RN, Martha's Vineyard Hospital

Mass General Brigham•Oak Bluffs, MA

3d•Onsite

About The Position

The RN performs standard nursing practices according to Dialysis Unit policies and procedures, providing hemodialysis and end-stage renal disease (ESRD) care. The role includes patient assessment before, during, and after treatment; dialysis access assessment and cannulation; treatment delivery and monitoring; patient education; care planning; medication administration; and response to complications and changing patient conditions. The nurse collaborates with patients, families, and other healthcare providers, and documents care and clinical findings in the patient record. The RN maintains dialysis equipment and supplies, supports department quality improvement and staff orientation, and participates in professional development, mandatory training, and department meetings. The role requires availability for day or evening shifts, rotating weekends, possible overnight stays during off-island patient transports, additional shifts, unit rotation, and work during declared hospital emergencies. This is an onsite, full-time position scheduled for 36 hours per week, with a listed shift of 5:30 AM–6:00 PM and rotating work shifts.

Requirements

Associate's degree in Nursing required; experience cannot be substituted for a degree.
Registered Nurse (RN) state license required.
More than one year of experience in a medical/surgical unit required.
BLS/CPR certification required within one week of hire; AHA and ARC certifications are accepted.
Demonstrated technical skills and judgment to function unsupervised during on-call, second-shift, and weekend hours.
Ability to communicate tactfully with internal and external customers.
Ability to handle stress and work in emergency situations.
Ability to operate department equipment and related office equipment, including a beeper, telephone, calculator, and fax.
Ability to differentiate colors; color-blindness testing is required on hire.
Ability to stand and walk for approximately 90% of the shift; frequently climb, bend, reach, stoop, squat, and assist with lifting objects or patients weighing from 5 to 300 or more pounds.
Ability to bend, twist, crouch, squat, pull, push, reach, remain stationary briefly, and perform repetitive motions.
Use of hands, fingers, arms, and wrists, as well as hearing, smell, and verbal skills, to perform job duties.
Demonstrated competency in relevant medical equipment, age-specific assessment and intervention, and procedures such as IV therapy, lab draws, and medication administration, as required by the job.

Nice To Haves

Bachelor's degree in Nursing preferred.
Critical care experience preferred.
ACLS preferred.

Responsibilities

Perform standard nursing practices in accordance with Dialysis Unit policies and procedures.
Assess dialysis access for patency and complications, perform cannulation, assess patients before and after treatment, deliver dialysis treatment, and monitor patient response.
Monitor estimated dry weight, assess patients for discharge, and manage complications efficiently and effectively.
Collect and document data relevant to each patient's actual and potential needs, and report significant assessment findings.
Formulate individualized plans of care using nursing theory and accepted standards of practice, in collaboration with patients and healthcare providers.
Communicate care plans and revisions through established written and verbal procedures, including shift reports.
Implement and document patient education related to ESRD and the dialysis plan of care.
Evaluate nursing interventions and revise care plans in response to patient outcomes and changing situations.
Prioritize interventions in complex or rapidly changing situations, recognize acute problems, intervene safely, and report unusual occurrences to appropriate clinical leadership or physicians.
Administer treatments, procedures, equipment, and medications safely and document them according to established procedures.
Use standard precautions and appropriate personal protective equipment.
Participate in professional growth activities in nursing and nephrology, mandatory training and meetings, department conferences, in-service updates, and performance appraisal.
Maintain dialysis machine performance and sterility through heat and bleach disinfection, monthly cultures, and machine logs.
Maintain adequate supplies and forms for clinical records and patient education.
Participate in department quality improvement activities and assist and orient staff members.
Assist with scheduling seasonal or transient patients and obtaining required transfer paperwork.
Maintain confidentiality of patient information in accordance with hospital policy and applicable laws and regulations.
Work assigned day or evening shifts, weekend rotations, additional shifts, other units, and during declared hospital emergencies; remain available for possible overnight stays during off-island patient transports.