RN, Registered Nurse - Hemodialysis - PRN

About the Role

A Registered Professional Dialysis Nurse is responsible for delivering safe, high-quality patient care through assessment, diagnosis, planning, implementation, and evaluation. This role involves developing and implementing individualized care plans, providing direct and indirect care throughout the dialysis treatment process, and ensuring the safe operation of dialysis equipment and supplies. The nurse also documents patient outcomes and resource management accurately and timely.

Responsibilities

• Meets expectations of applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment pre-treatment, intra-treatment, and post-treatment.
• Operates dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy; documents in the medical record and records changes appropriately.
• Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order.
• Provides documented pre- and post-dialysis nursing assessments, including patient weight, fluid removal calculations, lung sounds, edema, vital signs, review of current labs, and assessment of dialysis access.
• Obtains pre- and post-dialysis lab specimens per physician order and organizational policy.
• Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure.
• Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues; obtains approval for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection.
• Administers all medications during dialysis, including PRN medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs) per organizational policy.
• Ensures timely transport of patients to and from dialysis treatments to minimize delays in care and maintain treatment schedules.
• Participates in the development and implementation of individualized patient care plans.
• Verifies treatment safety by performing and documenting required equipment safety checks, including acid and bicarb expiration dates, chlorine/chloramine testing before every treatment, and Minncare residual testing as needed.
• Accurately enters charges for patient care to ensure timely and complete documentation of billable services.
• Manages time efficiently to maintain consistent workflow.
• Performs other duties as assigned.

Requirements

• Associate's degree in nursing required; Bachelor's degree in Science in Nursing (BSN) preferred.
• 1 year of dialysis experience required; 1 year of acute clinical experience as a registered nurse preferred.
• Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred.
• Clinical patient care experience in a relevant setting preferred.

Qualifications

• RN license in the state of employment or compact required.
• BLS required.
• ACLS required.
• PALS required at CHRISTUS Children's Hospital.

Schedule

Multiple shifts available.

Work Type

Per Diem As Needed.