Rn Jobs in Tacoma, VA

About The Position

Requirements

• Current appropriate state licensure and compliance with practice requirements in the state of employment.
• At least one year of RN experience and required nursing skills.
• At least six months of nephrology experience before working independently without another Dialysis RN to provide dialysis and ultrafiltration services.
• At least six months of nephrology experience before working independently without another Apheresis RN to provide apheresis services.
• Strong assessment skills related to critically ill patients.
• Successful completion of a training course in the theory and practice of care for ESRD patients (Progressive Renal Education Preparation).
• BLS CPR recognition.
• Successful completion of Nurses Technical Training.
• Organizational and time-management skills and competency in completing continuing renal/nephrology education.
• Leadership skills and ability to direct and supervise others, such as PCTs, CCHTs, and clerical staff.
• Ability to perform direct patient care involving moving patients or equipment weighing over 200 pounds with assistance and lifting chemical or water solutions weighing up to 30 pounds to heights of up to five feet.
• Ability to meet the position’s travel and on-call requirements.
• Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not automatically preclude employment, and reasonable accommodations will be considered.

Nice To Haves

• Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.
• ICU experience is preferred but not required.
• ACLS CPR recognition is preferred but not required.

Responsibilities

• Provide direct inpatient patient care across hemodialysis, peritoneal dialysis, CRRT, ultrafiltration, and apheresis modalities according to prescribed procedures.
• Assess patients’ responses to treatment and make adjustments to treatment plans as indicated by an appropriately credentialed physician.
• Communicate patient problems or concerns to the Inpatient Program Manager, physician, hospital primary nurse, and other appropriate personnel.
• Deliver safe, effective, and timely care; provide concise shift reports and adjust schedules to prioritize patients with more critical needs.
• Implement, administer, monitor, and document prescribed intradialytic transfusions, including notifying the physician and blood supplier about adverse reactions.
• Collaborate with physicians and healthcare team members to interpret, adjust, and coordinate daily patient care plans.
• Communicate with FMS facility nursing staff and appropriate hospital personnel as needed.
• Document treatment information accurately in the patient record (ACES) and hospital record as needed.
• Prepare for dialysis treatment, perform required machine alarm testing, and initiate the Solution Delivery System when applicable.
• Operate related equipment safely, provide minor troubleshooting, and use supplies efficiently to prevent waste.
• Conduct and document equipment safety and alarm tests, calibration, dialysate testing, functional testing, and internal and external disinfection of water and dialysis machines in accordance with policies.
• Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments.
• Complete and document participation in quality assurance and improvement activities; attend staff meetings and participate in assigned staff training and orientation.
• Supervise and direct Patient Care Technicians and clerical staff, and provide direction and education to ICU staff for CRRT.
• Serve as a subject matter expert for hospital staff regarding dialysis-related patient and equipment complications.
• Report new or unusual incidents, information, complaints, and problems according to adverse event reporting requirements.
• Comply with the Code of Business Conduct, company policies, and applicable laws and regulations.
• Assist with projects assigned by the direct supervisor and perform other duties as assigned.
• Travel between assigned hospitals and facilities and attend regional meetings or educational events.
• Participate in on-call rotations covering days, nights, weekends, and holidays.