Hemodialysis Registered Nurse – East Houston Medical Center

Location: East Houston Medical Center – East Houston /
Channelview–Baytown Corridor, TX
Schedule: Full-time, bedside hemodialysis with rotating call coverage

East Houston Medical Center is a growing, community-focused
acute care hospital serving the East Houston, Channelview, and Baytown corridor
with a commitment to safe, compassionate, and evidence-based care.
We are seeking an elite Hemodialysis Registered Nurse to join our expanding
nephrology service line and provide exceptional care to patients with acute and
chronic kidney disease in our inpatient hemodialysis program.

Position overview

The Hemodialysis RN is a key clinical expert responsible for
managing the full dialysis treatment process from preparation and initiation
through monitoring, discontinuation, and post-treatment evaluation. This nurse
collaborates closely with nephrologists, hospitalists, and the
interdisciplinary team to deliver safe, high-quality dialysis care that aligns
with state and federal standards for end stage renal disease (ESRD) services.

Key responsibilities

• Perform
  comprehensive pre-, intra-, and post-dialysis assessments, including
  review of history, labs, fluid status, vital signs, and vascular access.
  
• Safely
  initiate, monitor, and terminate hemodialysis treatments according to
  prescribed orders, established protocols, and equipment safety standards.
  
• Operate,
  troubleshoot, and oversee dialysis machines, water systems, and related
  equipment; verify alarm checks and safety parameters prior to treatment.
  
• Administer
  ordered medications and blood products during treatment, monitoring for
  and responding promptly to adverse reactions or clinical changes.
  
• Develop,
  implement, and update individualized nursing care plans that reflect
  patient goals, nephrology orders, and evolving clinical status.
  
• Provide
  expert patient and family education on kidney disease, dialysis
  treatments, medications, diet, fluid management, and home self-care
  strategies.
  
• Collaborate
  with nephrologists, hospitalists, case management, social work, nutrition,
  and transplant centers to ensure coordinated, patient-centered care.
  
• Maintain
  meticulous documentation of assessments, treatments, machine parameters,
  interventions, and patient response in the electronic health record.
  
• Uphold
  infection prevention and safety standards, including vascular access care,
  environmental cleanliness, and equipment disinfection in accordance with
  regulatory requirements.
  

Call expectations

• Participate
  in a shared hemodialysis on-call rotation to support emergency and
  after-hours inpatient dialysis needs.
  
• Remain
  reachable and able to arrive on-site within an agreed-upon timeframe when
  called for urgent hemodialysis treatments.
  
• Collaborate
  with the House Supervisor and nephrology team to prioritize emergent and
  non-emergent dialysis cases during call.
  
• Maintain
  readiness to manage clinically complex, time-sensitive dialysis situations
  in a calm and organized manner.
  

What we offer

·     Competitive compensation with
additional call pay for on-call shifts and call-back hours.

·     Comprehensive benefits package,
including medical, dental, vision, retirement options, and paid time off.

·     Supportive leadership, collaborative
physician partners, and a culture that values professional excellence,
integrity, and teamwork.

Requirements

Qualifications

• Current,
  unencumbered Registered Nurse (RN) license in the State of Texas.
  
• Minimum
  of 12 months of recent clinical RN experience in acute care or specialty
  setting.
  
• At
  least 6 months of recent hemodialysis experience in an acute or chronic
  dialysis environment, or nationally recognized nephrology/hemodialysis
  certification in lieu of experience as permitted by regulation.
  
• Current
  BLS certification required; ACLS strongly preferred.
  
• Demonstrated
  proficiency with dialysis equipment, venous access management, and
  emergency response within the dialysis setting.
  
• Exceptional
  communication, critical thinking, and clinical judgment skills, with a
  calm, patient-centered approach in high-acuity situations.