RN, Inpatient Hemodialysis

Oregon Health & Science UniversityPortland, OR
Onsite

About The Position

Dialysis nurses provide care to all ages and a diversified population ranging from acute to chronically ill patients while adhering to strict, dynamic regulatory standards. During the hemodialysis (HD) procedure, the nurse is managing the patient’s clinical status, the venous access, the infusion of blood components or specialized fluids, and oversees the technical aspects of the HD machines. Responsibilities include providing patient/family/public education, overseeing dialysis technicians in the performance of dialysis from start to finish, performing surveillance and testing of dialysis water treatment equipment and dialysis water (such as chlorine, hardness, conductivity, water cultures), and participating in quality improvement activities to include collection of data for the dialysis unit Quality Assurance Improvement (QAI) plan. The Dialysis Department regular service hours are from 0700—1900 Monday thru Saturday with mandatory on-call service Monday thru Saturday 1900—0700 and all day on Sunday and holidays. Scheduling is flexible with call being shared among regular staff. Dialysis RNs will provide services to pediatric and adult patient population serving both hospitals. Department Specific Working Conditions: Exposure includes blood, body fluids, blood products, medications, and radiation. Identify gaps in knowledge and initiate seeking resources to identify and manage risks, practicing safely with a wide variety of patient populations. Able to advance the plan of care when there is a lack of continuity of patient assignments. Excellent time management. Self-management: o “The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth” (ANA, 2015). Integrate into a diversity of team cultures, including: o Speaking up about questionable assignments and identifying alternatives. o Inquiring about performance improvement changes. o Actively participating in huddles.

Requirements

  • One year experience in adult dialysis procedures required or One year experience in dialysis, including past dialysis technician experience
  • BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date.
  • ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date.
  • Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire
  • Current, unencumbered Oregon State Registered Nurse License
  • BLS from AHA required. New hires will be enrolled and required to complete during orientation.
  • Must be able to perform the essential functions of the position with or without accommodation

Nice To Haves

  • Experience in pediatric dialysis procedures preferred
  • Certified Dialysis Nurse (CDN), Certified Nephrology Nurse (CNN) preferred
  • A self-reflective, self-directed learner who achieves progressive growth.

Responsibilities

  • Providing patient/family/public education
  • Overseeing dialysis technicians in the performance of dialysis from start to finish
  • Performing surveillance and testing of dialysis water treatment equipment and dialysis water (such as chlorine, hardness, conductivity, water cultures)
  • Participating in quality improvement activities to include collection of data for the dialysis unit Quality Assurance Improvement (QAI) plan
  • Managing the patient’s clinical status, the venous access, the infusion of blood components or specialized fluids, and oversees the technical aspects of the HD machines during the hemodialysis (HD) procedure
  • Identifying gaps in knowledge and initiating seeking resources to identify and manage risks, practicing safely with a wide variety of patient populations
  • Advancing the plan of care when there is a lack of continuity of patient assignments
  • Speaking up about questionable assignments and identifying alternatives
  • Inquiring about performance improvement changes
  • Actively participating in huddles

Benefits

  • Opportunities to learn and advance
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