Registered Nurse (RN) - Dialysis - Georgetown Memorial Hospital (Georgetown, SC)
Company: Tidelands Health
Location: Myrtle Beach
Posted on: May 27, 2023
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Job Description:
Position Summary: The dialysis nurse maintains accountability
for the coordination and delivery of care to patients with acute or
chronic renal failure and may delegate tasks, as appropriate per
the scope of practice, to the dialysis technician. By utilizing
current Evidence Based Practices in all aspects of the provision of
dialysis care, the dialysis nurse assures the delivery of highly
reliable care for their patients while maintaining a safe and
supportive environment. The dialysis nurse will have the
opportunity to participate in shared governance councils and the
nursing clinical ladder program.
Specific Responsibilities:
+ Oversees the preparation of the delivery system, dialysate bath,
and dialyzer and confirms that all mandatory alarm tests on the
dialyzer and equipment are performed.
+ Reviews physician orders for dialysis patients, collects
pre-treatment dialysis data, and reviews patient records prior to
dialysis.
+ Conducts pre-dialysis patient assessment including obtaining
patient vital signs and assessing the patient' s vascular access,
laboratory findings, and the patient' s general health.
+ Verifies that patients are taking all prescribed medications and
performs medication reconciliation.
+ Documents findings of patient assessments and interventions and
advises providers of any significant change in the patient's
condition and other pertinent information.
+ Discusses patient concerns and answers questions relevant to
care.
+ Oversees dialysis technicians in the performance of dialysis from
start to finish, monitors patient reaction to treatment and
performance of the dialysis machines, and demonstrates an in-depth
understanding of the mechanics of dialysis.
+ Assesses, prepares, and cannulates a patient' s vascular access
(including needle insertion in arteriovenous fistula or grafts for
aseptic connection with dialysis equipment).
+ Utilizes sterile techniques to assess the dialysis catheter exit
site and to apply dressing on the patient' s vascular access
(dialysis catheter , arteriovenous access) per protocols.
+ Maintains skills necessary to perform surveillance on dialysis
access (catheter, fistula, graft) for early signs of failure or
infection; this includes (if needed and after receiving the
appropriate training) the ability to perform arteriovenous access
monitoring using ultrasound machine per protocol.
+ Reviews patient' s electronic/paper records for orders as
appropriate and administers dialysis-related intra-venous and/or
oral medications as prescribed and/or per protocol.
+ Conducts post dialysis assessment and patient discharge by
evaluating treatment, documenting medication administration
utilizing the appropriate protocols, assessing condition of
vascular access, discharging the patient when vital signs are
stable, and documenting and recording patient treatment data.
+ Provides patient education/teaching applicable to the patient' s
medical condition.
+ Refers patient to other disciplines or services as needed
(nutrition, social work, etc).
+ Performs other treatments and diagnostic tests such as blood
sugar testing and other tests required as part of patient
treatment.
+ Oversees disassembly and disinfection of dialysis equipment.
+ Maintains skills necessary to do regional heparinization,
separate and store blood samples, set up oxygen, administer saline,
and maintain dialysis equipment.
+ Performs surveillance and testing of dialysis water treatment
equipment and dialysis water (such as chlorine, hardness,
conductivity, water cultures) to ensure that these machines are
operating within the parameters set in the facility's written
protocols.
+ Demonstrates a working knowledge of dialysis laboratory tests and
dialysis medications.
+ Demonstrates an in-depth understanding of infection control and
prevention of transmission of blood borne pathogens.
+ Participates in quality improvement activities to include
collection of data for the dialysis unit Quality Assurance
Performance Improvement (QAPI) plan.
+ Responds appropriately and provides assistance in emergency
situations.
+ Provides leadership in improving patient care, maintaining
standards of care, directing and teaching personnel in a variety of
settings, and providing charge nurse responsibilities as
needed.
+ Works closely with others on the dialysis team and participates
in interdisciplinary team meetings.
Maintains responsibility for providing coverage to the dialysis
department.
QUALIFICATIONS
Experience:
+ Minimum of one year of dialysis nursing care required, inpatient
dialysis experience preferred.
Education:
+ Graduate of an accredited RN program. ADN required, BSN
preferred.
Licensure/Certification:
+ Current Registered Nurse licensure in good standing with the
South Carolina LLR.
+ Certified Dialysis Nurse or National Nephrology Certification
Commission or other nationally recognized clinical certification in
dialysis care, highly preferred.
+ American Heart Association Healthcare provider course with Basic
Life Support (BLS) certification required to be initially completed
with the TH Organizational Development Office within 30 calendar
days of hire date (exceptions to obtain certification from a
provider other than the TH Organizational Development Office are
approved by TH Organizational Development on a case-by-case basis).
BLS Recertification is required every two (2) years.
+ ACLS required.
Knowledge/Skills/Abilities:
+ Proficiency in Microsoft applications, required.
+ Strong organizational, communication and multitasking skills,
required.
+ Ability to complete work in a timely and efficient manner and
ensures work is accurate, required.
+ Demonstrate professionalism and ability to deliver on personal
and organizational commitments, required.
+ Effectively respond to changing circumstances and priorities,
required.
+ Demonstrated ability to work independently with minimal
direction, required.
+ Knowledge of Tablo dialysis systems preferred.
+ Knowledge of MediTech and/or EPIC EMRs preferred.
Other:
+ Required to work in all Tidelands Health inpatient facilities.
Requires travel from one destination to another using personal
transportation.
+ Ability to primarily work in an enclosed office area,
required.
+ Manual dexterity required for handling reports, charts,
instruments, and equipment.
+ Verbal and written communication and the ability to effectively
communicate is essential to the position to communicate with staff,
patients, and their families.
+ Near visual acuity required to work with charts and records and
observe patients and staff.
Physical Requirements: Medium Physical Agility Test (PAT)
Rating
While performing the duties of this job, the employee is frequently
(activity or condition exists from 1/3 to 2/3 of the time) required
to stand, sit, and walk; occasionally (activity or condition exists
up to 1/3 of the time) to use hands, fingers; and frequently to
talk or hear. The employee must exert 20 to 35 pounds of force
occasionally, and/or 10 to 15 pounds of force frequently, and/or
greater than negligible up to 10 pounds of force constantly to move
objects.
The physical demands described here are representative of those
that must be met by an employee to successfully perform the
essential functions of this job.
Job ID: 2023-11764
Shift: Varies - Days
External Company URL: http://www.tidelandshealth.org/
Street: 606 Black River Road
Keywords: Tidelands Health, Wilmington , Registered Nurse (RN) - Dialysis - Georgetown Memorial Hospital (Georgetown, SC), Healthcare , Myrtle Beach, North Carolina
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