Registered Nurse - Ambulatory (Dialysis - Per Diem)

Job Description

Performs an age‑specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health‑team members in coordinating and implementing procedures and treatments. Uses leadership skills and clinical judgment in coordinating patient care and directing/delegating activities of the patient‑care unit team.

Responsibilities

• Assess the patient’s physiologic health status: conduct patient interviews, explain policies and procedures, review charts, perform comprehensive health assessments across all body systems, determine mobility, sensory deficits, prostheses use, skin condition, pain level and pain management, and document findings and the plan of care.
• Assess the patient’s psychosocial health status: elicit perceptions of care, determine coping mechanisms, knowledge level, cultural/ethnic requirements, and document psychological status and care plan; coordinate support groups, counseling, and social services.
• Identify patient outcomes: develop criteria for measuring outcomes, identify actual or potential problems, determine teaching needs, create outcome statements and individualized goals.
• Formulate the plan of care and establish priorities: coordinate cost‑effective use of supplies, equipment and medication, document the plan, and collaborate with physicians and other team members.
• Implement the plan of care: maintain vigilance for safety precautions, exercise professional skills, reassess and revise the plan as needed, administer prescribed treatments and equipment correctly, provide emotional support, apply scientific principles safely and efficiently, document observations, act rapidly in emergencies, and communicate effectively with families or caretakers.
• Evaluate care provided for patient outcome: measure effectiveness of care, perform variance analysis for performance improvement, design and evaluate systems to improve unit care, and maintain accurate documentation.
• Collaborate with the care team and provide direction: work with physicians or providers on the plan of care, interpret and implement treatment regimens, assist during procedures, keep the Patient Care Manager and providers informed of changes, and use clinical judgment in delegating assignments.
• Provide wound care and pressure‑ulcer management (Stages I–IV): perform preventive skin care, apply dressings using aseptic technique, use warm/cold compresses, perform irrigations, and carry out other skin‑care procedures as needed.
• Administer medications safely: correctly identify medication, meet standard medication‑administration examination requirements, prepare local solutions and IV drips, document administration, follow department policy for IV push medications, and educate patients and families about drug and food interactions.
• Participate in patient and family education: explain conditions, record and verbalize assessment data, utilize teaching opportunities and resources, plan early discharge and appropriate referrals, coordinate follow‑up care, evaluate teaching effectiveness through feedback, and document outcomes.
• Perform related duties as required. All responsibilities are considered essential functions under the Americans with Disabilities Act.

Qualifications

• Graduate from an accredited School of Nursing.
• Bachelor’s Degree in Nursing (preferred).
• Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN degree within five (5) years of the job entry date.
• Current license to practice as a Registered Professional Nurse in New York State.
• Specialized certifications as needed.
• Previous experience working in dialysis (highly preferred).