Registered Nurse Tier 1 Dialysis

Overview

The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the

principles of psychological, biological, physical, and social sciences in the application of the nursing process in

the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary

team members; provide physical and psychological support to patients, friends, and families; supervising

assigned team members and students.

The Inpatient Dialysis RN provides specialized nursing care to patients undergoing dialysis treatment in an acute

care setting. This role includes patient assessment, treatment administration, emergency response, and

interdisciplinary collaboration to ensure safe and effective dialysis care. The RN may deliver care across multiple

modalities including hemodialysis, peritoneal dialysis, and continuous renal replacement therapy (CRRT).

Responsibilities

Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and

adjust plan of care utilizing critical thinking skills

The performance of other nursing acts which are authorized or limited by the board, and which are consistent

either with American Nursing’s Association Standards of Practice or with Standards of Practice established by

nationally accepted organizations of registered nurses.

Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension

The administration of medication, intravenous therapy and treatment as prescribed by a LIP

Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing

care.

Mentors and precepts students and orient new staff as assigned

Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent

information

Participates on various teams, committees or performance improvement initiatives

Ensures a safe and secure environment for patients, coworkers and self

Participates in Discharge Planning and Transition of Care (able to define pt needs)

Serves as a patient advocate and escalates patient related concerns timely

Timely documents pertinent findings in medical record

Assist patients in performing activities of daily living and functions as an active team member

Assumes responsibility for personnel professional development

Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude

Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless

contradicted)

Functions as a positive influence, role model and adheres to professional code of conduct

Conduct comprehensive patient assessments prior to, during, and after dialysis treatments.

Administer dialysis treatments in accordance with physician orders and established protocols.

Safely administer medications related to dialysis care and monitor for adverse reactions.

Respond promptly and effectively to dialysis-related emergencies and changes in patient condition.

Educate patients and families about dialysis procedures, post-treatment care, and long-term management.

Document all aspects of patient care accurately and timely in the electronic medical record.

Collaborate with nephrologists, hospital staff, and dialysis team members to coordinate care.

Manage dialysis equipment setup, operation, troubleshooting, and disinfection across all modalities.

Ensure compliance with infection control, safety, and regulatory standards.

Participate in quality improvement initiatives, staff education, and ongoing training.

Respects dignity and confidentiality of all matters relating to patients

Performs other job duties as assigned.

Qualifications

Education (experience can be substituted for education)

Bachelor's Degree Preferred

Associate's Degree Required

Work Experience (education can be substituted for experience)

Up to one-year Acute care or dialysis experience Preferred.

Experience with hemodialysis, peritoneal dialysis, or CRRT is highly desirable. Preferred.

Knowledge, Skills and Abilities

Mastery of problem solving and decision making skills.

Mastery of collaboration and teamwork.

Mastery of growth mindset (agility and developing yourself and others) skills.

Mastery of execution and delivery (planning, delivering, and supporting) skills.

Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one.

Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.

Mastery knowledge of phases of care transitions and resources available for patients.

Mastery of digital literacy skills.

Licenses and Certifications

Registered Nurse. Required

BLS upon hire Required

De-Escalation Training within 6 months of hire Required

Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required