The Acute Registered Nurse provides acute dialysis care and treatment to patients within a hospital environment. This position performs duties as assigned by the Charge Nurse or Acute Manager, including assisting and supervising Patient Care Technicians and Licensed Vocational Nurses. Acute nurses may report directly to an Acute Manager, Administrator or the first line of regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.RESPONSIBILITIES:
- Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments.
- Ensure patient and treatment charge information and other related data are accurate and submitted to the appropriate corporate personnel in a timely manner.
- Demonstrate effective use of supplies and staff labor hours.
- May participate in inventory management, including end-of-month inventory reporting and adherence to company purchasing protocols.
- Perform duties as assigned to meet the patient care or operational needs of the acute program and hospital.
- Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements.
- Perform duties at all times within limitations established by and in accordance with company policy and procedures, hospital policy, applicable state and federal laws and regulations.
- May sign off before each treatment on water quality verification in absence of charge nurse.
- Complete pre and post treatment physical assessments.
- Complete pre and post Handoff Communication with hospital nurses.
- Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites per protocol.
- Set up dialysis machines; report machine problems to biomedical technician and/or Acute Manager as appropriate.
- Clean, disinfect and provide quality control of dialysis machines as required by policy and procedures.
- Participate in infection control monitoring, implementation, and recording as requested.
- Be familiar with emergency equipment and all emergency operational procedures.
- Demonstrates effective staffing, as appropriate with staffing ratios per state regulations and effective patient care, under the direction of the Acute Manager.
- Ensure provision of dialysis related services such as Hemodialysis, Peritoneal dialysis, Continuous Renal Replacement Therapy (CRRT) and Plasmapheresis (TPE) if contracted to do so.
- Participate in all JCAHO, CMS, DPH and OSHA surveys as required.
- Ensure nursing care is carried out as directed and treatment is administered in accordance with physician instructions.
- Ensure appropriate and required information is documented in patient records.
- Inform Acute Manager or Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy.
- Prepare and maintain dialysis machines and systems per policy: maintain dialysis records, prepare dialysis water treatment system for use according to established procedure and understand technical operations to resolve minor problems independently.
- Notify Bio-Medical Technician regarding machine or water treatment malfunctions and provide appropriate documentation.
U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran.
- Current RN license in applicable state. License must be maintained as current and in good standing.
- 12 months or more current nursing experience preferred.
- Previous experience in providing nursing care to patients on maintenance dialysis preferred.
- CPR certification required.
- Confirmation of ability to distinguish all primary colors.
- Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
- Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire.
- Must meet any practice requirement(s) for the applicable state.
- Ability to meet minimum hospital/agency hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment.
- Minimal travel may be required. (up to 25% of time)
- Exposure to chemicals used within the facility (Renalin, Bleach and Acidified Concentrate; refer to MSDS for other chemicals used within the facility).
- Exposure to blood and other potentially infectious materials (ongoing training provided for employee safety).
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