Provides professional, patient-centered dialysis nursing care for the comfort and well-being of patients with end-stage renal disease (ESRD) and acute renal conditions. The PRN Dialysis Nurse administers prescribed medications, monitors patient vital signs, assesses dialysis access sites, and delivers hemodialysis and/or peritoneal dialysis treatments in accordance with physician orders and established protocols. Observes and maintains records on patient care, condition, reaction, and progress. Notifies the Nurse Manager and physician of any change in patient condition. This position operates on an as-needed (PRN) basis and is considered safety sensitive by Avem Health Partners standards.

 

Patient care & dialysis treatment

• Understands basic renal function and the consequences of renal failure; observes and documents patient responses to renal failure and its treatment.


• Performs thorough patient assessments prior to, during, and following dialysis treatments; documents findings accurately and timely.


• Initiates, monitors, and terminates hemodialysis treatments in accordance with prescribed dialysis orders and facility protocols.


• Recognizes changes in patient condition during dialysis and makes necessary adjustments to therapy; notifies the physician with appropriate clinical information and implements physician orders.


• Manages vascular access sites, including cannulation of AV fistulas and grafts, and care of tunneled catheters; monitors for and reports infiltrations or access complications per protocol.


• Administers prescribed medications, including intravenous medications and erythropoiesis-stimulating agents (ESAs), according to established facility policies and regulations.


• Distributes and documents medications, including controlled substances, in accordance with established standards and regulations.


• Participates in anemia management and ensures appropriate action on critical lab values.


• Ensures patient discharge management is accurate and complete, including post-treatment assessment and documentation.


• Responds promptly and effectively to emergency situations and initiates appropriate interventions.


• Performs general patient care duties as assigned.

Assessment, planning & documentation

• Contributes to the assessment of the patient and participates in the development and modification of the individualized plan of care.


• Evaluates and regularly re-evaluates nursing needs; initiates, develops, implements, and revises the patient's care plan as needed.


• Ensures that all required documentation is complete and in compliance with applicable regulations, standards, and facility policies, including accurate data entry.


• Maintains confidentiality of patient and employee information at all times.


• Completes incident reports accurately and submits to the Nurse Manager; assists with identification of trends as applicable.

Safety, infection control & quality

• Ensures all safety and infection control practices are followed, including proper hand hygiene, PPE use, and dialysis machine disinfection protocols.


• Assists with cleaning, disinfecting, and maintaining equipment as needed.


•  Notifies supervisor when supplies need to be ordered or replenished.


• Follows policy and procedure to ensure supplies are checked routinely and not expired.


• Maintains a clean and safe patient care environment and reports equipment or facility concerns to the appropriate supervisor.


• Participates in Quality Assessment Performance Improvement (QAPI) activities to support and improve patient care outcomes.


• Follows guidelines and goals in accordance with ESRD Network Program requirements and facility governing body standards.

Communication & teamwork

• Communicates effectively with all members of the healthcare team, including physicians, nurse practitioners, dietitians, social workers, and clinical staff.


• Provides clinical supervision to CNAs and Patient Care Technicians (PCTs/Hemodialysis Technicians) as appropriate.


• Delegates tasks that may safely be performed by others, consistent with educational preparation and that do not conflict with the Oklahoma Nursing Practice Act.


• Participates in interdisciplinary care conferences and staff meetings as requested.


• Performs other duties as assigned within scope of practice.

 

• Supports the mission, vision, and goals of Avem Health Partners and serves as a role model within the organization.


• Adheres to the Standards of Behavior: Respect/Professional Conduct and Attitude, Integrity, Communication, Professional/Personal Development, Commitment to Partners/Community, and Excellence.


• Exhibits positive customer service behavior in all work interactions; demonstrates a courteous and respectful attitude to the internal workforce and external customers.


• Communicates accurately and appropriately; handles difficult situations in a discreet and professional manner.


• Holds self-accountable for professional practice; takes ownership of self and work performed.


• Interacts effectively with diverse populations in stressful situations resulting from trauma and illness.


• Keeps current with nursing trends, dialysis-specific knowledge, and evidence-based best practices; participates in in-service programs as required.


• Assumes responsibility for seeking educational and professional development opportunities and meeting mandatory education requirements.


• Demonstrates excellent work attendance; actively participates in meetings and training sessions as requested.


• Adheres to the Avem Health Partners Code of Conduct, Standards of Behavior, and all applicable policies and health and safety requirements.

 

• Graduate of an accredited Nursing Program.


• Current RN license issued by the State of Oklahoma Board of Nursing.


• Current BLS (or obtained within 30 days of hire).


• Current ACLS (or obtained within 30 days of hire).


• CNN (Certified Nephrology Nurse) or CDN (Certified Dialysis Nurse) certification preferred, or obtained within 1 year of eligibility.

 

• Minimum two (2) years of clinical nursing experience required.


• Minimum one (1) year of hemodialysis nursing experience preferred; candidates without dialysis experience may be considered if willing to complete facility-approved training.

 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions; such accommodations must be requested by the employee or applicant to be considered.

• Visual and auditory abilities must be intact to perform duties.


• Individual must be able to lift at least 50 lbs.


• Constant standing and walking is required throughout the shift.


• Frequent pushing, pulling, lifting, tugging, and reaching are required.


• Must have the physical strength and agility to position patients for dialysis treatments and a variety of examinations and procedures.