REGISTERED NURSE (Ambulatory Care-MDS Outpatient Hemodialysis Unit)

Job Summary

To provide nursing care and support to the adult in-center hemodialysis patient with acute kidney injury (AKI) or end stage renal disease (ESRD). To maintain clinical expertise within this unique population requiring specialized renal therapies. To provide nursing advice and consultation to other health care team members.

• Utilize the nursing process to provide nursing care to facilitate the attainment and maintenance of an optimal level of health for patients and families.
• Collaborate with other health care team members and utilize associated resources to provide continuity in patient care and participate with healthcare team members for problem solving.

Responsibilities*

• Staff Related - Collaborate and delegate with the Patient Care Technicians (PCT) provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
• Participates in staff training and orientation of new staff as assigned.
• Assists with medication tracking and inventory as assigned.
• Checks availability of adequate emergency equipment and supplies as assigned.
• Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling.
• Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
• Manages anemia algorithms
• Promotes infection control, equipment, and environmental safety.
• Medical Records and Documentation - Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
• Professionalism - Enforces policies and procedures, as well as regulations set forth by state and federal agencies and departments. Delegate appropriate duties to assistive personnel.
• Professional Development/Education for Staff - Successful completion of hemodialysis training with satisfactory performance. Contributes to the professional growth of peers and other interdisciplinary team members. Maintains clinical expertise within the unique patient population which require specialized renal therapies.
• Leadership - Responsible for driving the MDS culture through values and customer service standards. Develops and maintains effective professional relationships through effective and timely communication. Able to make appropriate independent nursing decisions and delegate responsibilities when necessary. Promotes outstanding quality patient care in a collaborative, cost effective manner by assessing the diverse needs of the unit and implementing change accordingly.
• Initiates or assists with emergency response measures.
• Document on the daily time sheet tardiness, when leaving early and absences.
• Communication - Promote teamwork by functioning as a resource to peers, other units and various team members involved in the care of patients requiring peritoneal dialysis. Effectively interacts willingly and professionally with peers, patients, families, and interdisciplinary team members.

Qualifications*

• Registered Nurse with current license to practice in the State of Michigan
• Minimum five years recent (within the last 2 years) adult outpatient chronic hemodialysis experience-inpatient dialysis experience will be considered.
• Experience with policy and procedure auditing in preparation for state surveyors
• Knowledge and competence with water room opening and mixing.

Desired Qualifications*

• Previous experience working in a dialysis tech role.
• Baccalaureate degree in Nursing
• Knowledge of Michigan Dialysis Services (MDS) policies and practices
• Previous experience with hospital-based computer systems, Epic, Outlook, M-Learning and eCube clinical charting applications.
• Experience with policy and procedure auditing in preparation for state surveyors
• Comprehensive understanding of End Stage Renal Disease (ESRD) CMS regulations
• ICU or Emergency Department Experience
• Certified Nephrology Nurse

Pay

Nursing at Michigan offers a competitive salary with excellent benefits!

• Hourly range for Registered Nurses $41.78-$64.81/ hour
• Evening Shift Differential-$3.00 / hour
• Night Shift Differential- $4.00 / hour
• Day Shift Weekend Differential- $2.90 / hour
• Evening Shift Weekend Differential- $5.90 / hour
• Night Shift Weekend Differential- $6.90 / hour
• Charge Nurse Differential- $1.00 / hour