Registered Nurse - Dialysis Job Tuscaloosa area,Alabama USA,Nursing

Overview

Dialysis is located on the fourth floor of DCH Regional campus and the main floor at DCH Northport campus. Our hours at the Regional campus are Monday-Saturday 6:30-19:00, with call taken on Sunday and after hours. At 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 can perform bedside and peritoneal dialysis.

The Northport campus has five dialysis bays with similar capabilities. Our nurses and Certified Dialysis Technicians prepare and perform dialysis treatments for patients within our organization.

Responsibilities

Provide specialized care to patients with impaired kidney function undergoing hemodialysis or peritoneal dialysis in an acute care setting. Plan, coordinate, and deliver compassionate, high-quality care by maintaining professional nursing standards and fostering positive therapeutic relationships with patients and families. Lead and supervise team members by setting care standards, delegating tasks, and supporting their contributions. Supervise LPNs and Certified Clinical Hemodialysis Technicians (CCHTs).

Assess each patient upon admission and regularly thereafter, considering physical, psychological, social, spiritual, cultural needs, pain, nutrition, functional status, developmental factors, and discharge planning. Specific ages: adult and geriatric as defined by scope of practice.

Administer and manage dialysis treatments, including setup, monitoring, and daily equipment maintenance.

Manage the full continuum of ESRD care, including assessment, vital signs monitoring before, during, and after dialysis, and management of dialysis access sites.

Maintain knowledge of dialysis equipment and water systems, following safety practices such as pH monitoring, chlorine residuals, machine alarms, water hardness, pressure, disinfection, and environmental culture collection.

Plan, direct, supervise, and evaluate nursing care based on identified patient needs.

Collaborate with physicians and other disciplines to develop and implement individualized care plans through interdisciplinary conferences, care planning, and shift reports.

Administer medications, IV therapies, and perform treatments according to policies and procedures.

Provide education to patients and significant others, considering physical, behavioral, psychological, developmental, and age-related factors, and addressing barriers to learning.

Follow safety protocols and maintain a safe, clean environment.

Report and record pertinent patient observations, test results, and activities accurately and concisely.

Assign nursing care to team members based on patient needs and personnel capabilities, and delegate other duties as needed.

Assist with or initiate emergency measures for adverse patient events such as cardiac arrest.

Participate in mandatory in-service programs, training, departmental meetings, and complete required hospital training and competencies.

To serve as RN Charge Nurse, demonstrate leadership, decision-making, and communication skills; possess adequate clinical experience and act as a resource for the unit; and be capable of staff assignment considering acuity and experience. Flexibility to float between campuses is required, with additional training provided.

DCH Standards:

Maintain performance, patient and employee satisfaction, and financial standards as per evaluations.
Comply with the Employee Handbook and DCH Behavioral Standards, fostering positive relationships and ensuring safety.
Adhere to policies and procedures, including the use of electronic communication tools.
Perform other duties as assigned.

Qualifications

Current Alabama RN licensure. Current AHA BLS certification. At least 2 years of RN experience, with a minimum of 1 year in dialysis. Professional Nursing Certification is preferred. Must be able to read, write, speak, and understand English.

Working Conditions

Work Context

Demonstrate leadership and decision-making skills affecting others.
Responsible for achieving outcomes and communicating clearly.
Ability to delegate, receive delegation, and address conflicts or stressful situations.
Communicate effectively with diverse personalities, including handling aggressive behaviors.
Use electronic communication tools and work collaboratively in groups.
Perform structured and unstructured work under time pressures.
Exposure to biological hazards, chemicals, and cleaning agents, with appropriate protective equipment.

Physical Factors

Medium work: exerting up to 50 pounds occasionally, 30 pounds frequently, and 10 pounds constantly.
Prolonged standing, walking, reaching, and emergency running capabilities.
Fine motor skills for handling equipment and perceiving sensory information.
Ability to work prolonged shifts with normal or corrected hearing and vision. Physical presence onsite is essential.

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