Dialysis RN Registered Nurse

Position Summary

Current Openings 

Arnold Palmer Hosptal-Experienced PEDS Renal Dialysis RN VFT Days

The Inpatient Dialysis RN functions as part of the Inpatient Services health care team to ensure provision of quality patient care in accordance with OH policies, procedures, and training. Supports commitment to the Quality Enhancement Program (QEP) and Quality Assurance Initiative (QAI) Activities, including those related to patient satisfaction, through the delivery of care in a specialized care environment. Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis.

Education/Training
• Graduate of an approved school of nursing.
• Meets all mandatory, developmental, and performance competency requirements for Orlando Health and unit/department.

Licensure/Certification
• Maintains current State of Florida RN license
• Maintains current BLS/Healthcare Provider certification.

Experience
• One year RN experience recommended and required nursing skills
• Minimum 3 months nephrology experience required before working independently with no other Dialysis

APH Hemodialysis, apheresis and CRRT experience preferred

Essential Functions
• Delivers safe and effective patient care in compliance with established company standards; hospital policies and procedures, inpatient renal services policies and procedures, as well as regulations set forth by the
• corporation, state, and federal agencies.
• Responsible for reporting all new or unusual incidents, information, complaints, or problems to the pertinent inpatient program manager and other parties to notify per the Adverse Event Report requirements.
• Collaborates with diverse healthcare team.
• Provides and requests information from other team members as they receive and discharge patients from care according to policy.
• Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by the relevant inpatient program manager.
• Responsible for the compliance, support and delivery of all relevant company and contracted facility policies and procedures.
• Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined-hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis.
• Responsible for assessing patient and family understanding of therapy regimen and conducting ongoing education for patients and their families regarding any assessed misunderstandings of therapy requirements facing the inpatient.
• Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicates problems or concerns to the Dialysis Coordinator, appropriately credentialed physician, patient hospital primary nurse and others as indicated.
• Provides, supervises (if applicable), and monitors vascular/peritoneal access care according to established procedures.
• Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
• Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.
• Initiates and coordinates communication to OH’s facility nursing staff and appropriate hospital personnel as needed.
• Ensures all physician orders are transcribed and entered into the medical record in a timely manner.
• Accurately documents all treatment information in the individual patient record.
• Reports any significant patient information to the correct health care team member(s) including the physician etc.
• Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies.
• Appropriately completes any required documentation and contacts the inpatients chronic facility before hospital discharge
to discuss the events of the hospitalization.
• Promotes and assists in the maintenance of a safe and clean working environment maintaining environmental integrity and aesthetics.

Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.
• Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
• Performs all required pre treatment dialysis machine alarm testing.
• Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste.
• Operates all related equipment appropriately and safely and provides minor troubleshooting when necessary.
• Ensures familiarity with company, inpatient renal services program and hospital emergency procedures.
• Understands, conducts and documents appropriately dialysis/apheresis machine safety tests/alann tests, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water machines, and complies with documentation/notification standards per OH policies.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
• Performs all other duties as assigned.

Other Related Functions
• Participates in staff meetings as scheduled.
• Participates in the patient's daily plan of acre.
• Acts as a resource for all staff members as needed.
• Collaborates with SRMC's employees in a collegial manner to improve patient outcomes.
• Participates in staff training and orientation as assigned