Dialysis Nurse Jobs

About The Position

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure and compliance with 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, if any.
• Complete the Ishihara Color Blindness test as a condition of employment; failure does not automatically 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.
• Complete Nurses Technical Training.

Nice To Haves

• At least 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; assign care based on daily patient needs and monitor staff techniques and compliance with facility procedures.
• Participate in staff training, new-staff orientation, and required staff meetings; serve as a resource for other staff members.
• Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, laboratory values, treatment compliance, adequacy measures, transplant awareness, modality options, and catheter reduction.
• Provide safe and effective hemodialysis care, implement prescribed treatment parameters, assess patient responses, and make appropriate treatment-plan adjustments as indicated by the prescribing physician.
• Communicate patient concerns and changes in condition to the Team Leader, physician, and other members of the healthcare team; coordinate and interpret care with them.
• Initiate and complete initial, annual, and ongoing nursing assessments and evaluations; document patient care needs and complete care plans, progress notes, nursing histories, and physical assessments as required.
• Participate in pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation of hemodialysis treatment; provide, supervise when applicable, and monitor access care.
• Intervene when patient adequacy status changes and troubleshoot access-flow issues identified through OLC/AMP monitoring.
• Implement, administer, monitor, and document prescribed interdialytic transfusions and report adverse reactions appropriately.
• Ensure accurate and complete patient and treatment documentation, including Patient Care Technician records, Hemodialysis Treatment Sheets, physician orders, vital signs, treatment parameters, and information in the Medical Information System.
• Review, transcribe, and enter physician lab orders; prepare lab requisitions, verify appropriate specimen tubes and handling, follow up on missed or insufficient specimens, package and route specimens according to applicable procedures, and report abnormal or alert results to physicians.
• Enforce company policies and applicable state and federal regulations; maintain safe, efficient, and effective shift operations and meet with the Clinical Manager about personnel and patient-care matters.
• Assist patients with prescription refills in accordance with company policies and ensure physician orders are entered promptly.
• Maintain facility drug lists and controlled-substance records; administer prescribed or protocol-approved medications, document medical justification where indicated, and assess and document the effectiveness of PRN medications.
• Maintain competency in emergency procedures, initiate CPR and emergency measures when necessary, and verify the availability of adequate emergency equipment.
• Ensure appropriate vaccinations, immunizations, and annual tuberculosis testing are provided.
• Maintain a clean, safe, and sanitary treatment environment; ensure dialysis equipment, stations, and chairs are clean and properly placed, and address blood spills according to policy.
• Ensure competency in operating dialysis-related equipment and oversee appropriate opening and closing procedures, including confirmation that staff and patients have safely left the premises.
• Coordinate patient transportation when necessary and implement patient admission, transfer, and discharge procedures.
• Initiate, document, and complete ongoing CQI activities, including monthly reports; complete long-term programs and annual standing-order reviews as required.
• Review transplant status and follow established procedures for appropriate action.
• Perform additional duties as assigned.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k) with company match
• Paid time off
• Parental leave