Outpatient Registered Nurse - RN

Principal Duties and Responsibilities

• Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with facility policy and state and federal regulations.
• Delegates tasks to direct patient care staff including LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
• Assesses daily patient care needs and develops appropriate patient care assignments.
• Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
• Participates in staff training and orientation of new staff as assigned.
• Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
• Provides ongoing education to patients regarding renal disease, vascular access, dialysis therapy, and related health conditions.
• Provides safe and effective delivery of care to patients with ESRD.
• Implements treatment prescriptions including Sodium modeling and Ultrafiltration modeling.
• Assesses patients' response to hemodialysis treatment therapy and makes appropriate adjustments to the treatment plan.
• Initiates Initial and Annual Nursing Assessment and ongoing evaluation and documentation of patient care needs.
• Participates in pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis.
• Provides, supervises, and monitors hemodialysis access care according to established procedures.
• Administers and monitors patient's response to prescribed interdialytic transfusions.
• Reviews, transcribes, and enters physician lab orders into the Medical Information System.
• Ensures appropriate preparation of lab requisitions and correct lab tubes for prescribed specimens.
• Reports alert/panic and abnormal lab results to appropriate physician.
• Maintains competency with emergency operational procedures and initiates CPR and emergency measures.
• Administers medications as prescribed and documents appropriate medical justification if indicated.
• Maintains appropriate recording of controlled substances as required by law.
• Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
• Ensures competency in the operation of all dialysis-related equipment safely and effectively.
• Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
• Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
• Completes initial and annual Nursing History and Assessment physical.

Physical Demands and Working Conditions

The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment.

Education and Required Credentials

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Must meet the practice requirements in the state in which he or she is employed.

Experience and Skills

• Minimum of one-year medical-surgical nursing experience preferred.
• Hemodialysis experience preferred.
• ICU experience preferred.
• Successfully complete a training course in the theory and practice of hemodialysis.
• Successfully complete CPR Certification.
• Must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
• Provide coverage at any or all area facilities as required by management.
• ICD-9 coding training.
• Nurses Technical Training.