Staff RN - Dialysis / Dialysis

Responsibilities

• Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards.
• Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients.
• Assesses patient/family need for education and uses an individualized approach in delivery style.
• Affirms family expectations for, and involvement in the assessment and continuous care or treatment of the patient.
• Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission.
• Shift Assessment/Reassessment: Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition as it pertains to dialysis care.
• Communicates changes to appropriate persons (MD, CNC, family) as indicated.
• Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs in relation to dialysis care.
• Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team.
• Utilizes individualized assessment data to develop the patient/family’s plan of care.
• Formulates goals and outcomes based on assessment data.
• Revises plan of care based on patient’s condition, interdisciplinary input, and family needs.
• Demonstrates ability to prioritize patient interventions based on assessments/reassessments.
• Uses available child care partners to support patient care needs as appropriate.
• Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs in relation to dialysis care.
• Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed.
• Identifies the need for interdisciplinary involvement/outside resources and follows through.
• Uses appropriate resources (CNC, CNS/Educator, PCM, MD, etc) to ensure that clinical outcomes are achieved.
• Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments.
• Demonstrates clinical competence in administering interventions according to identified standards and age specific needs.
• Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn.
• Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures during dialysis treatments.
• Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility).
• Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc.
• Completes and verifies accurate order entry in the computerized care plan.
• Ensures that discharge instructions clearly state patient care needs after discharge.

Essential Functions

• Regular attendance at work is an essential function of the job.
• Perform physical requirements as described in the Physical Requirements section.
• Professionally supports the assigned unit, as seen through interactions with patients, families, area staff, colleagues and others.
• Accepts assignments to float to other units utilizing clinical skill sets and appropriate resources, delegating when appropriate.
• Accepts assignments to mentor student nurse observation experience in unit.
• Accepts assignments to share/teach knowledge and provide clinical support as a relief preceptor for new staff.
• Professionally seeks opportunities to help teammates during shift as needed.

Education Qualifications

• Associate's Degree from an accredited school of nursing Required
• Bachelor's Degree from an accredited school of nursing Preferred

Experience Qualifications

• Minimum 1 year of RN experience Required
• Preferred Previous experience with EPIC

Skills And Abilities

• Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure Required
• BCLS - Basic Life Support Current and valid Basic Life Support (BLS) through the American Heart Association Required
• PALS - Pediatric Advanced Life Support within 180 Days Required