Dialysis Staff – Registered Nurse

Duties and Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Provision of Patient Care

• Provides patient care in a proficient and professional manner utilizing current technology Applies and utilizes the nursing process Initiates, individualizes, and implements a nursing care plan Utilizes nursing assessment skills, recognizes significant changes in patient condition, establish priorities, and takes appropriate action Establishes priorities in the delivery of patient care Demonstrates expertise in systems assessments, nursing interventions, and documentation of patient responses in the medical record Is accountable for completion of the admission process for patients Ensures continuity of care by directing, coordinating, planning, and organizing patient care Demonstrates utilization of knowledge and skills related to meeting age specific needs of the patient population served Coordinates and provides patient and family education and discharge planning Collaborates with the Medical Staff and other members of the Interdisciplinary Care Team to coordinate the interdisciplinary facets of care for the ESRD patient Serves as a patient advocate and clinical resource person Formulates clinical decisions and implements multi-dimensional plans of care that demonstrate independent judgment and critical thinking consistent with private, state, and federal regulations Provides input for the care standards and formulation of policies, procedures, and protocols specific to the unit Informs Nurse Manager regarding patient care issues Utilizes effective, appropriate, and timely communication skills Directs subordinate team members Provides input into the Unit's operational budget process as requested Possesses knowledge base relevant to the anatomy, physiology, and pathophysiology relevant to care of the renal patient Demonstrates respect for patients' rights and ensures confidentiality Monitors the clinical and technical aspects of the dialysis treatment Provides patients with assistance in coping with chronic illness, helping them maintain an optimal level of health and maximizing rehabilitative potential Demonstrates continued involvement in professional growth by developing personal education objectives and participating in professional growth opportunities to assure continued adherence to professional standards and provision of quality patient care Follows established hospital and unit policies and procedures Ensures the confidentiality of patients’ medical, personal, and financial records is maintained Knowledgeable of and committed to practicing Corporate
• Compliance policies and procedures
• Health
• Care
• Team
• Participation: Promotes and participates in a collaborative approach with all team members to meet the physical and psychosocial needs of patients Adapts to changes in workload and completes assignments while maintaining quality patient care Initiates and performs duties which need to be completed, although not directly assigned Promotes the team concept through effective interpersonal relationships Maintains knowledge of unit operations through attendance at unit meetings and/or reading communication book Participates in organizational/unit's objectives to maintain an efficient and effective work environment Provides input into the evaluation process of self and other team members as requested Communicates issues appropriately and participates in their resolution Utilizes appropriate resources to provide quality of care in a cost-effective manner
• Professional and
• Personal
• Growth: Maintains proficiency of skills Participates in continuing education to maintain competency and keeps informed of changes affecting nursing and health care Shares knowledge and expertise by participating in patient care conferences and/or providing in-services Assists in orientation of new employees as requested Acts as a positive role model Maintains personal educational records

Quality Assurance/Improvement

• Participates in and promotes the Quality Assurance/Improvement process to ensure the highest quality patient care is provided Assists in the Quality Assurance/Improvement process by identifying opportunities/problems in current practice Participates in data collection activities, development of action plans, and in the evaluation process of the Quality Assurance/Improvement process Incorporates changes in own practice identified through the
• Quality
• Assurance/Improvement process
• Other
• Duties: Complies with safety policies and procedures, regulatory requirements, and participates in corporate-wide and department safety activities Complies with Cherry County Hospital personnel policies Performs other duties as assigned by supervisor Skills and Abilities Required Ability to follow instructions Ability to read and interpret documents such as procedure manuals, safety rules, operating and maintenance instructions Ability to listen effectively, transmit information accurately and understandably Ability to write routine reports and correspondence Ability to calculate figures and amounts Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form Ability to work closely with others Has an interest in being around people of all types Good communication skills Positive attitude Must be knowledgeable of state and federal confidentiality laws, including but not limited to HIPAA, and be familiar with and follow all policies, procedures and instructions regarding the privacy and security of protected health information applicable to the position To function as a Charge Nurse/RN – There must be one or more “charge nurses” designated as responsible each shift. Minimum of 9 months’ current experience in clinical nursing, Medical-Surgical nursing preferred Minimum of an additional 3 months of experience in providing nursing care to patients on maintenance dialysis in either an acute or chronic setting The Charge Nurse may be either a full-time or part-time employee or a contracted nurse who meets these qualifications To function as Self-Care and Home Dialysis Training Nurse/RN – responsible for self-care and/or home care training: Be a Registered Nurse Minimum of 12 months experience in providing clinical RN nursing care Minimum of an additional 3 months of experience in the specific modality (Hemodialysis or Peritoneal Dialysis) for which the nurse will provide self-care training. If one RN is responsible for both the home hemodialysis and home peritoneal program, they must have at least 3 months of experience in each respective modality The Self-Care and Home Dialysis Training Nurse/RN may be either an employee or a contracted nurse Physical Demands and Working Conditions While performing the duties of this job, the employee is frequently required to walk and/or stand up to ten hours a day and sit up to three hours per day. The employee must regularly work with body bend over waist, reach above shoulder height, and work with arms extended at shoulder level. Occasionally the employee must work in kneeling position and with arms above shoulder height. The employee uses hands/fingers to perform repetitive, fine manipulations, simple grasping, pushing, pulling, and manual dexterity. The employee must regularly lift and/or move up to 35 pounds and occasionally lift and/or move up to 100 pounds. Specific vision abilities required include close vision, distance vision, color vision, peripheral vision, depth perception, eye-hand coordination, and the ability to adjust focus. The work environment is an outpatient setting for patients with chronic renal disease. While performing the duties of this job, the employee occasionally works near moving mechanical parts. Employees are regularly exposed to infectious materials such as blood and body fluids, contagious diseases, hazardous chemicals, fumes or airborne particles, medical gases, and radiation. The noise level in the work environment is usually moderate.

Requirements

Minimum Job Requirements Graduate from an accredited school/college of nursing Currently licensed as a Registered Nurse in Nebraska Basic Life Support certification required Advance Cardiac Life Support certification preferred Experience in Chronic Hemodialysis (HD)