Time Type:

Full time

Hours per Pay Period:

80

Shift:

Day Shift 10-40

Minimum:

$47.82 USD

Maximum:

$71.26 USD(This represents the rate for an individual with significant experience in this job)

Department:

Medical Care Unit

Current Bay Area Hospital Employee: If you are a current Bay Area Hospital employee, please apply through the Workday internal career site.

Job Description:

Dialysis RN

The Dialysis Registered Nurse provides and coordinates safe, evidence-based nursing care for patients requiring acute dialysis services at Bay Area Hospital. The RN is responsible for the assessment, planning, implementation, monitoring, and evaluation of dialysis treatment while managing the patient’s clinical condition, vascular access, prescribed therapies, and dialysis equipment.

The Dialysis RN serves as a clinical resource for nursing staff, providers, patients, and families and supports the safe and effective operation of Bay Area Hospital’s dialysis program. This position participates in staff education, competency validation, policy and procedure development, regulatory compliance, quality assurance and performance improvement activities, and ongoing evaluation of dialysis services.

EXPECTATION FOR ALL EMPLOYEES

Support the organization’s mission, vision and values by adhering to the behavioral standards of Bay Area Hospital.  Comply with all laws and regulations affecting Bay Area Hospital.  Be familiar with and adhere to the Bay Area Hospital Code of Conduct and Compliance Program.  Effective communication skills and the ability to work effectively with people from various backgrounds are critical.

POSITION SUMMARY

The Dialysis Registered Nurse provides and coordinates safe, evidence-based nursing care for patients requiring acute dialysis services at Bay Area Hospital. The RN is responsible for the assessment, planning, implementation, monitoring, and evaluation of dialysis treatment while managing the patient’s clinical condition, vascular access, prescribed therapies, and dialysis equipment.

The Dialysis RN serves as a clinical resource for nursing staff, providers, patients, and families and supports the safe and effective operation of Bay Area Hospital’s dialysis program. This position participates in staff education, competency validation, policy and procedure development, regulatory compliance, quality assurance and performance improvement activities, and ongoing evaluation of dialysis services.

PRINCIPLE DUTIES AND RESPONSIBILITIES

• Provides safe, competent, and evidence-based nursing care to patients receiving hemodialysis and other assigned renal replacement therapies in accordance with provider orders, Hospital policies, standards of nursing practice, and applicable regulatory requirements.
• Performs comprehensive and ongoing patient assessments before, during, and following dialysis treatment, including evaluation of hemodynamic status, vascular access, fluid status, treatment response, and potential complications.
• Develops, implements, evaluates, and documents individualized nursing plans of care in collaboration with physicians, primary nurses, and other members of the interdisciplinary care team.
• Initiates, monitors, adjusts, and discontinues dialysis treatments in accordance with provider orders, approved protocols, established competencies, and RN scope of practice.
• Monitors vascular access and recognizes signs of access dysfunction, infection, bleeding, infiltration, or other complications and initiates appropriate intervention and escalation.
• Administers medications, blood products, and prescribed fluids associated with dialysis treatment in accordance with Hospital policy and provider orders; monitors and documents patient response and promptly addresses adverse reactions.
• Recognizes changes in patient condition and initiates appropriate interventions, including emergency response measures, provider notification, and collaboration with the patient’s interdisciplinary care team.
• Provides age-appropriate patient and family education regarding dialysis treatment, kidney disease, vascular access care, treatment expectations, and other identified learning needs.
• Coordinates dialysis care with physicians, nursing units, pharmacy, laboratory, Case Management, and other Hospital departments to promote continuity, timely treatment, and safe transitions of care.
• Serves as a clinical resource to Hospital staff regarding dialysis procedures, renal patient care, dialysis order sets, treatment requirements, and appropriate escalation of clinical concerns.
• Maintains clinical competency and expertise in dialysis nursing practices, equipment, technology, infection prevention, emergency procedures, and applicable regulatory requirements.
• Performs required dialysis equipment and water-quality safety checks in accordance with Hospital policy, manufacturer requirements, and applicable standards, including appropriate testing, documentation, and escalation of results outside established parameters.
• Ensures dialysis equipment, supplies, medications, and treatment areas are appropriately prepared, maintained, cleaned, and stored in accordance with infection prevention, safety, manufacturer, and regulatory requirements.
• Provides appropriate clinical direction and delegation to other members of the patient care team within applicable scope-of-practice requirements.
• Supports orientation, competency validation, education, and ongoing development of staff involved in the care of dialysis patients.
• Provides dialysis-related education to Hospital staff when new processes, equipment, regulatory requirements, or standards of care are implemented.
• Participates in the development, review, and implementation of dialysis policies, procedures, protocols, order sets, competencies, and standards of care.
• Participates in chart audits, documentation review, regulatory readiness activities, and evaluation of compliance with established dialysis standards.
• Collects, monitors, and analyzes dialysis quality and operational data and assists with identification and implementation of performance improvement initiatives.
• Participates in the Dialysis Quality Assurance and Performance Improvement program and recommends actions to improve patient safety, clinical outcomes, regulatory compliance, and program effectiveness.
• Participates in dialysis program meetings, safety reviews, quality initiatives, and interdisciplinary planning activities.
• Identifies and communicates quality, safety, equipment, supply, staffing, or operational concerns through appropriate Hospital channels.
• Maintains complete, accurate, and timely documentation in the electronic medical record and other required clinical or quality systems.
• Maintains compliance with infection prevention practices, including appropriate use of personal protective equipment, isolation precautions, and bloodborne pathogen standards.
• Participates in on-call coverage, including nights, weekends, and holidays, based on departmental and patient care needs.
• Performs other duties as assigned.

SKILLS AND ABILITIES     

• Demonstrates strong clinical assessment, critical thinking, and decision-making skills in the care of medically complex dialysis patients.
• Demonstrates knowledge of hemodialysis principles, vascular access management, fluid and electrolyte balance, dialysis equipment, water-quality requirements, and potential treatment complications.
• Recognizes changes in patient condition and responds appropriately to urgent and emergent clinical situations.
• Communicates clearly, respectfully, and collaboratively with patients, families, physicians, nursing staff, and interdisciplinary team members.
• Demonstrates the ability to prioritize multiple responsibilities and adapt effectively to changing patient acuity and operational needs.
• Demonstrates effective leadership, delegation, organization, education, and clinical resource skills.
• Uses quality and clinical data to identify opportunities for improvement and supports implementation of sustainable solutions.
• Demonstrates competency in electronic health records and technology necessary to support patient care and dialysis program operations.
• Maintains regular, consistent, and punctual attendance at the assigned job location.

EDUCATION/CERTIFICATIONS/LICENSES/DEGREES

• Graduate of an accredited school of nursing, required
• Current, unencumbered Oregon Registered Nurse license, required
• Current American Heart Association Healthcare Provider Basic Life Support (BLS) certification, required
• Bachelor of Science in Nursing (BSN), preferred
• Certified Dialysis Nurse (CDN), Certified Nephrology Nurse (CNN), or other nationally recognized nephrology nursing certification, preferred
• Advanced Cardiac Life Support (ACLS) certification as appropriate to the assigned patient population and departmental requirements, preferred

EXPERIENCE

• Minimum one (1) year of Registered Nurse experience, required
• Dialysis experience or completion of a Bay Area Hospital-approved dialysis training and competency program prior to independently providing dialysis treatment, required
• One (1) year of dialysis/nephrology nursing experience, preferred
• Acute/inpatient hemodialysis experience, preferred
• Critical care, emergency, or other acute-care nursing experience, preferred
• Experience with dialysis equipment, vascular access management, and dialysis water-quality monitoring, preferred
• Experience participating in quality improvement, staff education, or dialysis program development, preferred

GENERAL INFORMATION

Union Affiliation:  ONA

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position.  They are not intended to be an exhaustive list of all duties, responsibilities and job skills required. 

Physical/Mental/Environmental Requirements

• Ability to perform the physical activities necessary to provide direct patient care, including prolonged standing and walking, bending, reaching, positioning patients, and assisting with patient mobility using appropriate equipment and assistance.
• Ability to safely move and operate dialysis machines, treatment equipment, supplies, and other patient-care equipment using appropriate mechanical aids and/or assistance when required.
• Ability to perform work requiring sustained attention, critical thinking, rapid clinical decision-making, and appropriate response to changes in patient condition and emergency situations.
• Potential exposure to blood, body fluids, blood products, medications, infectious or contagious diseases, cleaning agents, and other materials commonly encountered in an acute healthcare and dialysis environment; appropriate PPE is required.
• Ability to work in an environment involving medical equipment, alarms, moderate noise, frequent interruptions, computer use, and interaction with patients, families, physicians, and staff.
• Ability to participate in departmental scheduling requirements, including on-call coverage, nights, weekends, and holidays, based on patient care and operational needs.

EXPECTATION FOR ALL EMPLOYEES

Support the organization’s mission, vision and values by adhering to the behavioral standards of Bay Area Hospital.  Comply with all laws and regulations affecting Bay Area Hospital.  Be familiar with and adhere to the Bay Area Hospital Code of Conduct and Compliance Program.  Effective communication skills and the ability to work effectively with people from various backgrounds are critical.

POSITION SUMMARY

The Dialysis Registered Nurse provides and coordinates safe, evidence-based nursing care for patients requiring acute dialysis services at Bay Area Hospital. The RN is responsible for the assessment, planning, implementation, monitoring, and evaluation of dialysis treatment while managing the patient’s clinical condition, vascular access, prescribed therapies, and dialysis equipment.

The Dialysis RN serves as a clinical resource for nursing staff, providers, patients, and families and supports the safe and effective operation of Bay Area Hospital’s dialysis program. This position participates in staff education, competency validation, policy and procedure development, regulatory compliance, quality assurance and performance improvement activities, and ongoing evaluation of dialysis services.

PRINCIPLE DUTIES AND RESPONSIBILITIES

• Provides safe, competent, and evidence-based nursing care to patients receiving hemodialysis and other assigned renal replacement therapies in accordance with provider orders, Hospital policies, standards of nursing practice, and applicable regulatory requirements.
• Performs comprehensive and ongoing patient assessments before, during, and following dialysis treatment, including evaluation of hemodynamic status, vascular access, fluid status, treatment response, and potential complications.
• Develops, implements, evaluates, and documents individualized nursing plans of c