Spectrum Dialysis Registered Nurse ACUTE

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Vision insurance

The Dialysis Registered Nurse provides specialized care to hospitalized patients requiring hemodialysis or peritoneal dialysis. This role involves performing and monitoring dialysis treatments, assessing patient responses, managing vascular access, and collaborating with the interdisciplinary team to ensure safe, effective, and compassionate care. The nurse applies strong clinical judgment and critical thinking to respond to rapidly changing patient conditions while maintaining compliance with regulatory standards and infection control practices.

• Minimum of one (1) year experience in hemodialysis required.
• Graduate of an accredited School of Nursing.
• Current Registered Nurse (RN) License — Required.
• Current Basic Life Support (BLS) certification from the American Heart Association — Required.
• Demonstrated ability to work under pressure and exhibit leadership potential.
• Must be able to complete training and demonstrate competencies in:
  • Machine setup
  • Initiation and termination of dialysis treatments
  • Patient monitoring
  • All other functions necessary to complete a dialysis procedure

• Effectively manage and direct care involving fistulas, shunts, grafts, and dialysis catheters. Possess a thorough understanding of vascular access care and appropriate interventions during access complications.
• Perform venipunctures, shunt care, and dressing changes with proficiency.
• Oversee and manage dialysis treatments for all patients under your care.
• Administer medications as ordered and document all administration accurately.
• Assess patient needs for PRN (as-needed) medications and respond appropriately.
• Document assessments and promptly respond to any adverse reactions.
• Obtain and accurately implement physician orders.
• Perform required laboratory procedures including specimen collection, centrifugation, and requisitioning.
• Practice universal precautions when handling blood specimens and working with patients with blood borne pathogens, including hepatitis.
• Implement individualized care plans as prescribed by physicians; evaluate and adjust plans as needed.
• Interpret laboratory values and communicate findings to patients and staff as appropriate.
• Observe and assess patients' responses to dialysis therapy and initiate appropriate interventions.
• Provide patient and family education regarding home care and follow physician instructions.
• Maintain and update medication logs accurately.
• Supervise dialysis technicians and ensure timely completion of their duties.
• Perform frequent patient rounds to ensure safety and well-being.

• Ensure all dialysis equipment is tested and safe prior to treatment initiation.
• Conduct spot checks on dialysis machines and patients during treatments to maintain quality care.
• Inspect the crash cart daily according to policy.
• Assist in maintaining appropriate inventory levels of stock medications.
• Complete initial nursing assessments on newly admitted patients during assigned shift.
• Provide education and demonstrate competency in treatment procedures to staff and patients.
• Understand, initiate, and direct emergency procedures as needed.
• Participate in training and evaluation of new employees.
• Maintain an empathetic and supportive attitude toward patients; provide counseling and encourage treatment compliance.
• Uphold and model professional behavior at all times; promote and support the policies of the dialysis center.
• Report malfunctioning or defective equipment promptly to maintain a safe environment.
• Report inappropriate behavior or conduct by staff or patients and take immediate corrective action if necessary.
• Follow all safety protocols and infection control procedures, including universal precautions.
• Assist administration in enforcing rules and regulations for staff, patients, and visitors.
• Maintain strict confidentiality regarding patient medical records and health information.