Dialysis Registered Nurse

Job Title: Specialized Dialysis RN

Location: Miami VA Healthcare System (including 7 Community-Based Outpatient Clinics)

Period of Performance: 03/12/2025 – 03/11/2030

Shift Schedule: Rotating eight (8), ten (10) and twelve-hour (12) tours on rotating day, night, and evening shifts, to include weekdays, weekends, and holidays. On-call status is required for after hours care.

Position Description: The Dialysis Registered Nurse (RN) provides specialized care to patients with end-stage renal disease (ESRD), acute kidney injury (AKI), and late-stage chronic kidney disease (CKD) in both inpatient and outpatient settings. The dialysis unit supports a capacity of 4 beds and 14 chairs per shift, delivering hemodialysis for scheduled patients, while emergent dialysis is performed in acute care areas, including the Critical Care and Emergency Department.

After-hours dialysis is supported by an on-call nurse. This position demands expertise in renal care management, critical thinking, and effective communication to address the unique needs of patients undergoing hemodialysis and peritoneal dialysis treatments in a variety of clinical settings.

Key Responsibilities:

Unit Description: The dialysis unit provides hemodialysis to both inpatients and outpatients. The unit has a capacity of four (4) beds and fourteen chairs per shift. Hemodialysis inpatient is provided in the Acute care areas including Critical Care and Emergency Department. All other patients are transported to the dialysis unit. An on-call nurse provides hemodialysis after hours.

Skills: The RN dialysis nurse provides comprehensive nursing care to patients with end-stage renal disease who are being maintained by intermittent hemodialysis and/or peritoneal dialysis in either a chronic unit setting or a critical care/acute care unit setting. This role requires the nurse to provide treatment utilizing the nursing process, according to the written procedures and policies of the hemodialysis unit.

The dialysis nurse is required to perform hemodialysis via a fistula, graft, or venous catheter.

Dialysis RN Skills: The RN Dialysis nurse responsibilities include, but are not limited to:

• Providing and directing care for patients with ESRD, AKI, and late-stage CKD.
• Collaborating with other disciplines/departments to achieve desired patient outcomes.
• Functioning as primary nurse for ESRD patient panel and serving as a key resource for patients navigating the healthcare system.
• Completing documentation for all clinical and technical recordkeeping in the electronic health record and treatment flow sheets.
• Monitoring, tracking/trending, and reporting ongoing care continuity needs and outcomes to the interdisciplinary team.
• Assisting in directing nursing education, orientation, competencies, quality improvement, and outcomes utilization.
• Directing other providers in nursing practice.
• Partnering with patients, families, and interdisciplinary teams to promote effective and safe transitions across the healthcare continuum.
• Planning and delivering technically competent care to patients in alignment with ANA Standards of Nursing Practice.
• Being responsible and accountable for individual nursing practice and determining appropriate delegation of tasks.
• Managing nursing care of patients and organizing own assignments in a safe and timely manner.
• Participating in the development, implementation, and evaluation of interdisciplinary care.
• Establishing therapeutic relationships to enhance patient experience, satisfaction, and safety.
• Treating all patients, families, and caregivers with dignity and respect.
• Recognizing ethical issues related to professional nursing practice and adhering to established policies and ANA Code of Ethics.
• Applying high reliability principles and I CARE values to improve patient outcomes.

Requirements: Staff shall have BLS and ACLS certifications and at least three (3) years of nursing experience providing hemodialysis and peritoneal dialysis. Personnel assigned by the Contractor must possess an unrestricted license to practice medicine in one of the States, Territories, or Commonwealths of the United…