Job: RN PRN – Inpatient Dialysis RN


Title RN PRN – Inpatient Dialysis RN
Date Posted 2020-07-21
Job Information

POSITION: ACUTE INPATIENT DIALYSIS RN

DEPARTMENT: ONCOLOGY

FLSA STATUS: NON-EXEMPT

JOB SUMMARY: The registered professional nurse position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This RN participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations.

JOB RELATIONSHIPS:
Responsible to: Surgery Director
Positions Directly Supervised: LPNs/CNAs
Regular Contact with: Surgery staff, Nursing Service personnel, Physicians, and the public.

ESSENTIAL JOB FUNCTIONS:

1. Performs all essential functions under the direction of the program manager/supervisor and with guidance from the dialysis educator when available. Expected to complete all orientation requirements and to advance knowledge in preparation for additional clinical and supervisory responsibilities.
2. Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient’s primary nurse and others as may be indicated.
3. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to manager, appropriate physician, and acute primary nurse.
4. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
5. Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.
6. Initiates and coordinates communication with outpatient dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care.
7. Administers medications as prescribed and in accordance with contractual agreement.
8. Ensures nephrology physician orders for assigned patients are received and entered in the Medical Record.
9. Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner.
10. Performs the implementation, administration, monitoring, and documentation of patient’s response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
11. Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures.
12. Delegates appropriate tasks to direct patient care staff including but not limited to licensed practical nurses (LPNs) and certified nursing assistants (CNAs).
13. Monitors patient care staff for appropriate techniques and adherence to all policies and procedures.
14. Promotes infection control, equipment and environmental safety.
15. Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
16. Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies.
17. Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients.
18. Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee.
19. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
20. Participates in all required staff meetings as scheduled.
21. Performs all other duties as assigned by manager within state, federal and contractual standards.

QUALIFICATIONS:

Education and Training: Graduate of accredited school of nursing and
registered and current appropriate licensure in Louisiana.

Must meet the practice requirements in all states where he or she is employed.

Successful completion of the facility’s Education and Training requirements for new employees.

Successful completion and maintenance of BLS/ACLS Certification.

Meet all conditions of employment.

Successful completion of all annual required education/training/competencies.

Successful completion of on-going training and education as assigned or required

Work Experience: Minimum of twelve months experience as a Registered Nurse (preferred).

Twelve months dialysis experience required to be on-call.

Hemodialysis and/or ICU experience (preferred).

Knowledge, Skills, and Abilities Required: Successful completion of all facility education and modality specific training requirements for new employees

Physical Requirements: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Areas of practice are diverse and could include, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis.

The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.

Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians.

Position could require participation in on-call rotation (night, weekend or as defined by individual program needs).

OSHA EXPOSURE CATEGORY: A Has exposure to blood borne pathogens.

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