RN, Martha's Vineyard Hospital

Perform standard nursing practices as outlined by Dialysis Unit policies and procedures. Must be available to work day or evening shifts, as well as weekend rotations, as assigned. Must be available to stay overnight should need arise during patient transports off island. Must be able to rotate to other units, as assigned. Must be willing to work additional shifts, as assigned.

Must be available to work in the case of a declared Hospital emergency. Must be tested on hire for color-blindness.

• Demonstrate understanding of the standards of care related to hemodialysis/ESRD nursing.
• Demonstrates proficiency in performing dialysis nursing by:
  o Assessing patient access for patency and/or complications
  o Performing cannulation efficiently and effectively
  o Assessing patient pre and post treatment
  o performing dialysis treatment per unit standard
  o monitoring for patient response to Rx
  o Assessing patient for discharge
  o Monitoring estimated dry weight appropriately
  o Handling complications efficiently and effectively
  o seeking guidance/advice from appropriate source when indicated
  o maintaining effective psycho-social skills with patients
• Collects and documents all data pertinent to each patient’s actual and potential needs.
• Documents and reports significant findings of ongoing patient assessment.
• Formulates the patient plan of care based on acceptable standards of practice.
• Communicates the patient plan of care (written/verbal) through established procedures.
• Plans individualized patient care using nursing theory in collaboration with patient and other health care providers.
  o Attends Short- and Long-Term Care Plan conferences.
• Implements patient’s plan of care in collaboration with patient, family members and significant others.
• Communicates the initial plan of care and revision (written/verbal) through shift reports and other established procedures.
• Implements, consistently provides and documents patient education related to ESRD/dialysis plan of care in the patient record.
• Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome, documentation in the patient record and revision of the plan of care.
• Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.
• Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.
• Reports unusual occurrences to Clinical Coordinator/Clinical Nurse Manager and/or MD as appropriate.
• Demonstrates proficiency in administering treatments, procedures and equipment appropriate to the unit/department as demonstrated by the skills checklist.
• Administers safely and documents medication regimen according to established procedures with no more than three (3) documented errors per year.
• Uses standard precautions and appropriate personal protective equipment as outlined in the Nursing Department Infection Control Manual.
• Demonstrates competency in the following areas by physical demonstration, verbal or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, lab draws, medication administration, etc.), as may be required in the performance of job duties and responsibilities.
• Participates in activities designed for professional growth in nursing as well as Nephrology.
• Attends all mandatory Hospital/Nursing Department in-service training sessions and meetings.
• Participates in department meetings and conferences as required.
• Reviews and signs all in-service updates.
• Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues.
• Actively participates in own…