Dialysis Nurse - PRN

Patient care & dialysis treatment

Understands basic renal function and the consequences of renal failure; observes and documents patient responses to renal failure and its treatment.

Performs thorough patient assessments prior to, during, and following dialysis treatments; documents findings accurately and timely.

• Initiates, monitors, and terminates hemodialysis treatments in accordance with prescribed dialysis orders and facility protocols.
• Recognizes changes in patient condition during dialysis and makes necessary adjustments to therapy; notifies the physician with appropriate clinical information and implements physician orders.
• Manages vascular access sites, including cannulation of AV fistulas and grafts, and care of tunneled catheters; monitors for and reports infiltrations or access complications per protocol.
• Administers prescribed medications, including intravenous medications and erythropoiesis-stimulating agents (ESAs), according to established facility policies and regulations.
• Distributes and documents medications, including controlled substances, in accordance with established standards and regulations.
• Participates in anemia management and ensures appropriate action on critical lab values.
• Ensures patient discharge management is accurate and complete, including post-treatment assessment and documentation.
• Responds promptly and effectively to emergency situations and initiates appropriate interventions.

Assessment, planning & documentation

Contributes to the assessment of the patient and participates in the development and modification of the individualized plan of care.

Evaluates and regularly re-evaluates nursing needs; initiates, develops, implements, and revises the patient's care plan as needed.

• Maintains confidentiality of patient and employee information at all times.
• Completes incident reports accurately and submits to the Nurse Manager; assists with identification of trends as applicable.

Safety, infection control & quality

Ensures all safety and infection control practices are followed, including proper hand hygiene, PPE use, and dialysis machine disinfection protocols.

• Aids in cleaning, disinfecting, and maintaining equipment as needed.
• Notifies supervisor when supplies need to be ordered or replenished.
• Maintains a clean and safe patient care environment and reports equipment or facility concerns to the appropriate supervisor.
• Participates in Quality Assessment Performance Improvement (QAPI) activities to support and improve patient care outcomes.
• Follows guidelines and goals in accordance with ESRD Network Program requirements and facility governing body standards.

Communication & teamwork

• Communicates effectively with all members of the healthcare team, including physicians, nurse practitioners, dietitians, social workers, and clinical staff.
• Provides clinical supervision to CNAs and Patient Care Technicians (PCTs/Hemodialysis Technicians) as appropriate.
• Delegates tasks that may safely be performed by others, consistent with educational preparation and that do not conflict with the Oklahoma Nursing Practice Act.
• Participates in interdisciplinary care conferences and staff meetings as requested.
• Performs other duties as assigned within scope of practice.

Behavioral standards

• Supports the mission, vision, and goals of Avem Health Partners and serves as a role model within the organization.
• Adheres to the Standards of Behavior: Respect/Professional Conduct and Attitude, Integrity, Communication, Professional/Personal Development, Commitment to Partners/Community, and Excellence.
• Demonstrates positive customer service behavior in all work interactions; demonstrates a courteous and respectful attitude to the internal workforce and external customers.
• Handles difficult situations in a discreet and professional manner.
• Holds self-accountable for professional practice; takes ownership of self and work performed.
• Interacts effectively with diverse populations in stressful situations resulting from trauma and illness.
• Keeps current with nursing trends, dialysis-specific knowledge, and evidence-based best practices; participates in in-service programs as required.
• Assumes responsibility for seeking educational and professional development opportunities and meeting mandatory education requirements.
• Adheres to the Avem Health Partners Code of Conduct, Standards of Behavior, and all applicable policies and health and safety requirements.