Dialysis Outpatient Licensed Practical Nurse - LPN LVN

PURPOSE AND SCOPE:

Functionsaspartofthehemodialysishealthcareteaminprovidingsafeandeffectivedialysistherapyforassignedpatientsinaccordancewith

FMCNApolicies,procedures,andtrainingandincompliancewithregulationssetforthby the corporation,state,andfederalagencies.

PRINCIPALDUTIESAND RESPONSIBILITIES:

Patient Related:
* Provides patient care under the direct supervision of Hemodialysis Registered Nurse for assigned patient(s) inthe acute setting excluding Intensive Care Units as permitted bystate requirements.
* Performs all technical aspects of dialysis procedures for assigned patients as prescribed to administer and monitor treatments in accordance with current treatment plan under the direction of the Hemodialysis RN. Responsible for reporting and documenting all new and unusual incidences, information,complaints, orproblemsto theRN.
* Provides treatments for assigned patients as assigned topromote andassist in the maintenance of a safe andcleanworking environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI)
Activities; including those related topatientsatisfaction and actively participates in process improvement activities that enhance the likelihood that patientswillachievethe FMCNA Quality Enhancement Goals(QEP).
* With documented competency and proficiency, the LPN/LVN mayset up and prime equipment as directed by the Hemodialysis RN for renal replacement therapies (hemodialysis, continuous renal replacement, and peritoneal dialysis therapies).
* Evaluatesvascularaccess for patency; obtains necessary pre and post treatmentvitalsigns and weight;performs vascular access cannulationas defined by the state and reports any difficulties or unusual findings to the Hemodialysis RN.
* Responsible for accurate documentation of information related to the patient treatment. This information is documented appropriately in the individual patient record to include the hospital Electronic Medical System (EMS) and the Acute Care Electronic System(ACES).
* Responsible for reporting any significant information, change inpatient condition, or equipment problems to the Hemodialysis RN.
* Responsible for ensuring appropriate safety alarms arebeingused for every treatment.
* Records accurate andtimely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment recorded inthe EMS and ACES.
* Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysateflowrate (QD).
* Collects, labels specimens and ensures timely delivery of laboratory per facility policy.
* Identifies intradialyticproblems and provides intervention as prescribed by physician’s order or as directed by Hemodialysis RN.
* Performs and documents any interventions for the patient,documents patients’response to intervention, andreportsany changesor unusual findings to the Hemodialysis RN.
* Evaluates patient’s vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents, discontinues dialysis treatment according to established procedures and reportsanyunusual findings to the Hemodialysis RN.
* Evaluates patient prior to termination of venous access – obtains blood pressure prior to termination of venous access; obtainshemostasis and applies appropriate dressings; evaluates the patient prior to discharge and reports any unusual findings to the Hemodialysis RN.
* Performs preandpost dialysis evaluation, weightand vital signs with initial identification and reports findings to RNfor documentation and any necessary follow up.
* Initiates basic

CPR measures inthe eventof cardiac and/or pulmonary arrest and respondto emergency situations relatedto dialysis treatment. Responsible for re-enforcing education the patients received by the RN.Technical:
* Safely operates dialysisrelatedequipment according to theproper procedures.
* Provides troubleshooting when necessary.
* Ensuresa clean, safe and sanitary environment in the dialysis facility treatment area.
* Ensures blood spills are immediately addressed according toFMCNA Bloodborne Pathogen Control Policies.
* Operates all emergency…