POSITION SUMMARY:

Provides direct care to patients with end stage renal disease through the application of the nursing

process. The registered nurse is a member of the interdisciplinary team, which strives to provide

quality services through a team effort.

DUTIES AND RESPONSIBILITIES

Performs physical assessment of patients including vital signs, access, lung sounds and fluid

status, pre-dialysis, and post-dialysis.

Competently completes Skills Checklist.

Oversees/delegates to Patient Care Technicians ...

Verifies physician's order prior to each treatment.

Confirms Nephrologists orders promptly per nursing standards.

Maintains and updates medication log on monthly basis.

Monitors dialysis treatments by performing machine and patient checks, including patient

blood pressure, every 30 minutes.

Administers IV/oral medications as ordered and documents.

Accurately documents care given and the patient's response.

Revises priorities based on evaluation of patient needs.

Identifies emergency situations and takes immediate action per policy and procedure.

Continually functions as a patient educator.

Provides patients with monthly lab results and educates on how to improve or maintain their

quality of health.

Encourages patients to participate in their care as fully as possible.

Follows universal precautions as recommended by the Centers for Disease Control.

Uses aseptic technique when performing clinical procedures.

Confirms acceptable water quality prior to beginning dialysis treatments.

Cleans and disinfects dialysis equipment before and after each treatment.

Maintains equipment per manufacturer's recommendations.

Confirms proper dialysate conductivity, pH and chloramine testing has been done prior to

dialysis treatment.

Assures that machine alarms are functional prior to dialysis treatments.

Demonstrates ability to operate equipment in the event of a power failure.

Disposes of biohazardous waste per unit policy & procedure.

Labels and/or removes defective equipment from the treatment area and arranges for repair.

Utilizes supplies efficiently to contain costs.

Is familiar with the facilities policies and procedures and conducts the practice accordingly.

Documents charges and services and/or credits supplies accurately.

Completes an incident report following any unusual occurrence that could have implications

for risk management.

Cooperates with the ESRD Network's goal to collect data.

Performs dialyzer reuse according to facility standards, if applicable.

? Performs other duties as assigned to maintain and enhance the operation of the program.

QUALIFICATIONS:

Graduate from an accredited school of Nursing

Licensed as a registered nurse in the State of Wyoming

Basic Life Support Certification

Maintain current Driver's license.

Prefer minimum of one-year recent experience in hemodialysis

Must be able to communicate and comprehend accurately and effectively in English, through both

written and verbal correspondence.

Must be able to withstand the stresses and demands of an active position as described in the

Working Conditions section.

Must be able to add, subtract, multiply and divide all units of measure, percentages and decimals.

Must have knowledge through training or experience in

performing patient care activities for adult and geriatric

patients.

Eastern Shoshone Tribe

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