SUMMARY: Supports mission, core values, expected behaviors and customer service philosophy. Adheres to all regulatory and policy and procedure requirements.Functions as a part of the hemodialysis health care team as a Charge Registered Nurse to ensure provision of quality patient care on a dialysis basis in accordance with policies, procedures and training. Supports the commitment to the Quality Enhancement program and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhances the likelihood that patients will achieve the Quality Enhancement Goals (QEP). Adheres to all requirements of the Compliances Program, and patient care and administrative policies. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:Responsible for driving the culture through values and customer services standards.Accountable for outstanding customer service to all external and internal customers.Develops and maintains effective relationships through effective and timely communication.Takes initiative and action to respond, resolve, and follow up regarding customer services issues with all customers in a timely manner.Demonstrates applicable knowledge of policies and procedures related to the Registered Nurse/LPN/PCT/CCHT for hemodialysisDemonstrates ability to perform technical skills for the Registered Nurse including the patient's treatment, water treatment facility and emergency procedures, as determined by the competency assessment program.Share responsibility of chart auditing with the RNDelivers age specific care to assigned patients as prescribed, including all aspects of the hemodialysis dialysis procedures specifically trained to perform in accordance with state licensureDemonstrates ability to work with any patient or staff, regardless of race, gender disease process, life-style, religious or cultural beliefs, or treatmentObtains, writes, transcribes and notes physician's orders as needed, and follows through appropriatelyInitiates, monitors, and discontinues dialysis treatments according to established procedures. Assesses patient's pre/post treatment and reports problems to the manager and or Charge NurseEstablishes priorities of care, both emergent and non-emergentDevelops and assimilates technical knowledge with observations, assessment, and communication skills to detect dialysis and non-dialysis related problemsRecognizes and utilizes opportunities for patient and family education and trainingMaintains a safe environment for self, patients and staff by utilizing proper body mechanics, and following universal infection control precautions and cleaning procedures under OSHA regulationsDialyzes isolation patients utilizing isolation precautions and prescribed proceduresAssess patient's pre/post treatment and reports problemsPerforms hemodialysis access care according to established proceduresAdministers and documents medications as authorized by a physician and as further authorized or limited by the State Board of Nursing PracticeReports any significant information or change in patient condition to Unit Manager and Physician.Documents clearly, completely and accurately all pertinent information on patient's manual and/or electronic recordParticipates in the formation, update and revision of nursing care plans, including long and short term goals, according to established guidelines.Performs or assists in the performance of all emergency operational procedures, including the evacuation of patients in the event of a fire and/or disasterEnsure appropriate preparation of lab requisitions for labEnsure correct lab tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samplesUpdates medication lists for patients, then prints and puts in chartMonthly checks of meds and crash cart for expired medsCare plans for patients following the listed provided by the Unit ManagerBimonthly medication changes adjusted by lab results, prints new labels and follows all needed items to ensure all changes are doneAssists with and performs all procedures of equipment maintenance, safe operation, disinfection and inventory control according to departmental policy, manufacturer recommendations and regulatory agency guidelineAssists in maintaining neat, orderly unitUtilizes equipment time, and supplies economicallyMaintains competency in operations, sanitizations, maintenance and troubleshooting of all equipment used for dialysis, water treatment and special proceduresActively participates with the Unit manager in the care, routine cleaning and use of equipmentReports all equipment and supply problems appropriately and according to policy to repair personnel/biomedical support staffRecords and reports all lab results as directed by the Unit ManagerAssists in orientation and training of new and existing staffActs as a resource person for staff members within the scope of practiceAssist in CQI projects with the healthcare teamCommunicates effectively with physicians, supervisor, co-workers, patients and familiesMaintains positive working relationship with Medical Director/Medical StaffActively participates in unit staff meetings and in servicesPromotes supports and adheres to all policies outlined in facility policiesCompletes clinical training program to successfully master ESRD patient care for hemodialysis, management skills, leadership development and gain confidence in listening and communication skillsAcquires information on the latest developments of dialysis technique by in-service classesPerforms additional duties and is responsible for specific projects assigned by Unit Manager QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. PHYSICAL DEMANDS AND WORKING CONDITIONSThe Physical demands and work environment characteristics described here are representative of those an employee encounters with performing the essential functions of this job.This position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Ability to push, pull, mobilizes (with assistance of wheels, cars and other equipment) approximately 200 lbs.Talking and listening to communicate ideas or requirements to individual staff members.Visual acuity to prepare and read written material accurately.Audio acuity to listen attentively and accurately. EDUCATION AND/OR EXPERIENCE:Graduate from an accredited school of nursing. Bachelors in nursing or health related field preferred.One year nursing experience.Hemodialysis experience desirableICU/CCU experience preferred.Successful completion of training course in theory and practice of hemodialysis and peritoneal dialysis.Successful completion of current CPR Healthcare Recognition according to the American Heart Association. CERTIFICATES and/or LICENSE:Current appropriate state licenseValid driver's license and insurance, when indicated/applicable for business travel by automobile.Successful completion of current CPR Healthcare Recognition according to the American Heart Association. KNOWLEDGE, SKILLS, and/or ABILITIES:Ability to communicate clearly and concisely both orally and in writingAbility to listen and respond in an understanding mannerAbility to reach adults and incorporate ethnic and spiritual needs of patientsAbility to foster an environment of cooperation, collaboration and teamworkComputer knowledge desirable. PLEASE NOTE: P.L. 93-638, Indian Preference and Tribal Employment rights Ordinance. (T.E.R.O) will be practiced; however, all qualified applicants will be considered.IF YOU ARE INTERESTED, PLEASE SEND APPLICATIONS RESUME TO:OMAHA TRIBE OF NEBRASKAATTN: HR DEPARTMENTP.O. BOX 368MACY, NEBRASKA 68039OR EMAIL: othumanresources@theomahatribe.com
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