Position Description: General job duties. Types of procedures required.
Performs hemodialysis on hospitalized acute and chronic dialysis patients with an array of diagnoses. Provides direct care of the patient while in the dialysis unit and communicates with doctors and assigned nursing personnel regarding the dialysis treatment and other pertinent information. Administers dialysis-related medications appropriately, as well as other ordered medications as needed. Administers blood and blood products. Draws lab specimens from dialysis circuit. Documents in the Epic EMR.
Performs automated peritoneal dialysis procedures (including urgent-start PD) on hospitalized PD patients (desired – not required)
Performs apheresis procedures including Therapeutic Plasma Exchange and Red Blood Cell Exchange (desired – not required)
Equipment utilized in the unit/dept.
Fresenius K, K2, T machines; Gambro Phoenix; Amia Cycler; Spectra Optia Apheresis System; Portable osmosis equipment; Central reverse osmosis system; Crit Line Monitors; Phillips monitors; Phoenix hydrameters; IV pumps; various oxygen delivery systems; Chest Tubes; Suction equipment; Wound vacs; A-lines, Electronic Medical Record (Epic); AcuDose medication system; Glucometer; various office equipment including phone & fax
Required skills and minimum years of experience.
At least 2 years acute dialysis experience required. Must be able to perform all aspects of hemodialysis treatment for critically ill patients independently, including; assessment of fluid status;cannulation of fistulae & grafts; accessing and caring for central lines; setting up the dialysis delivery system; initiating and terminating treatment; troubleshooting alarm conditions; and troubleshooting access issues. Must have a good working knowledge of patient response to hemodialysis and interventions required to counter adverse events, including hypotension, cramping, and nausea/vomiting. Must be knowledgeable of the Dialysis Water Delivery System including normal and abnormal constituents of the product water. Must also be knowledgeable of signs and symptoms of potentially fatal events such as pyrogenic reactions and hemolysis. Proficiency in automated peritoneal dialysis and apheresis procedures desired, but not required. Must have a basic knowledge of cardiac rhythms. Must have basic med-surg skills including suctioning, chest-tube maintenance, etc.
Specific licensures and certifications/registrations required.
BLS & ACLS required. CNN or CDN preferred.
Shift or schedule requirements.
Scheduled shifts are 630 a.m. – 630 p.m., but end-of-day add-ons are possible resulting in extended hours. Every other Saturday is required with on-call for one to two Sunday day shifts per schedule. On call shifts of 630 pm – 630 a.m. are required and are usually one night per week. Bedside treatments in ICU are scheduled on a rotational basis and are 1:1.
Floating to other units/departments.
Bed size/number of rooms for this unit/dept.
Nurse to patient ratio of this unit.
1 nurse to 2 patients (except bedside ICU treatments, apheresis treatments, and Hep B patients which are 1 nurse to 1 patient)
Navy blue scrubs with navy blue scrub jacket if needed
Tell us about the unit/department specific training and orientation program.
Orientation will be dictated by experience level of the Traveler. A minimum of one week s orientation consisting of a skills competency checklist and policy review
Comments: Must be proficient in hemodialysis, peritoneal dialysis, and apheresis procedures. Must be willing to take call if needed.