Dialysis Nurse-ICU-RN-PRN

Description Summary : A Registered Professional

Dialysis Nurse is responsible for the delivery of safe,

high-quality patient care through the processes of assessment,

diagnosis, planning, implementation, and evaluation. This role

actively participates in the development and implementation of

individualized care plans for each patient, providing both direct

and indirect care throughout the dialysis treatment process,

including pre- and post-treatment assessments and the

administration of prescribed medications. In addition, the

Registered Professional Dialysis Nurse ensures the safe and

efficient operation of dialysis equipment and supplies in

accordance with hospital and departmental policy, applying

principles of stewardship to minimize waste, optimize use of

resources, and preserve the integrity of supplies and equipment.

Documentation in the medical record must be accurate, timely, and

reflective of both patient outcomes and prudent resource

management. By combining clinical excellence with responsible

stewardship, this role supports the delivery of high-value,

sustainable dialysis care. Responsibilities : Meets expectations of

the 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 all available

dialysis equipment and supplies based on safety, effectiveness, and

cost in accordance with organizational policy to provide expected

patient outcomes; documents in the medical record and records

change 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,

review of current labs, and assessment and care of the 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. Nurses are required to obtain approval from leadership

identified per organizational policy, for lab culture collection

from dialysis catheters via the House Supervisor prior to specimen

collection. Follows organizational policy and procedure in the

administration of all medications during dialysis, including

as-needed (PRN) medications, blood and blood products, and

erythropoiesis-stimulating agents (ESAs). Ensures patients are

transported in a timely manner to and from dialysis treatments to

minimize delays in care and maintain treatment schedules. Nurses

should transport patients themselves when necessary to prevent

delays in care or to ensure timely discharge. Participates in the

development and implementation of an individualized plan of care

for each patient. Verifies the safety of each dialysis treatment by

performing and documenting required equipment safety checks,

including acid and bicarb expiration dates and chlorine / chloramine

testing before every treatment and Minncare residual testing as

needed. Responsible for accurately entering charges for each

patient they provide care for, ensuring timely and complete

documentation of billable services in accordance with departmental

procedures. Manages time so that workflow is efficient and

consistent. Perform other duties as assigned. Requirements :

Education / Skills Associate’s degree in nursing required Bachelor’s

degree in Science in Nursing (BSN) preferred Experience ~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 Licenses, Registrations,

or Certifications RN license in the state of employment or compact

required BLS required ACLS required PALS required at CHRISTUS

Children’s Hospital In accordance with the CHRISTUS Health License,

Certification and Registration Verification Policy, all Associates

are required to obtain the required certifications for their

respective positions within the designated time frame. Work

Schedule : PRN Work Type : Per Diem As Needed