Registered Nurse - RN - Dialysis

Fresenius Medical Care•Honolulu, HI

15h

About The Position

The Registered Nurse functions as part of the hemodialysis health care team and provides quality daily patient care in accordance with company policies, procedures, training, and applicable regulations. The role supports the company’s mission, values, quality improvement activities, and compliance requirements. The nurse oversees and delegates work to direct patient care staff, assesses patient needs, and helps ensure safe and effective delivery of chronic hemodialysis therapy. The nurse educates patients and families about end-stage renal disease, dialysis, vascular access, diet and fluid management, medications, laboratory results, treatment adequacy, transplant and modality options, and related health conditions. The role assesses patients before, during, and after treatment; implements prescribed treatment plans; monitors responses; manages access care; communicates patient concerns to physicians and team leaders; and administers prescribed medications and transfusions. The position also oversees clinical documentation, laboratory processes, patient records, and required assessments and care plans. It supports staff training, shift operations, emergency readiness, infection control, equipment competency, facility cleanliness, patient transportation coordination when needed, and ongoing continuous quality improvement activities. The nurse may provide coverage at area facilities as required by management.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and must 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.
Complete the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.
Provide coverage at any or all area facilities as required by management.
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 patient care needs and assign appropriate duties.
Monitor staff techniques and adherence to facility policies and procedures; participate in staff training, new-staff orientation, and required meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, laboratory values, treatment adequacy, transplant awareness, and treatment modalities.
Provide safe and effective hemodialysis care, implement prescribed treatments, assess patient responses, and modify treatment plans as indicated by the prescribing physician.
Communicate patient issues and concerns to the Team Leader, Clinical Manager, physician, and other members of the healthcare team; coordinate care with them.
Complete initial and annual nursing assessments and ongoing evaluations and documentation of patient care needs.
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 where applicable, and monitor dialysis access care.
Implement and monitor prescribed transfusions, document patient responses, and report adverse reactions to the physician and blood supplier as appropriate.
Ensure accurate patient-care documentation, including treatment sheets, physician orders, treatment data, vital signs, laboratory results, and information entered into the Medical Information System.
Review and enter physician laboratory orders; prepare requisitions and specimens; ensure correct specimen handling, packaging, shipment, and delivery; follow up on missing or insufficient specimens; and report abnormal results to physicians.
Enforce company policies and applicable regulations and maintain safe, efficient, and effective shift operations; serve as a resource for other staff.
Assist patients with prescription refills according to company policies and ensure physician orders are entered in a timely manner.
Maintain facility drug lists and competency with emergency procedures; initiate CPR and emergency measures when needed and verify emergency equipment availability.
Ensure appropriate vaccinations, immunizations, and annual TB testing; administer prescribed and PRN medications, document responses and justifications, and maintain controlled-substance records as required.
Coordinate patient transportation when necessary.
Maintain a clean, safe, and sanitary treatment environment; ensure machines, chairs, and patient stations are clean and properly placed; address blood spills according to policy.
Implement admission, transfer, and discharge procedures; verify patient-care documentation; and ensure opening and closing procedures are completed safely.
Initiate, document, and complete ongoing CQI activities, including monthly reports and nurses’ progress notes.
Complete required patient care plans, long-term programs, nursing histories and assessments, and annual standing-order reviews with physicians.
Perform additional duties as assigned and provide coverage at area facilities as required by management.