Peritoneal Dialysis/Hemodialysis Registered Nurse

Seeking Registered Nurse for hybrid Hemodialysis/Peritoneal Dialysis position.

Peritoneal Registered Nurse provides patient training and ongoing support for all patients choosing a home dialysis modality. The person in this position is responsible for providing quality training and care to all patients and is committed to delivering superior customer service. 

ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Other duties and tasks may be assigned.

• Knowledge of dialysis and nurse practice act requirements as they pertain to dialysis programs/ patient care requirements.
• Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.
• Conduct home visits to assess the patient’s home environment per policy; initially and minimally annually thereafter. Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.
• Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.
• Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.
• Participate in infection control monitoring, implementation, and recording as requested.
• Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.
• Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.
• Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. Assist in obtaining data for the continuous quality improvement activities.
• Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.
• Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician.
• Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.
• Flexible with hours to accommodate patient and PLR home program and on-call needs.
• Regular and reliable attendance is required for the position.

Hemodialysis Nurse is a qualified Registered Nurse who performs patient care and related duties as assigned by the Charge Nurse, Clinical Supervisor or Facility Administrator, including assisting and supervising Hemodialysis Technicians.

• Job Specific Accountabilities: The statements below describe the general nature and level of work being performed in this role. They are not intended to be a complete list of all duties, and additional responsibilities may be delegated as required.
• Start-up, set-up, and operation of dialysis machines. Competency to Initiate and discontinue dialysis treatment on all assigned patients.
• Pre- and post-dialysis nursing evaluation of patients, including sign-off after each dialysis shift on treatment records for assigned patient. 
• Monitors patients throughout their hemodialysis treatment including vital signs, machine checks, emergency intervention and tends to miscellaneous patient needs.
• Administration of medications to patients per physician order.
• Charting of treatment information, meds, routine tests, etc. per procedure.
• Review of medications with patients.
• Responsible for notifying the Charge Nurse, physician, or other team member of any aspect of a patient's condition, which warrants further attention, whether it be medical, psychosocial, dietary, etc.
• Transfer/transport of patients within the facility with sufficient assistance from other staff.
• Functions as a Charge Nurse when necessary including the daily check of emergency equipment, physician communication, etc.
  Requirements Include
• Current RN license in applicable state. License must be maintained as current and in good standing.
• 12 months of clinical experience in providing nursing care and 3 months of experience in the specific modality for which the nurse will provide home dialysis training, except in states with a more stringent requirement.
• Previous experience in providing nursing care to patients on maintenance dialysis preferred.
• CPR certification required prior to patient care assignment.
• Confirmation of ability to distinguish all primary colors.
• Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
• Must have basic computer skills; proficiency in all PLR clinical applications required within 90 days of hire.

Must meet all licensure and practice requirement(s) for the applicable state.

• Ability to meet minimum hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment.