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Position Summary:

Position may float between 2-3 hospitals (Alexandria, Fairfax, Fair Oaks, Loudoun, and Mount Vernon). Our heritage gives us a unique perspective on inpatient and outpatient dialysis care. We have taken our knowledge and past experiences to hold ourselves to a higher standard when it comes to providing care for patients. We work with patients and their providers to identify a modality that suits their needs and lifestyle. The Hemodialysis Registered Nurse will be responsible for the performance of all the duties listed. The distribution of effort between the duties listed can be expected to vary and will be under the supervision of a Clinical Manager (CM), Group Hospital Administrator (GHA) and the VP of Dialysis Operations.

Responsibilities:

- Demonstrates high level of knowledge and experience skills and competencies related to the Hemodialysis Registered Nurse.
- Demonstrates ability to perform technical skills for the Hemodialysis Registered Nurse including the patient’s treatment, water treatment and preparation, and emergency procedures as determined by the competency assessment program.
- Delivers care to assigned patients as prescribed, including all aspects of the hemodialysis procedure in accordance with state requirements.
- Demonstrates ability to work with any patient or staff and does not discriminate on any basis, including, but not limited to, race, gender, disease process, lifestyle and religious or cultural beliefs.
- Initiates, monitors and discontinues dialysis treatments according to established procedures. Assesses patients pre/post treatment and reports problems to the Clinical Coordinator (CC) and/or Charge Nurse.
- Establishes priorities of care, both emergent and non-emergent.
- Develops and assimilates theoretical and technical knowledge with observations, assessments, and communication skills to detect dialysis and non-dialysis related problems.
- Recognizes and utilizes opportunities for patient and family education and training.
- Maintains a safe environment for self, patients and staff by utilizing proper body mechanics, and following universal infection control precautions and cleaning procedures under OSHA regulations.
- Dialyzes isolation patients utilizing isolation precautions and prescribed procedures.
- Assesses patients utilizing isolation precautions and prescribed procedures.
- Performs hemodialysis access care according to established procedures.
- Administers and documents medications as authorized and documented in patient’s health record by the physician and further authorized or limited by the State Board of Nursing Practice.
- Reports any significant information or change in patient’s condition to the Clinical Coordinator (CC) or Charge Nurse.
- Documents clearly, completely, and accurately all pertinent information during downtime of the electronic record.
- Participates in the formulation, update, and revision of nursing care plans, including long and short-term goals, according to established guidelines.
- Performs or assists in the performance of all emergency operational procedures, including the evacuation of patients in the event of a fire and/or ordered mock drills.
- Obtains blood samples and other specimens as ordered and as outlined in hospital’s policy and procedure manual.
- Initiates and discontinues blood transfusions and monitors patient progress per established policy in the hospital (if applicable).
- Cooperates with and supports other departments in the hospital and follows all policies and procedures in the hospital (if applicable).
- Assists with and performs all procedures of safe operation, disinfections and inventory control according to corporate and departmental policy, manufacturer recommendations and regulatory agency guidelines.
- Assists in ordering supplies and maintaining supply inventory and records in an efficient and cost-effective manner.
- Assists in maintaining neat, orderly, and well-stocked unit.
- Utilizes equipment, time and supplies economically.
- Maintains competency in operations, sanitization, maintenance, and of all equipment used for dialysis, water treatment and special procedures.
- Actively participates with the supervisor and Biomedical Engineering Department in the care, routine maintenance, cleaning, and use of equipment.
- Reports all equipment and supply problems appropriately and according to policy to repair personnel/biomedical support staff.
- Picks up and delivers supplies, blood samples, records, and reports as directed by the Clinical Coordinator (CC) or charge nurse.
- Assumes administrative duties under the direction of the Clinical Coordinator, Charge Nurse, Clinical Nurse Manager or Hospital Administrator (HA).
- Assists in orientation and training of new and existing staff.
- Assists in CQI projects with the health care team.
- Communicates any water, equipment, or facility problems quickly and appropriately following facility guidelines for reporting.
- Communicates effectively with physicians, supervisor, co-workers, patients, and families.
- Maintains positive working relationships with Medical Director/Medical Staff.
- Actively participates in unit staff meetings and in-services.
- Assists the Clinical Coordinator (CC), Charge Nurse, Clinical Nurse Manager (CM), Hospital Administrator (HA), Group Hospital Administrator (GHA) in staff scheduling, including rotations, to ensure adequate coverage.
- Assumes responsibility and utilizes opportunities for personal and professional growth.
- Promotes, supports, and adheres to all policies outlined in the Employee Handbook.
- Completes clinical and corporate training programs(s) to successfully master acute patient care for hemodialysis, Peritoneal Dialysis (PD) (as appropriate), Continuous Renal Replacement Therapy (CRRT). Also, fosters development of leadership and management skills and listening and communication skills.
- Acquires information on the latest developments of dialysis technique by participating in scheduled in-service classes.
- Seeks resources for direction, when necessary.

Machines, Equipment, and Work Aids:

Responsible for maintaining a working knowledge of all hemodialysis and related ancillary and emergency equipment utilized in the facility such as:
- Reverse Osmosis equipment
- Water treatment equipment
- Computers
- Hemodialysis machines
- Sphygmomanometer
- Conductivity meters
- Glucometers
- Scales
- Electronic thermometers
- IV infusion pump
- Code carts
- Suction machines
- Oxygen administration equipment
- Personal protection equipment
- PD Home choice cyclers
- Amia automated PD system
- Prisma Flex CRRT machines.

Work Traits:

Aptitudes
- Ability to communicate clearly and concisely, both orally and in writing.
- Ability to listen and respond in an understanding manner.
- Ability to utilize computer skills to generate effective reports.
- Ability to teach adults and incorporate ethnic and spiritual needs of patients.
- Ability to foster an environment of cooperation, collaboration, and teamwork.
- Ability to relate to various levels within the corporate structure.
- Ability to recognize and deal with prioritizing needs.
- Ability to maintain confidentiality.

Temperaments
- Ability to work independently in unstructured environment.
- Ability to motivate other team members.
- Ability to relate to people in a manner which instills confidence and establishes rapport.
- Ability to be flexible and adaptable in the unit and corporate level.
- Ability to gain support and input from team members.
- Ability to make sound decisions in a timely manner.
- Ability to remain calm, interpret data and conditions as presented, and to provide solutions under stress.

Physical Demands and Working Conditions:

- Moderately active work involves lifting and carrying; walking and standing for considerable lengths of time.
- Talking and listening to communicate ideas or requirements to individual staff members.
- Visual acuity to prepare and read written material accurately.
- Audio acuity to listen attentively and accurately.
- Ability to push, pull, mobilize (with assistance of wheels, carts, and other equipment) approximately 50 lbs.
- Ability to work overtime as needed to complete general responsibilities.
- Full use of all extremities with hand dexterity.
- Ability to travel when necessary to meet the needs of the unit and corporation.

NOTE: For individuals that meet the standards for the American Disability Act (ADA), reasonable accommodations will be made to ensure equal opportunity to fulfill physical demands and improve working conditions.

Minimum Qualifications:

- Associate degree in Nursing is required. Bachelor’s in nursing or health related field preferred.
- Current appropriate state licensure.
- At least one-year nursing experience.
- Hemodialysis experience preferred.
- ICU/CCU experience preferred but not required.
- Successful completion of training course in theory and practice of hemodialysis.
- Reliable transportation.
- Computer knowledge preferred.
- BLS Certified.

Job Relationships:

Supervised by:
- Clinical Coordinator
- Clinical Nurse Manager
- Hospital Administrator
- Group Hospital Administrator
- Senior Director of Acute Operations

This position will have interaction with other direct care staff as well as support staff, physicians, and management team.