Job description

LOCATION: Carl T. Curtis Health Education Center Dialysis Unit-Macy, Ne.

SUPERVISION: Under the direct supervision of the Dialysis Administrative Director

FUNCTION

The Staff Registered Nurse provides chronic hemo dialysis care and treatment, develops nursing care plans involving assessment, planning, implementation, evaluation, training and education: communication with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans and assists in research studies.

The Staff registered nurse is responsible for assisting and supporting the unit management team in achieving quality, patient satisfaction, staff development, business management as appropriate, teamwork, culture and employee satisfaction.

He/she is also responsible for understanding, supporting, interpreting, and implementing the philosophy and policies of the facility.

Provides safe, effective delivery of age specific patient care overseen by the Unit Medical Director in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state and federal agencies.

REPRESENTATIVE DUTIES

The Staff registered nurse will be responsible for the performance of all the duties listed. The distribution of effort between the duties listed can be expected to vary according to the need and to individual assignments, under the supervision of the Unit Manager, and Medical Director.

1. Demonstrates applicable knowledge of policies and procedures related to the Registered, Nurse/LPN/patient care tech for hemo dialysis.

2. Demonstrates ability to perform technical skills for the Registered Nurse including the patient’s treatment, water treatment facility and emergency procedures, as determined by the competency assessment program.

3. Share responsibilities of chart auditing with Charge RN.

a. Delivers age specific care to assigned patients as prescribed, including all aspects of the hemodialysis procedure specifically trained to perform in accordance with state licensure.

b. Demonstrates ability to work with any patient or staff, regardless of race, gender, disease process, life-style, religious or cultural beliefs, or treatment.

c. Obtains, writes, transcribes and notes physician’s orders as needed, and follows through appropriately.

d. Initiates, monitors, and discontinues dialysis treatment according to established procedures. Assess patient’s pre/post treatment and reports problems to the manager and Medical providers.

e. Establishes priorities of care, both emergent and non emergent.

f. Develops and assimilates theoretical and technical knowledge with observations, assessment, and communication skills to detect dialysis and non dialysis related problems.

g. Recognizes and utilizes opportunities for patient and family education and training.

h. Maintains a safe environment for self, patients and staff by utilizing proper body mechanics, and following universal infection control precautions and cleaning procedures under OSHA regulations.

i. Dialysis isolation patients utilizing isolation precautions and prescribed procedures, if working in Walthill in Isolation.

j. Assesses patient’s pre/post treatment and reports problems.

k. Performs hemodialysis access care according to established procedures.

l. Administers and documents medication as authorized by a physician and as further authorized or limited by the State Board of Nursing Practice.

m. Reports any significant information or change in patient condition to Unit Manager and Physician.

n. Documents clearly, completely, and accurately all pertinent information on patient’s manual or electronic record.

o. Participates in the formation, update, and revision of nursing care plans including long and short term goals, according to established guidelines.

p. Performs or assists in the performance of all emergency operational procedures, including the evacuation of patients in the event of a fire and/or disaster.

q. Obtains blood samples and other specimens as ordered, prints labels as needed to label blood samples.

r. Send information to Social Services Specialist to set up appointment and ride.

s. Updates medication lists for patients, then prints and puts in chart.

t. Monthly checks of meds and crash cart for expired meds.

u. Care plans for patients following the list provided by the unit manager.

v. Bi-monthly medication changes adjusted by lab results, prints new labels and follows all needed items to ensure all changes are done.

4. Assists with and performs all procedures of equipment maintenance, safe operation, disinfection and inventory control according to departmental policy, manufacturer, recommendations and regulatory agency guidelines.

a. Give supply list to Walthill Office Manager be ordered.

b. Assists in maintaining neat, orderly unit.

c. Utilizes equipment, time and supplies economically.

d. Maintains competency in operations, sanitizations, maintenance, and troubleshooting of all equipment used for dialysis, water treatment and special procedures.

e. Actively participates with the unit manager and Charge Nursein the care, routine cleaning, and use of equipment.

f. Reports all equipment and supply problems appropriately and according to policy to repair personnel/biomedical support staff/Unit Manager.

g. Records and reports all lab results as directed by the Unit Manager and Charge Nurse.

5. Assumes administrative duties under the direction of the Unit Manager and Charge Nurse.

a. Assists in orientation and training of new and existing staff.

b. Acts as a resource person for staff members within the scope of practice.

c. Assist in CQI projects with the healthcare team.

d. Communicates any water, equipment, or facility problem quickly and appropriately following facility guidelines for reporting.

e. Communicates effectively with physicians, supervisor, coworkers, patient and families.

f. Maintains positive working relationship with Medical Director/Medical Staff.

g. Actively participates in unit staff meetings and in-services.

6. Assumes responsibility and utilizes opportunities for personal and professional growth.

a. Promotes, supports, and adheres to all policies outlined in facility policies.

b. Completes clinical training program to successfully master ESRD patient care for hemodialysis, management skills, leadership development and gain confidence in listening and communication skills. This training is provided by CTCHEC Staff – Is not left alone on floor for 6 months or until Unit Manager feels competent.

c. Acquires information on the latest developments of dialysis techniques by in-service classes.

d. Seeks resources for direction, when necessary.

7. Performs additional duties and is responsible for specific projects that are assigned by nit Manager and Medical Director.

MACHINES, EQUIPMENT AND WORK AIDS:

Responsible for maintaining a working knowledge of all hemodialysis and related ancillary and emergency equipment utilized in the facility such as water treatment equipment, computer, hemodialysis machines, sphygmomanometer, conductivity meter, glucometers, code cart, suction machine, oxygen administration equipment, and personal protective equipment.

WORK TRAITS

Aptitudes:

1. Ability to communicate clearly and concisely both orally and in writing.

2. Ability to listen and respond in an understanding manner.

3. Ability to utilize computer skills to generate effective reports.

4. Ability to teach adults and incorporate ethnic and spiritual needs of patients.

5. Ability to foster an environment of cooperation, collaboration and teamwork.

6. Ability to relate to various levels within the corporate structure.

7. Ability to recognize and deal with priorities of need.

8. Ability to main confidentiality.

Temperaments:

1. Ability to work independently in unstructured environment.

2. Ability to motivate other team members.

3. Ability to relate to people in a manner which instills confidence and establishes rapport.

4. Ability to be flexible and adaptable in the unit.

5. Ability to gain support and input from team members.

6. Ability to make sound decisions in a timely manner.

7. Ability to remain calm, interpret data and conditions as presented, and to provide solutions under stress.

PHYSICIAL DEMANDS AND WORKING CONDITIONS:

1. RN to learn water room and machine stringing and troubleshooting to be a CCHT procedure for training.

2. Moderately active work involving lifting and carrying: walking and standing for considerable lengths of time.

3. Talking and listening to communicate ideas or requirements to individual staff members.

4. Visual acuity to prepare and read written material accurately.

5. Audio acuity to listen attentively and accurately.

6. Ability to push, pull, mobilizes (with assistance of wheels, carts and other equipment) approximately 200 lbs.

7. Ability to work overtime as needed to complete general responsibilities to meet the needs of the unit, if allowed by budget.

8. Full use of all extremities with hand dexterity.

ENVIRONMENTAL CONDITIONS:

Exposure to potentially hazardous/infectious materials, observing and complying with the safety regulations/requirements of the facility and governmental agencies.

MINIMUM QUALIFICATIONS

1. Graduate from an accredited school of nursing. Bachelors in nursing or health related field preferred.

2. Approximately on year nursing experience.

3. Current appropriate state license.

4. Hemodialysis experience desireable, but will train.

5. ICU/CCU experience preferred.

6. Successful completion of training course in theory and practice of hemodialysis and peritoneal dialysis.

7. Valid driver’s license and insurance, when indicated/applicable for business travel by automobile.

8. Successful completion of current CPR Healthcare Recognition according to the American Heart Association. By CTCHEC Staff. Will not be alone for 6 months or until competent.

10. Computer knowledge desirable.

11. Possesses reliable transportation.

EXPERIENCE AND REQUIRED SKILLS

· Minimum of one-year medical-surgical nursing experience preferred

· Minimum 1 year Hemodialysis experience preferred

· ICU experience preferred

· Successfully complete CPR Certification

· Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.

· Must meet appropriate state requirements (if any)

PLEASE NOTE: P.L. 93-638, Indian Preference and Tribal Employment Rights Ordinance, (TERO), will be practiced, however all qualified applicants will be considered.

Work Remotely

• No

Job Type: Full-time

Pay: $1,264.17 - $3,211.25 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 12 hour shift
• 8 hour shift
• Monday to Friday
• Overtime

Work Location: One location

gatheringourvoice.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, gatheringourvoice.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, gatheringourvoice.org is the ideal place to find your next job.