Job Description

Job Summary:

The individual in this role assumes direct responsibility and accountability for the care of chronic dialysis patients as well as oversight of unlicensed assistive staff in assigned/designated areas. This individual provides safe, effective, and compassionate care that is consistent with State and Federal regulations and Company policies, procedures, and guidelines and within his/her scope of practice.

Duties and Responsibilities:

• Provide direct patient care in a knowledgeable, skillful, consistent, and continuous manner as related to scope of practice.
• Provide supervision of assigned direct patient care staff, including pre-assessment, monitoring of treatment initiation, intradialytic monitoring, treatment termination, and post-assessment.
• Oversee the operations prior to the first treatment of a patient (including verifying of opening procedures completed by technicians such as water checks, etc.).
• Oversee the closing of the facility after last procedure (including verifying of closing procedures completed by technicians), ensuring readiness of facility for next day's operations.
• Ensure complete and accurate daily assessments, progress notes, and system documentation are complete and reported in an efficient and timely manner.
• Communicate with Care Team on any patient assessment concerns or issues.
• Complete daily staff assignments ensuring completion of assigned tasks.
• Implement orders and changes including communication to appropriate disciplines.
• Communicate patient condition changes and/or problems with medical staff and other healthcare team members on an ongoing basis.
• Perform admission assessment on assigned patients as well as an on-going assessment.
• Formulate long-term plan of care as well as interim plans together with the interdisciplinary care team.
• Evaluate plan of care implemented and patient's response to treatment.
• Schedule patients for treatments.
• Know and abide by all facilities policies and procedures to ensure compliance with all clinical and technical issues.
• Check and update physician's orders
• Demonstrate critical thinking skills and professional communication.
• Review and verify completion of required water testing each patient shift as assigned.
• Complete the daily run/flow sheet review on treatments as assigned.
• Draw and administer patient medications and perform medication reviews as needed.
• Perform patient care utilizing universal safety precautions and monitor infection control

Secondary Responsibilities:

• Take on assigned functional management responsibility (such as Anemia Management, Access Management (catheter monitoring), Transplant Management, Foot Care, Bone Management, Case Management, or other functional responsibility) and manage program to drive desired outcomes.
• Infection control
• Delegate tasks and assignments to other patient care staff as needed.
• Conduct patient foot checks
• Assess patient and family learning needs formulating a patient teaching plan.
• Demonstrate appropriate emergency response following established protocols and complete all documentation in accordance with Company policy.
• Help with inventory, when needed. Ensure all supplies are stocked and readily available.
• Evaluate patient progress monthly.
• Prime or troubleshoot dialysis machine issues, involve biomed tech when needed.
• Round with Doctors/Medical Director as needed.
• Maintain a working knowledge of center water system and be able to complete assigned water treatment testing
• Assist in the implementation of QAPI improvement activities.
• Perform functions as needed (answer phones, fax requests for patient files, fill out other patient paperwork, audit files, referral scheduling, downloading of treatment data, etc.).
• May act as preceptor for new employees if trained for certified preceptor.
• Participate on committees, task forces, and work groups on a voluntary and appointed basis.
• Enforce and adhere to all HIPAA compliance policies.
• Demonstrates customer service to internal and external customers.
• Travel is minimal in this role.
• Perform other duties as assigned.

Required License(s)/Certification(s):

• Licensed Registered Nurse credentialed from the State Board of Nursing in Florida or licensed in a compact licensure state provides a multistate license that allows nurses to practice with patients across state lines.
• Must obtain CPR/BLS certification within first 60 days if not already certified

Education/Experience/Qualification:

• An associate degree in Nursing or Nursing Diploma required.
• Prefer a bachelor's degree in nursing.
• Minimum of two years of recent dialysis experience required.
• Med/Sur, ICU/CCU, or ER or other critical care experience preferred.
• Certification in Dialysis specialty encouraged.
• Must have demonstrated record of and commitment to safety, and dedication to excellence.
• Must possess outstanding communication and interpersonal skills. Must be able to communicate professionally and effectively with other staff members, patients, and physicians.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to speak effectively with clients and fellow staff members.
• Must have computer skills including data entry, navigation around software and basic troubleshooting skills.

Compensation

• $38 - $40 per hr
• Shift - Monday, Wednesday, Friday: 4:30-5:30am for set up - 7:00pm, if not earlier

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