|Company Name: Dialysis Clinic, Inc., (DCI)
|Job Title: Dialysis Registered Nurse (RN), 3 days/wk
|Required Education: Not Specified
|Job Type: Health Care
|Required Experience: Not Specified
|Base Pay: N/A
|Required Travel: Not Specified
|Location: Sacramento, CA
|Employee Type: Full-Time
|Manages Others: Not Specified
|Relocation Covered: Not Specified
|Industry: Healthcare - Health Services
Learn More About DCI
We are a service organization. The care of
the patient is our reason for existence.
To be considered for the position, please (1) upload your resume, (2) complete the application in its entirety, and (3) answer the screening questions.
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.
Essential Duties and Responsibilities
include the following. Other duties may be assigned.
- Conducts and documents patient assessments pre, during and post dialysis.Maintains patient confidentiality of information.
- Prior to initiation of dialysis, (1) performs or assures performance and charting of chlorine and chloramine test on reverse osmosis (RO) product water, (2) assures that machine has no residual disinfectant, (3) checks machine alarms, (4) assures that conductivity, temperature and pH of dialysate 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 technical personnel.
- Recognizes changes in a patient’s condition and / or emergent situations and takes immediate and appropriate actions.
- Communicates patient 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.
- Administers and charts all prescribed pre, intra and post dialysis medications and charge 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.
- Disposes of contaminated trash in appropriate receptacles.
- Directs and monitors non-licensed patient care staff in accordance with facility policies and procedures.
- Documents properly 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.
- Monitors patient care parameters on an ongoing basis.
- Identifies and coordinates patient care with physicians to comply with established protocols and local ESRD Network criteria.
- Documents patient care provided according to DCI and nursing standards.
- Collaborates with other disciplines to develop, identify and implement plans to address patient care problems.
- Writes a monthly progress note on every assigned patient.
- Participates in patient care conferences, medical rounds and chart reviews, as assigned.
- Provides initial and ongoing patient teaching.
- Documents patient education to ensure compliance with the local ESRD Network, regulatory agencies, DCI corporate and clinic requirements.
- Obtains medical release forms and consent forms annually, or as required.
- Interacts with local hospitals as a liaison to facilitate continuity of care.
- Works with the head nurse to maintain medication inventory of the facility.
- Works with the chief technician to ensure an adequate stocking of unit supplies.
- Reports housekeeping and equipment problems to technical staff.
- Knows and follows clinical policies and procedures according to accepted standards of care, DCI policy and regulatory requirements.
- Works with the head nurse and nurse manager to assure that occurrence reporting, fire drills, emergency preparedness reviews, mock code drills, infection control practices, OSHA compliance, sharps injury prevention programs, proper disposal of hazardous waste materials, and post exposure prophylaxis are carried out in a timely fashion.
- Assumed responsibility for professional growth through reading and attending conferences and workshops.
- Knows and follows written human resource policies.
- Participates in the evaluation of performance of equipment.
- Pursues the acquisition of required supplies and equipment through appropriate channels.
- Maintains effective communication among clinical and technical staff, physicians, patients, administration, social work and dietary personnel.
- Assists the head nurse in administrative and supervisory duties.
- Actively supports and promotes appropriate staff attitudes and loyalty to management.
- Maintains a clean and orderly work environment.
- Knows and implements safe and effective infection control procedures in accordance with facility policies and procedures.
- Knows and practices procedures related to hazardous waste disposal.
- Adheres to OSHA (Occupational Safety and Health Administration) requirements for job safety and prevention of blood borne pathogens (personal protective equipment, etc.)
- Knows and is able to implement emergency, fire, disaster and CPR protocols.
- Refers patient care needs to the head nurse and director of nursing for consideration in budget preparation.
- Supervises non-licensed direct patient care staff.
: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Language Skills
: The successful candidate for this job must have the ability to:
Read and interpret documents such as doctors’ orders, other medical communications, safety rules, operating and maintenance instructions and procedure manuals. Mathematical Skills
- Write and communicate in a clear, concise and professional manner.
- Speak effectively with patients, family members, visitors, physicians and other staff members.
- Present information and respond to questions from physicians, managers, patients and staff.
: Incumbent must have the ability to:
- Correctly calculate medication dosages.
- Add, subtract, multiply and divide as needed in the provision of care and charting using whole numbers, common fractions and decimals.
- Compute rate, ratio and percent.
Certificates, Licenses and Registrations:
- Ability to identify problems, collect data, establish facts and use sound principles and practices.
- Ability to interpret technical and operational instructions.
- Possesses and maintains a current license in the State as a registered nurse.
- Maintains current CPR (cardiopulmonary resuscitation) certification.
- CNN (certified nephrology nurse) certification is encouraged.
: The physical demands described are representative of those that must be met by an employee to successfully perform the essentials of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to talk and hear; stand, walk, and sit; use hands-to-finger, handle or feel objects, tools or controls; reach with hands and arms; stoop, kneel, crouch or crawl. The employee is occasionally required to climb or balance. Frequently, the employee must lift and / or move up to 50 pounds. Specific vision abilities required include distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Work Environment
: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Since this job is performed within a health care environment, there is the possibility of exposure to infectious or contagious diseases, hazardous chemicals and materials, needlesticks, blood and body fluids. Further information regarding the position’s specific work environment and exposure category are provided during orientation. The position is classified as Category I. Work Hours
: Dialysis Clinic Inc. reserves the right to alter work hours and schedule in order to maintain patient and staffing needs. Education and/or Experience:
- Graduate of an accredited registered nursing
- Applicant must have strong leadership skills, excellent communication skills and a demonstrated high level of clinical excellence.
- Previous dialysis experience preferred.
- Must complete DCI’s comprehensive training/orientation program.
- Must possess and maintain valid CPR certification.
Since this is a healthcare environment, there is the possibility of exposure to infectious / contagious diseases, needle sticks and blood and body fluids. Further information about this position’s specific work environment and exposure category will be provided during orientation. This position is classified as Category I. DCI offers a very competitive benefits program.DCI is an Equal Opportunity Employer/AA
VEVRAA Federal Contractor
The primary responsibility of DCI is to perceive, initiate and provide comprehensive patient care. We serve society by providing care for patients with end-stage renal disease. Our goal is complete patient rehabilitation. We recognize the patient as an individual resulting from his/her genetics, life experience, habits, beliefs, emotions; and as a member of his/her family, and the community. The patient deserves the highest standard of care possible regardless of race, status or creed. The application of comprehensive care is on a personal level. We become acquainted with our patient as a person and seek to understand his/her problems and needs - physical, emotional, spiritual and social.
Through a team approach, each staff member performs functions within his or her capabilities in his or her defined role based on the specific needs of the individual patient. Patient care is assessed, planned, implemented, and evaluated with the consistent aim of improving care and finding more efficient and effective methods for delivery of care. Realistic goals, which promote safe, therapeutically effective and individualized care for each patient, are defined in the patient care plan. These goals adhere to quality standards of care within the framework of defined policies and procedures. The team strives to provide the highest quality of patient care possible through the utilization of available human and material resources. There is, however, a further responsibility to which DCI is devoted. DCI was established as a non-profit corporation, hopefully to generate funds for research in order that the methods for treatment of ESRD patients might be improved. We are not content to dialyze the next group of patients in the same imperfect way that the last group was dialyzed without at least making the attempt to better the patient's lot through research. As a corollary to this, education of ESRD health care professionals is another goal to which DCI resources are dedicated to support. DCI's philosophy has always been a commitment to patients.
Patients complete a financial profile, which aids the social workers in directing them to community services to assist them. Patients are also assisted in acquiring and maintaining primary and supplemental insurance. If a patient does not have primary or secondary insurance, every effort is taken to find a DCI facility that can accept the financial burden of an uninsured patient. DCI endorses the patient's right to choose the facility and the mode in which the patient's ESRD should be treated, i.e., dialysis or transplant. To help insure that those patients desiring transplant may be offered this form of treatment, DCI founded and remains closely affiliated with DCI Donor Services, Inc., which operates independent organ procurement agencies and also contributes to research to improve methods of immunosuppression. We are a service organization. The care of the patient is our reason for existence.
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