Position Title: Hemodialysis registered nurse
Reports to: Facility administrator
Summary of responsibilities
To assess patient’s nursing care needs as it relates to the hemodialysis treatment, to plan and implement appropriate care each treatment, to make appropriate referrals to other health care disciplines or providers as indicated, to evaluate effectiveness of care provided, and to integrate nursing theory into clinical practice.
Patient Care
Performs patient assessment
vital signs and all other parameters of the ESRD patients, review dialysis orders, determine general physical and mental condition, assist in determining compliance to dietary or medication regimen, document accurately and legibly.
Provides chronic hemodialysis therapy
formulate a dialysis plan for ultrafiltration, initiate dialysis via prescribed access, observe all safety measures, and monitor patient vital signs applicable to ESRD patients. Administer medications, fluid therapy and blood products or other treatments related to ESRD per physician’s orders.
Performs analysis of patient data
assess and monitor status of vascular access, review lab work, patient assessments, and report any relevant changes or abnormalities to Charge Nurse, or Clinical Coordinator / Facility Administrator and patient’s primary physician.
Develops patient plan of care based on patient condition, age, education and socioeconomic conditions that define interventions to attain expected outcomes.
Participates with the patient care team in the development and review of both the short term and long term care plan programs.
Planning, Coordinating, and Organizing
Able to prepare and monitor dialysis machines and systems.
Able maintain dialysis records and prepare dialysis treatment system for use according to established procedure.
Informs technical staff of any malfunctions related to the dialysis treatment equipment.
Obtains machine and water cultures as requested.
Maintains patient medical records, documenting appropriately and legibly.
Quality Assurance
Completes flow sheets verifying charges for the patient.
Monitor supplies and assure availability.
Participates in CQI process.
Monitors compliance with state or federal regulations, federal regulations for patient care and services.
Has the ability to implement emergency measures as situational conditions demand.
Communications and Patient Service Skills
Reviews pre and post dialysis care with patient.
Discusses health concerns with patient; reviews with Physician and Clinical Coordinator / Facility Administrator.
Participates with orientation and training of new staff member.
Attends staff meetings and educational activities.
Other duties as assigned.
Position qualifications
Current license to practice as a Registered Nurse in this State.
Graduate of an accredited school of nursing.
Current certification in Basic Life Support.
Experience in dialysis preferred.
At least one (1) year of experience in general nursing or a nursing specialty.
