The Hemodialysis Registered Nurse (chronic) provides chronic hemodialysis care and treatment, including developing initial and ongoing assessments, and providing patient training and education as applicable in the outpatient setting.

He/she is responsible for providing communication with the physician and other members of the health care team to interpret, adjust and complete all care plans in a timely manner.

The Hemodialysis Registered Nurse (Chronic) is responsible for assisting and supporting the chronic unit management team in achieving high standards for quality, patient satisfaction, staff development, business management as appropriate, teamwork, culture and employee satisfaction.

The Hemodialysis Registered Nurse (Chronic) provides safe, effective delivery of care under the oversight of the Medical Director, Director of Outpatients, and Facility Administrator (FA). He/she must comply with the standards outlined in the policy and procedure manual, as well as the regulations set forth by the company and any applicable state and federal agencies.

This is a PRN role.

Essential Duties and Responsibilities:

· Demonstrates ability to perform technical skills for the Hemodialysis Registered Nurse (Chronic) 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 Facility Administrator (FA) 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 Facility Administrator (FA) 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 the Somatus policy and procedure manual.
• 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.

1. Assists in ordering supplies and maintaining supply inventory and records in an efficient and cost-effective manner.

2. Assists in maintaining neat, orderly, and well-stocked unit.

3. Utilizes equipment, time and supplies economically.

4. Maintains competency in operations, sanitization, maintenance, and of all equipment used for dialysis, water treatment and special procedures.

5. Actively participates with the supervisor and Biomedical Engineering Department in the care, routine maintenance, cleaning, and use of equipment.

6. Reports all equipment and supply problems appropriately and according to policy to repair personnel/biomedical support staff.

7. Picks up and delivers supplies, blood samples, records, and reports as directed by the Facility Administrator (FA) or charge nurse.

· Assumes administrative duties under the direction of the Facility Administrator (FA), Charge Nurse, or Director of Outpatients.

· Assists in orientation and training of new and existing staff.

1. Assists in CQI projects with the health care team.

2. Communicates any water, equipment, or facility problems quickly and appropriately following facility guidelines for reporting.

3. Communicates effectively with physicians, supervisor, co-workers, patients, and families.

4. Maintains positive working relationships with Medical Director/Medical Staff.

5. Actively participates in unit staff meetings and in-services.

· Assumes responsibility and utilizes opportunities for personal and professional growth.

1. Promotes, supports, and adheres to all policies outlines in the Employee Handbook.

2. Completes clinical and corporate training programs(s) to successfully master chronic patient care for hemodialysis, Peritoneal Dialysis (PD) (as appropriate). Also, fosters development of leadership and management skills and listening and communication skills.

3. Acquires information on the latest developments of dialysis technique by participating in scheduled in-service classes.

4. Seeks resources for direction, when necessary.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Required Education and Experience:

· Current non-restricted RN license

Knowledge, Skills, and Abilities:

· Ability to communicate clearly and concisely; both orally and in writing.

· Ability to utilize computer skills to generate effective reports.

· Ability to foster an environment of cooperation, collaboration, and teamwork.

· Ability to prioritize needs.

· Ability to work independently in unstructured environment.

· 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 make sound decisions in a timely manner.

· Ability to remain calm, interpret data and conditions as presented, and to provide solutions under stress.

· Ability to maintain confidentiality

Physical Requirements

· 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.