RN- Hemodialysis Unit (Full Time, Days)

Nicklaus Children's Hospital•Miami, FL

15d

About The Position

Provides nursing care as a member of the healthcare team delivering specialized care for patients with Renal Replacement health condition. Responsible for direct patient care with specialized modalities to include: hemodialysis, peritoneal dialysis, and continuous renal replacement therapies. Applies evidence based practice in the planning and delivery of care and conducts ongoing education to patients and families. Supports PICU, NICU, CICU, and Medical/Surgical Adolescent Medicine inpatient nursing units with acute services. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director.

Requirements

RN - Registered Nurse within the State of Florida - maintain active and in good standing throughout employment.
CPR BLS - CPR American Heart Association (AHA) - maintain active and in good standing throughout employment.
PALS - American Heart Association (AHA) - maintain active and in good standing throughout employment. within 2 years
1-3 years RN experience Required
Strong problem solving, critical thinking and conflict resolution skills.
Ability to manage multiple priorities and strong time management skills.
Effective verbal and written communication skills.
Computer literate.
BSN Degree or currently enrolled in BSN program.
Works effectively in a collaborative environment.
Ability to apply principles of evidenced-based practice, analytical thinking and service excellence in practice.
Analyze and interpret data and utilize the information to make judgments regarding patient care.
On-call assignment per department and hospital policy.

Nice To Haves

Nursing experience in a Pediatric healthcare setting is preferred.
Certification in Nephrology Nursing is preferred.

Responsibilities

Provides nursing care and performs treatment to Renal Replacement in the MCH outpatient center and designated inpatient nursing units.
Delivers appropriate treatment technique such as hemodialysis, peritoneal dialysis, and continuous renal replacement therapies.
Completes nursing clinical assessment, obtains vitals, patient’s weight, monitors patient responses to treatment therapy, and adjusts and modifies treatment as directed by physician.
Performs all required pre-treatment dialysis machine alarm testing, including Pressure Holding Test (PHT) and sets up dialysis machines in preparation of patient’s treatment.
Ensures safe and clean working environment, cleans and disinfects dialysis machine, performs water testing, and machine calibration in accordance with department policies and procedures.
Implements, administers, and monitors patient's response to prescribed intradialytic transfusions; escalates and notifies the physician of any adverse reaction.
Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.
Collaborates with the inpatient nursing unit, clinical, and medical teams, and delivers appropriate treatment technique using portable equipment and machines.
Communicates the patient's progress including critical findings and changes in the patients' condition with the physician and/or disciplines involved in the care of the child.
Reviews patient admission history, prepares and completes the discharge planning process accurately as per department and hospital policies and procedures.
Follows physician’s orders, administers and reconstitutes medications directed. Adheres to the six rights of medication administration.
Collaborates and rounds with a multi-disciplinary team in daily care planning rounds, as appropriate and fosters a Family Centered Care environment.
Accesses electronic health record independently according to hospital policy and completes accurate and timely documentation in the patient’s electronic health record.
Communicates with patients and families to review plan of care and solicits input. Communicates any patient and family concerns to physician.
Assess patient and family understanding of therapy regimen and conducts ongoing education for patients and their families.
Educates patients/family members on renal replacement therapies and post treatment home care such as disease, medication, treatments, pain, discharge, and safety.
Promotes an "error free" work environment, consistently provides high-quality, safe care as per hospital policies, conducts prevention rounding, and promptly follows up on concerns.
Assesses all body systems, ensures safe, effective, efficient care delivery with emphasis on the absence of medication errors, falls avoidance, ouch-free procedural pain and reduction of pain.
Provides patient information and effectively completes the hand off process at shift change and patient reassignments.