Registered Nurse RN - Dialysis

Overview

Wage Range

• $46.78 - $79.58
• PER-DIEM
• Dialysis
• Center
• Definition of
• Position: The Acute Inpatient Dialysis Registered Nurse provides direct and indirect nursing care to patients requiring hemodialysis, peritoneal dialysis, and/or continuous renal replacement therapies within the hospital setting. This position is responsible for the assessment, planning, implementation, and evaluation of dialysis care for acutely ill patients in accordance with physician orders, hospital policies, CMS Conditions for Coverage, AAMI standards, and applicable state and federal regulations. The Acute Dialysis RN functions independently while collaborating closely with nephrologists, hospitalists, intensivists, nursing staff, pharmacy, laboratory, and ancillary departments to ensure safe, timely, and high-quality patient care. The nurse must be able to respond quickly and appropriately to changes in patient condition and treatment needs in a fast-paced critical access hospital environment. This role includes patient assessment, dialysis treatment administration and monitoring, patient and staff education, emergency response, documentation, quality improvement participation, infection prevention practices, and equipment/water safety monitoring. Participates in performance improvement activities and supports the mission, vision, and values of the organization.

Responsibilities

Essential Job Functions

• Performs comprehensive nursing assessments for patients requiring dialysis therapies. Initiates, monitors, and discontinues hemodialysis, peritoneal dialysis, ultrafiltration, and/or continuous renal replacement therapies as ordered. Assesses patients’ responses to treatment therapy and communicates concerns or needed treatment modifications to the nephrologist and interdisciplinary team. Monitors patients during dialysis treatments and responds appropriately to complications, emergencies, or changes in patient condition. Administers medications, blood products, and intravenous therapies in accordance with physician orders and hospital policy. Implements, monitors, and documents patient response to intradialytic transfusions and appropriately reports adverse reactions. Maintains accurate and timely documentation within the electronic medical record. Ensures dialysis equipment is functioning appropriately prior to treatment initiation. Performs and documents required dialysis machine alarm testing, safety checks, dialysate testing, chlorine/chloramine testing, and water quality monitoring in accordance with policy and regulatory standards. Operates dialysis equipment safely and performs basic troubleshooting when appropriate. Cleans and disinfects dialysis machines, equipment, chairs, and surrounding treatment areas according to infection prevention standards. Participates in infection prevention and control practices specific to dialysis services. Collaborates with nephrologists, ICU staff, hospitalists, nursing staff, pharmacy, and interdisciplinary team members regarding patient care planning. Educates patients, families, and staff regarding dialysis treatments, access care, medications, and disease processes. Provides direction, education, and support to hospital staff as appropriate. Participates in quality improvement, competency validation, emergency preparedness, and survey readiness activities. Reports unusual incidents, patient concerns, adverse events, and equipment issues according to hospital policy. Assists with maintaining dialysis supplies, equipment, and treatment areas. Responds to dialysis-related emergencies and codes as appropriate. Participates in on-call coverage, weekends, holidays, and after-hours emergency dialysis response as assigned. The employee supports the hospital mission, vision, values, policies, and procedures. Participates in required education for DNV programs as applicable to position (reference program education curriculum). Performs other related duties as assigned.
• Personal
• Traits,
• Qualities, and
• Aptitudes:
• Must be able to: 1) Perform a variety of duties often changing from one task to another without loss of efficiency or composure. 2) Work independently while maintaining strong communication and collaboration with interdisciplinary team members. 3) Make clinical evaluations and decisions based on measurable or observable criteria. 4) Maintain strict patient confidentiality and professional boundaries. 5) Respond appropriately during emergencies and rapidly changing patient situations. 6) Demonstrate empathy and compassion toward patients and families experiencing acute illness, chronic disease, grief, or trauma. 7) Communicate effectively and therapeutically with patients, families, physicians, and healthcare team members from diverse backgrounds. 8) Prioritize and manage multiple patient care responsibilities in a fast-paced environment. 9) Maintain strong critical thinking and problem-solving abilities. 10) Support teamwork, professionalism, and positive interaction in daily activities.

Qualifications

Education Required: Graduate of an accredited school of professional nursing. Evidence of continuing education appropriate for skill level and area of practice.

Preferred

• Bachelor of
• Science
• Nursing (BSN)
• Licenses/ certifications/ registrations
• Required: Current RN license in the State of Oregon;
• BLS
• Preferred:
• NA
• Experience
• Required:
• At least one year of acute care nursing experience
• Preferred: Previous Dialysis Experience.

Other