PURPOSEANDSCOPE:
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
PRINCIPALDUTIESANDRESPONSIBILITIES:
Patient Related
Education:
Treatment:
Welcome assigned patients and inquire as to their wellbeing since their last treatment.
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
Monitor patients' response to dialysis therapy.
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
Obtain Hemostasis and apply appropriate dressings.
Evaluate the patient prior to discharge.
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
Perform and document any intervention for unusual patient status and document patients' response to intervention.
Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
Obtain all prescribed laboratory testing and prepare specimens for collection.
Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
Monitors patients performing self-care under the supervision of RN.
Staff Related
Education/Communication:
Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
Initiate Solution Delivery System (SDS) system.
RECORD KEEPING:
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
Enters all treatment data into the designated clinical application in an accurate and timely manner.
Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
omitted entries are completed or corrected by appropriate staff.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
INFECTION CONTROL:
Assists in collecting information for infection control audits.
Supports staff and patient Adherence to infection control practices.
Follows infection control Policies and Procedures
Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.
TRANSITIONAL CARE UNIT:
Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
Reinforces all education and care related matters as it relates to the new patient as allowed by state law
Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
Sets and preforms a treatment on all machines used in the transitional care.
United States - LA - LA - La Place
May 14, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - New Orleans
May 1, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At...
United States - LA - LA - Gretna
May 22, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Kenner
May 14, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - New Orleans
May 26, 2024
Posting End Date: 08/07/2023 • Work Place Flexibility: Hybrid • Legal Entity: Entergy Services, LLC • This posting may be used to fill multiple vacancies. The open position(s) can be filled in New Orleans, LA ( preferred); Jackson, MS; Little Rock, AR; or The Woodlands, TX. Other locations within...
United States - LA - LA - Lafayette
May 3, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Kaplan
May 19, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Breaux Bridge
May 25, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Baton Rouge
May 17, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Haughton
May 26, 2024
Sign on and referral bonuses up to $10,000 for qualified candidates Based in the Greater Houston Area, Houston Methodist is comprised of a nationally recognized academic medical center and six community hospitals, located within the largest medical center in the U.S. • We continue to grow to meet...
United States - LA - LA - Jennings
May 1, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Raceland
May 22, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Kenner
May 14, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Campti
May 26, 2024
Overview: Join Our Team as a Registered Nurse • Do you value the time you spend with your patients? Is it important to you that your patients and their families know and feel that you are with them? We are looking for registered nurses who are committed to creating meaningful patient experiences. As...
United States - LA - LA - St Martinville
May 26, 2024
Sign on and referral bonuses up to $10,000 for qualified candidates Based in the Greater Houston Area, Houston Methodist is comprised of a nationally recognized academic medical center and six community hospitals, located within the largest medical center in the U.S. • We continue to grow to meet...
United States - LA - LA - New Orleans
May 22, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Baton Rouge
May 17, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Crowley
May 1, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Lafayette
May 25, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Houma
May 1, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At...
United States - LA - LA - Metairie
May 26, 2024
Focus Staff is seeking a Intensive Care Unit Registered Nurse for a travel contract in Metairie, LA. The ideal candidate will have at least 1 year of experience in a ICU setting. Contract Length: 13 Weeks Start Date: 06/18/2024 Shift: 3x12 Nights Benefits for Travel ICU RNs: • Health insurance •...
United States - LA - LA - Lafayette
May 1, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Tickfaw
May 26, 2024
Sign on and referral bonuses up to $10,000 for qualified candidates Based in the Greater Houston Area, Houston Methodist is comprised of a nationally recognized academic medical center and six community hospitals, located within the largest medical center in the U.S. • We continue to grow to meet...
United States - LA - LA - New Orleans
May 20, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....
United States - LA - LA - Grambling
May 26, 2024
Sign on and referral bonuses up to $10,000 for qualified candidates Based in the Greater Houston Area, Houston Methodist is comprised of a nationally recognized academic medical center and six community hospitals, located within the largest medical center in the U.S. • We continue to grow to meet...
United States - LA - LA - New Orleans
May 26, 2024
Client in LA seeking Stepdown Neuro Registered Nurse (RN) to work Night 3x12-Hour (18: • 45 - 07: • 15) Louisiana has arguably the most colorful history and fascinating culture of any state in the nation. • In what other state could you visit the battleground where a ragtag group of soldiers...
United States - LA - LA - Kenner
May 14, 2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. • We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways....