Registered Nurse - Dialysis

Registered Nurse - Dialysis role at DCH Health System
. Dialysis is located on the fourth floor of the DCH Regional campus and the main floor at DCH Northport campus. Regional hours are Monday-Saturday 6:30-19:00 with call on Sunday and after hours. Northport hours are Monday, Wednesday, and Friday with call on Tuesday, Thursday, Saturday, Sunday and after hours. The Regional unit has eight dialysis bays and the ability to perform bedside and peritoneal dialysis.

The Northport campus has five dialysis bays and the ability to perform bedside and peritoneal dialysis. The nurses and Certified Dialysis Technicians on this unit prepare and perform dialysis treatments for patients within our organization.

• Assess condition on each assigned patient on admission and ongoing, including physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age related factors, and discharge planning needs (adult and geriatric as defined by scope).
• Administers and manages dialysis treatments including set-up, monitoring, and daily maintenance of equipment.
• Manages the full continuum of care for End-Stage Renal Disease (ESRD) including assessment, monitoring of vital signs before, during and after dialysis treatments, and management of dialysis access site.
• Maintains functional knowledge of dialysis equipment and water systems and follows safety practices including water-pH monitoring, chlorine residuals, auto testing, and alarms testing machines, water hardness, water pressure monitoring, disinfecting and collection of environmental cultures.
• Plans, directs, supervises and evaluates nursing care provided to patients according to identified problems.
• Collaborates and coordinates with physicians and other disciplines regarding individualized patient treatment/care plans by participating in interdisciplinary conferences, care planning/problem identification and shift reports.
• Administers medication, IV therapy, and performs treatments to all assigned patients, according to policy and procedure.
• Plans and provides patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning.
• Follows safety practices and helps to maintain a safe, clean environment.
• Reports pertinent patient observations and test results to the appropriate person (i.e., physicians, nurse manager, charge nurse and/or nursing supervisor) and records those observations accurately and concisely.
• Documents all patient care assessments, evaluations, activities and/or observations according to policies and procedures.
• Assigns nursing care to team members in accordance with the patient’s needs and the personnel’s capabilities and qualifications, and assigns other duties as needed.
• Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest.
• Attends in-service programs (mandatory), all required training/education and unit/departmental service meetings, and competencies. Completes hospital required and nursing CBTs.
• To be eligible to serve as RN Charge Nurse the following requirements must be met
• Demonstrates leadership skills, decision making abilities and communications skills necessary for the role.
• Adequate clinical experience and functioning as a resource person for the unit.
• Ability to assign staff, considering acuity, needs of the patient, level of staff experience and unit guidelines.
• Must be flexible to float between the DCH Regional and Northport campuses. Additional training will be provided.

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook.
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that…