Staff RN Dialysis, Fulltime Days

Stamford Health•Stamford, CT

5h•Onsite

About The Position

Stamford Health is looking for a FULLTIME Dialysis RN for the Days Shift to join the Inpatient Dialysis Unit department. This position is FULLTIME NIGHTS 7am to 8pm, Monday through Friday, with rotating weekends and holidays! As a Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent to improve our workforce and support our mission, to that end we offer: Competitive salary Comprehensive, low-cost health insurance plans available day one Wellness programs Paid Time Off accruals Tax deferred annuity and (403b) pension plan Tuition reimbursement Free on-site parking and train station shuttle Childcare partnership with Children’s Learning Center Responsibilities This position is responsible for planning, organizing, implementing and evaluating patient care of patient of all ages adult to geriatric. The dialysis staff nurse maintains accountability for the coordination and delivery of care to patients with end stage renal disease. You will coordinate, delegate, and provide direct nursing care for patients by working cooperatively with patients, family members, and all patient care team members. Oversees the preparation of the delivery system, dialysate bath, and dialyzer and confirms that all mandatory alarm tests on the dialyzer and equipment are performed. Reviews physician orders for dialysis patients, collects pre-treatment dialysis data, and reviews patient records prior to dialysis. Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patient's vascular access, laboratory findings, and the patient' s general health. Verifies that patients are taking all prescribed medications and performs medication reconciliation. Documents findings of patient assessments and interventions and advises providers of any significant change in the patient's condition and other pertinent information. Discusses patient concerns and answers questions relevant to care. Oversees dialysis technicians in the performance of dialysis from start to finish, monitors patient reaction to treatment and performance of the dialysis machines, and demonstrates an in-depth understanding of the mechanics of dialysis. Assesses, prepares, and cannulates a patient' s vascular access (including needle insertion in arteriovenous fistula or grafts for aseptic connection with dialysis equipment). Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing on the patient' s vascular access (dialysis catheter , arteriovenous access) per protocols. Maintains skills necessary to perform surveillance on dialysis access (catheter, fistula, graft) for early signs of failure or infection; this includes (if needed and after receiving the appropriate training) the ability to perform arteriovenous access monitoring using ultrasound machine per protocol. Reviews patient's electronic/paper records for orders as appropriate and administers dialysis related intra-venous and/or oral medications as prescribed and/or per protocol. Conducts post dialysis assessment and patient discharge by evaluating treatment, documenting medication administration utilizing the appropriate protocols, assessing condition of vascular access, discharging the patient when vital signs are stable, and documenting and recording patient treatment data. Provides patient education/teaching applicable to the patient' s medical condition. Refers patient to other disciplines or services as needed (nutrition, social work, etc). Performs other treatments and diagnostic tests such as blood sugar testing and other tests required as part of patient treatment. Oversees disassembly and disinfection of dialysis equipment. Maintains skills necessary to do regional heparinization, separate and store blood samples, set up oxygen, administer saline, and maintain dialysis equipment. Performs surveillance and testing of dialysis water treatment equipment and dialysis water (such as chlorine, hardness, conductivity, water cultures) to ensure that these machines are operating within the parameters set in the facility's written protocols. Demonstrates a working knowledge of dialysis laboratory tests and dialysis medications. Demonstrates an in-depth understanding of infection control and prevention of transmission of blood borne pathogens. Participates in quality improvement activities to include collection of data for the dialysis unit Quality Assurance Performance Improvement (QAPI) plan. Responds appropriately and provides assistance in emergency situations. Provides leadership in improving patient care, maintaining standards of care, directing and teaching personnel in a variety of settings, and providing charge nurse responsibilities as needed. Works closely with others on the dialysis team and participates in interdisciplinary team meetings. Will be required to cross-train to Medical Surgical Units to provide nursing support when Dialysis patient volume is low.

Requirements

Graduate of an accredited School of Nursing.
Valid license as Registered Nurse in Connecticut.
BLS certification required.
Maintain minimum of 6 contact hours annually

Nice To Haves

BSN strongly preferred.
Acute Dialysis experience preferred

Responsibilities

This position is responsible for planning, organizing, implementing and evaluating patient care of patient of all ages adult to geriatric.
The dialysis staff nurse maintains accountability for the coordination and delivery of care to patients with end stage renal disease.
You will coordinate, delegate, and provide direct nursing care for patients by working cooperatively with patients, family members, and all patient care team members.
Oversees the preparation of the delivery system, dialysate bath, and dialyzer and confirms that all mandatory alarm tests on the dialyzer and equipment are performed.
Reviews physician orders for dialysis patients, collects pre-treatment dialysis data, and reviews patient records prior to dialysis.
Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patient's vascular access, laboratory findings, and the patient' s general health.
Verifies that patients are taking all prescribed medications and performs medication reconciliation.
Documents findings of patient assessments and interventions and advises providers of any significant change in the patient's condition and other pertinent information.
Discusses patient concerns and answers questions relevant to care.
Oversees dialysis technicians in the performance of dialysis from start to finish, monitors patient reaction to treatment and performance of the dialysis machines, and demonstrates an in-depth understanding of the mechanics of dialysis.
Assesses, prepares, and cannulates a patient' s vascular access (including needle insertion in arteriovenous fistula or grafts for aseptic connection with dialysis equipment).
Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing on the patient' s vascular access (dialysis catheter , arteriovenous access) per protocols.
Maintains skills necessary to perform surveillance on dialysis access (catheter, fistula, graft) for early signs of failure or infection; this includes (if needed and after receiving the appropriate training) the ability to perform arteriovenous access monitoring using ultrasound machine per protocol.
Reviews patient's electronic/paper records for orders as appropriate and administers dialysis related intra-venous and/or oral medications as prescribed and/or per protocol.
Conducts post dialysis assessment and patient discharge by evaluating treatment, documenting medication administration utilizing the appropriate protocols, assessing condition of vascular access, discharging the patient when vital signs are stable, and documenting and recording patient treatment data.
Provides patient education/teaching applicable to the patient' s medical condition.
Refers patient to other disciplines or services as needed (nutrition, social work, etc).
Performs other treatments and diagnostic tests such as blood sugar testing and other tests required as part of patient treatment.
Oversees disassembly and disinfection of dialysis equipment.
Maintains skills necessary to do regional heparinization, separate and store blood samples, set up oxygen, administer saline, and maintain dialysis equipment.
Performs surveillance and testing of dialysis water treatment equipment and dialysis water (such as chlorine, hardness, conductivity, water cultures) to ensure that these machines are operating within the parameters set in the facility's written protocols.
Demonstrates a working knowledge of dialysis laboratory tests and dialysis medications.
Demonstrates an in-depth understanding of infection control and prevention of transmission of blood borne pathogens.
Participates in quality improvement activities to include collection of data for the dialysis unit Quality Assurance Performance Improvement (QAPI) plan.
Responds appropriately and provides assistance in emergency situations.
Provides leadership in improving patient care, maintaining standards of care, directing and teaching personnel in a variety of settings, and providing charge nurse responsibilities as needed.
Works closely with others on the dialysis team and participates in interdisciplinary team meetings.
Will be required to cross-train to Medical Surgical Units to provide nursing support when Dialysis patient volume is low.

Benefits

Competitive salary
Comprehensive, low-cost health insurance plans available day one
Wellness programs
Paid Time Off accruals
Tax deferred annuity and (403b) pension plan
Tuition reimbursement
Free on-site parking and train station shuttle
Childcare partnership with Children’s Learning Center
Stamford Health offers an extremely competitive salary with generous shift differentials where appropriate.
Our Total Rewards Program is ranked as one of the highest satisfiers based on our employee engagement surveys.
With over 100 transfers and promotions each year for the past 5 years, Stamford Health is a place for you to grow and develop your career. Many departments from Nursing to Information Systems and Rehabilitation have Career Ladder programs that foster career development.
Whether employees choose to live in the greater Stamford, CT area or commute from New York or Fairfield, we offer free convenient parking and free transportation from the Stamford train stations.
Our collaborative with Hospital for Special Surgery, and the Dana Farber Brigham and Women's Cancer Care Collaborative, connect us directly with world class expertise, research, resources and technology to put us at the forefront of patient care.
We have a robust Professional Development and Organization Development program that provides both clinical and non-clinical staff with the opportunity to develop and grow professionally.
For organizational leaders, we offer a comprehensive New Manager Orientation four times per year. Our program designed specifically for Stamford Health will help prepare today's and tomorrow's leaders for success with an innovative curriculum based on best practices. It will also enhance the skills of our leaders that bring their fresh leadership perspective from other organizations.