RN, Registered Nurse - Hemodialysis - PRN

RN, Registered Nurse - Hemodialysis - PRN at Christus Health summary:

This position is for a Registered Nurse specializing in hemodialysis, responsible for delivering safe and high-quality dialysis patient care through assessment, planning, implementation, and evaluation. The nurse operates and maintains dialysis equipment, administers medications, monitors patient responses, and documents all care and treatments accurately. The role requires nursing licensure, dialysis experience, and competencies in critical care environments, supporting efficient and sustainable dialysis treatment delivery.

CHRISTUS Spohn Hospital Beeville is designated by the Texas Department of Health as a Level IV Trauma Center, providing 24 24-hour emergency and intensive care services for critically ill or injured patients, and stabilizing some 16,500 patients in the ER each year. CHRISTUS Spohn Hospital Beeville offers Emergency Services, Intensive Care, Medical Surgical Services, Obstetrics, Surgical Services, Critical Care, and Rehabilitation Services.

The hospital has three operating rooms; eight same-day surgery rooms; two endoscopy rooms; an expanded recovery area; a new cardiopulmonary service area; and an expanded outpatient services wing. Women’s Services includes nine birthing suites and a full-service nursery, with access to a level III Neonatal Intensive Care Unit.

Summary:

A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications.

In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management.

By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS
  
  Competencies:
  
  Leader of Self, Leader of Others, or Leader of Leaders.

• Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment.

• Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately.
• Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order.
• Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access.
• Obtains pre- and post-dialysis lab specimens per physician order and organizational policy.
• Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure.
• Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection.
• Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs).
• Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge.
• Participates in the development and implementation of an individualized plan of care for each patient.
• Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed.
• Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental…