Dialysis RN

JOB SUMMARY:

The Outpatient Dialysis RN provides resident treatment and ongoing support for residents choosing hemodialysis modality in the home. This position is accountable for providing quality care to all assigned residents and is committed to delivering superior customer service in all internal and external interactions.

GENERAL REQUIREMENTS:

• Performs all job responsibilities in alignment with the mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Wears protective clothing and equipment as appropriate.

GENERAL SKILLS:

• Ability to communicate in English, both verbally and in writing.
• Additional languages preferred.
• Strong written and verbal skills.
• Basic Computer Skills

WORKING CONDITIONS:

• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
• May be exposed to high noise levels and bright lights.
• May be exposed to limited hazardous substances or body fluids, or infectious organisms.
• May be required to change from one task to another or different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• May be scheduled as needed including overtime.

PHYSICAL REQUIRMENTS & DEMANDS:

• Have near normal hearing: Hear alarms/telephone/normal speaking voice.
• Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors.
• Have good manual dexterity.
• Have good eye-hand foot coordination.
• Ability to perform repetitive tasks/motion.
• Continuously within shift (67-100%): Standing, Walking.
• Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry > 20 lbs. with assistance.
• Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry > 50 lbs. with assistance, Reaching above shoulder.

MISSION STATEMENT:

QUALITY HEALTHCARE: In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis and treatment.

JOB SPECIFIC COMPETENCIES:

• Understand vendor product delivery methods and associated fees. Ensure patients receive all supplies in timely manner to not disrupt care.
• Ensure patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.
• Oversee equipment management including equipment tracking and retrieval.
• Discuss dialysis options at all care plan meetings and as needed to prepare for and support the resident through transition to other care methods.
• Perform duties as assigned to meet the patient care or operational needs of the program.
• Continually seek to improve resident and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. Assist in obtaining data for the continuous quality improvement activities.
• Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent resident needs to the responsible physician in a timely manner.
• Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician.
• Provide resident and family education and follow up as needed.
• Assist with the program’s target goals for patient outcomes in accordance with quality patient care and company goals.
• Conduct pre and post dialysis assessments.
• Initiate and terminate dialysis treatments on residents with permanent fistulas, grafts or catheters.
• Document all nursing services interactions in the EMR including but not limited to routine and non-routine in-person interactions and phone conversations. Documentation should accurately reflect the resident status and nursing interventions and be written to ensure continuity of care.
• Develop and implement the resident plan of care with the interdisciplinary team.
• Participate in infection control monitoring, implementation, and recording as requested.
• Use PPE as required.
• Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.
• Participate in and direct emergency care as needed to the resident.
• Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to resident acceptance into home program.
• Ensure required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results.
• Communicate on-call system to residents and ensure residents have access to nursing support at all times. Teach residents the importance of timely communication.
• Responsible for performing on call nursing services, nights and weekends, on a rotational bases as needed or assigned.
• Communicate results of resident assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the resident.
• Assist with staff training as requested.
• Competencies will be evaluated every 3 months.

PROFESSIONAL REQUIREMENTS:

• Follows Code of Conduct policy.
• Adheres to dress code; appearance is neat and clean.
• Completes annual educational requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled; completes work within designated time.
• Wears identification when on duty; uses computerized time clock system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and/or skills fair and department in-services, as scheduled.
• Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission statement of the organization.

GUEST RELATIONS STANDARDS:

(All guest relation violations are subject to disciplinary action up to and including termination):

• Always treat others in a friendly, helpful manner.
• Refers co-workers to proper sources when unable to provide an answer.
• Interacts with others in a professional and friendly manner.
• Takes interest in others and always gives full cooperation to fellow workers.
• Always maintains an open line of communication with other departments.
• Thoroughly familiar with the hospital and the services it offers.

OTHER:

• Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state and local laws and regulations, as well as, HAMC Policies and Procedures. Every employee is held accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected.
• As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable.

OTHER DUITIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:

• Current RN license in the State of GA. License must be maintained and in good standing.
• Active American Heart Association BLS certification within 30 days of hire.