RN, Registered Nurse - Hemodialysis - PRN

Description Summary : A Registered Professional Dialysis Nurse is responsible for the delivery of patient care through the process of assessment, diagnosis, planning, implementation and evaluation. This position participates in the development and implementation of individualized and comprehensive plan of care for each patient, provides direct and indirect care to patients as it relates to their dialysis treatment, including pre- and post-assessments, and administrations of medications during dialysis. In addition, the Registered Professional Dialysis Nurse operates all dialysis equipment and supplies in accordance with hospital and departmental policy to provide expected patient outcome and documents in the medical record accordingly. CHRISTUS Spohn Hospital Beeville is designated by the Texas Department of Health as a Level IV Trauma Center, providing 24 hour emergency and intensive care services for critically ill or injured patients, and stabilizing some 16,500 patients in the ER each year. CHRISTUS Spohn Hospital Beeville offers Emergency Services, Intensive Care, Medical Surgical Services, Obstetrics, Surgical Services, Critical Care, and Rehabilitation Services. The hospital has three operating rooms; eight same-day surgery rooms; two endoscopy rooms; an expanded recovery area; new cardiopulmonary service area and an expanded outpatient services wing. Women’s Services includes nine birthing suites and a full service nursery, with access to a level III Neonatal Intensive Care Unit. Responsibilities : Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene including cleaning and disinfection of work surfaces and equipment per hospital and departmental policies. Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with hospital and departmental policy to provide expected patient outcome; 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 that include, but are not limited to; patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs and review of current labs, assessment and care of the dialysis access. Obtains pre- and post-dialysis lab specimens per physician order and hospital / departmental policy. Initiates, monitors, and terminates each dialysis treatment per departmental policy and procedure. Follows hospital and departmental policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Follows hospital and departmental policy and procedure in the administration of medications during dialysis. Participates in the development and implementation of an individualized and comprehensive plan of care for each patient. Requirements : Education / Skills Graduate of a Registered Nursing program, Bachelor Degree preferred Excellent customer service, negotiation and communication skills Experience At least 6 months dialysis experience preferred 12 months acute clinical experience as a Registered Nurse required 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 Previous healthcare management experience, preferred Licenses, Registrations, or Certifications RN license in good standing in state of employment or a compact state , if applicable Registered Nurse (RN) required American Heart Association Basic Life Support Certification in Nephrology Nursing preferred A Water Treatment Knowledge Exam- within twelve (12) weeks of employment A Hemodialysis Knowledge Exam- within twelve (12) weeks of employment Certification in Nephrology Nursing preferred, required within 1 year of eligibility to take the exam Work Type : Per Diem As Needed