•Honolulu, HI

19d•$42 - $60

About The Position

The Staff Registered Nurse works as part of the hemodialysis health care team to provide quality daily patient care in accordance with Fresenius Medical Care North America (FMCNA) and Fresenius Medical Services (FMS) policies, procedures, training, and applicable regulations. The role supports the organization’s mission, vision, values, customer service philosophy, Quality Enhancement Program (QEP), and continuous quality improvement activities. The nurse oversees and coordinates patient care and staff activities during the shift, provides and monitors hemodialysis treatment and access care, assesses patient needs and treatment responses, and communicates with physicians and other healthcare team members. The role also provides ongoing education to patients and families about end-stage renal disease, dialysis, vascular access, medications, diet, fluid management, laboratory results, transplant and modality options, and related health conditions. The position is responsible for accurate clinical documentation and physician orders, laboratory processes and results, medication administration, emergency readiness, infection control, facility safety, patient records, and required quality and care-planning activities. The nurse may provide coverage at area facilities as required by management. The work involves direct patient care in a healthcare facility and may include exposure to infectious or contagious diseases or materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and ability to meet 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 ICD-9 coding training and Nurses Technical Training.
Meet the necessary requirements of the Ishihara Color Blindness test as a condition of employment; failing the test does not automatically preclude employment, and reasonable accommodation may be considered.
Provide coverage at any or all area facilities as required by management.
Ability to perform direct patient care involving frequent, prolonged standing and bending; regularly lift and move patients and assist with ambulation, using equipment or coworkers as needed.
May occasionally move, with assistance, machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet.

Nice To Haves

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

Responsibilities

Direct and monitor Patient Care Technicians’ delivery of safe, effective chronic hemodialysis therapy in accordance with facility procedures and applicable regulations.
Delegate tasks to direct patient care staff, including LVN/LPNs, Patient Care Technicians, and Dialysis Assistants; assess daily care needs and make patient care assignments.
Monitor staff techniques and compliance with facility policies, and participate in staff training, new-staff orientation, and required meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis, diet and fluid management, medication compliance, laboratory values, adequacy measures, transplant awareness, and treatment modalities.
Provide safe and effective ESRD care; implement treatment prescriptions, assess patient responses, adjust care as indicated, and communicate concerns to the Team Leader or physician.
Initiate and document initial, annual, and ongoing nursing assessments and evaluations; participate in all phases of hemodialysis treatment, including pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation.
Intervene when patient adequacy status changes or access-flow issues are identified, and provide, supervise when applicable, and monitor hemodialysis access care.
Administer and document prescribed medications, PRN medications, and interdialytic transfusions; report adverse reactions, maintain controlled-substance records, and assist with prescription-refill requests according to policy.
Review, transcribe, and enter physician orders and laboratory orders into the Medical Information System; oversee patient information and treatment documentation.
Coordinate laboratory requisitions, specimen collection and processing, follow-up on missed or insufficient specimens, compliant packaging and delivery, and communication of abnormal results to physicians.
Maintain safe and effective shift operations, act as a resource for staff, and meet with the Clinical Manager regarding personnel and patient care matters.
Collaborate with physicians and other healthcare team members to interpret, adjust, and coordinate patient care.
Maintain emergency readiness, verify emergency equipment availability, and initiate CPR and emergency measures when required.
Ensure required vaccinations, immunizations, and annual tuberculosis testing are provided.
Maintain a clean, safe, and sanitary treatment area; ensure equipment is operated safely, stations and machines are clean and properly placed, and blood spills are addressed under policy.
Ensure compliance with patient admission, transfer, and discharge procedures, opening and closing procedures, and required documentation and verification by patient care staff.
Initiate, document, and complete ongoing CQI activities, including monthly reports; complete nurses’ progress notes, patient care plans, long-term programs, annual nursing history and assessments, and standing-order reviews.
Review transplant status and follow established procedures for appropriate action.
Perform additional duties as assigned.