Dialysis Registered Nurse (RN), 3 days/wk, 36 hrs. Full Time - (Fort Bragg) in Mendocino, California For Sale

To be considered for the position, please (1) upload your resume, (2) complete the application in its entirety, and (3) answer the screening questions. Summary: The Registered Nurse provides specialized nursing care in the hemodialysis unit or the home department. In the absence of the Charge Nurse, the Registered Nurse coordinates the activities of the department staff and patients. Responsibilities: Essential Duties and Responsibilities include the following. Other duties may be assigned. Conductsand documents patient assessments pre, during and post dialysis. Maintainspatient confidentiality of information. Prior to initiation of dialysis, (1) performs or assures performance andcharting of chlorine and chloramine test on reverse osmosis (RO) productwater, (2) assures that machine has no residual disinfectant, (3) checksmachine alarms, (4) assures that conductivity, temperature and pH ofdialysate have been confirmed with an independent meter and charted, (5) confirms patient treatment orders for dialyzer, bath composition,pre-treatment blood work, medications or special procedures. Initiates,monitors and terminates dialysis. Performs hemodialysis treatments in accordance with approved facility policies and procedures. If mechanical problems are noted with a machine, tries to troubleshoot the problem; if unable to resolve the problem, contacts appropriate technicalpersonnel. Recognizeschanges in a patients condition and / or emergent situations and takes immediate and appropriate actions. Communicatespatient problems to physicians and documents whether or not new orders resulted from the physician. Transcribes and implements physician orders as well as electronically enters orders in the MIS, as needed. Administersand charts all prescribed pre, intra and post dialysis medications andcharge items in the Medical Information System (MIS) and on the treatment flow sheet. After dialysis, performs or assures that a machine is disinfected internally, according to the facility protocol; disinfects the outside of the machine,chair, and counter behind the machine. Disposesof contaminated trash in appropriate receptacles. Directsand monitors non-licensed patient care staff in accordance with facilitypolicies and procedures. Documentsproperly the Epogen count (beginning and ending inventory count) in the Epogen overfill MIS screen. Assists in teaching and training new staff members as directed by the head nurse. Monitorspatient care parameters on an ongoing basis. Identifiesand coordinates patient care with physicians to comply with established protocols and local ESRD Network criteria. Documentspatient care provided according to DCI and nursing standards. Collaborateswith other disciplines to develop, identify and implement plans to address patient care problems. Writesa monthly progress note on every assigned patient. Participates in patient care conferences, medical rounds and chart reviews, asassigned. Provides initial and ongoing patient teaching. Documentspatient education to ensure compliance with the local ESRD Network, regulatory agencies, DCI corporate and clinic requirements. Obtainsmedical release forms and consent forms annually, or as required. Interactswith local hospitals as a liaison to facilitate continuity of care. Workswith the head nurse to maintain medication inventory of the facility. Works with the chief technician to ensure an adequate stocking of unit supplies. Reportshousekeeping and equipment problems to technical staff. Knowsand follows clinical policies and procedures according to acceptedstandards of care, DCI policy and regulatory requirements. Workswith the head nurse and nurse manager to assure that occurrence reporting,fire drills, emergency preparedness reviews, mock code drills, infectioncontrol practices, OSHA compliance, sharps injury prevention programs,proper disposal of hazardous waste materials, and post exposureprophylaxis are carried out in a timely fashion. Assumedresponsibility for professional growth through reading and attending conferences and workshops. Knowsand follows written human resource policies. Participatesin the evaluation of performance of equipment. Pursuesthe acquisition of required supplies and equipment through appropriate channels. Maintainseffective communication among clinical and technical staff, physicians, patients, administration, social work and dietary personnel. Assiststhe head nurse in administrative and supervisory duties. Activelysupports and promotes appropriate staff attitudes and loyalty tomanagement. Maintainsa clean and orderly work environment. Knowsand implements safe and effective infection control procedures inaccordance with facility policies and procedures. Knowsand practices procedures related to hazardous waste disposal. Adheresto OSHA (Occupational Safety and Health Administration) requirements forjob safety and prevention of blood borne pathogens (personal protectiveequipment, etc.) Knowsand is able to implement emergency, fire, disaster and CPR protocols. Referspatient care needs to the head nurse and director of nursing forconsideration in budget preparation. Participates Supervisesnon-licensed direct patient care staff.
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