Job Summary:

Coordinates, implements, and documents patient care based on thorough systematic pre, intra, and post dialysis assessment by performing the following duties below.

Duties and Responsibilities: include the following. Other duties may be assigned.

• Performs and provides documentation for pre, intro, and post dialysis physical assessments of the patient’s condition. 
• Initiates, monitors, and terminates dialysis treatments in accordance with the clinic’s policies and procedures. 
• Administers medications by prescribed route and provides documentation of administration and results of medication. 
• Prepares and monitors the hemodialyzer and hemodialysis machine and performs the required quality control checks. 
• Obtains ordered pre, intro and post laboratory specimens. 
• Performs in-house laboratory procedures in accordance with the clinic’s policies and procedures and Federal and State laws. 
• Reviews lab reports, identifies problems and reports to Charge Nurse and Registered Nurse, as required. 
• Completes monthly nursing assessments and assists in the review and co-signing of monthly nursing assessments performed by non-licensed personnel. 
• Assists in the patient review of long-term care plan. 
• Reviews and documents patient education, as necessary, in order to ensure compliance with ESRD Network, regulatory agencies, and the facility’s CQI program. 
• Reviews consent forms and facility’s policies and procedures upon the admission of new patients and annually obtaining signatures as required. 
• Prepares type and crossmatch specimens and performs intra and post transfusion patient monitoring. 
• Completes quality control check for the emergency cart and emergency kit, as assigned. 
• Participates in administrative and staff programs, as required. This includes, but not limited to attending staff meetings, company, and DOC in-services and meetings such as CQI. 
• Transcribes and implements physician’s orders. 
• Actively supports and promotes appropriate attitudes and loyalty to management. 
• Maintain a clean and orderly work area. 
• Must be able to recognize and respond to emergency situations. 
• Assists in the teaching and training of new staff members as directed and supervised by the Charge Nurse, Registered Nurse or Nurse Manager. 
• Knowledgeable and able to implement safe and effective infection control procedures in accordance with the clinics policies and procedures. 
• Knows and practices procedures related to hazardous waste Known and practices procedures related to hazardous waste disposal. Knowledgeable and able to implement emergency, fire, and disaster protocols. 

SUPERVISORY RESPONSIBILITIES: 

• Is responsible for the overall direction, coordination, and evaluation of unlicensed personnel assigned to their area. 
• Carries out supervisory responsibilities in accordance with the facility’s policies and procedures and applicable law. 

Competencies: 

• The work consists of the practical application of a variety of healthcare concepts, practices and specialized techniques relating to nursing management. Assignments typically involve evaluation and interpretation of factors, conditions, or unusual circumstances, inspecting, obtaining urine specimen, Suicide Risk & Prevention or evaluating compliance with established standards or criteria.

Required License(s)/Certification(s):

• Licensed Practical Nurse credentialed from the State Board of Nursing in State in which site is located or licensed in a compact licensure state provides a multistate license that allows nurses to practice with patients across state lines.
• CPR certification. CCHD certification is encouraged.

Education/Experience/Qualification:

• Completion from an accredited Licensed Practical Nurse Program
• Must complete the facility’s orientation and training program. 
• Must have at least 2 years of clinical and hemodialysis experience.
• Must have demonstrated record of and commitment to safety, and dedication to excellence.
• Must possess outstanding communication and interpersonal skills. Must be able to communicate professionally and effectively with other staff members, patients, and physicians.
• Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. 
• Must have computer skills including data entry, navigation around software and basic troubleshooting skills.