The Dialysis RN Lead under supervision of their manager and/or is responsible for implementation of education programs for dialysis staff and offering onboarding for new colleagues. They will have direct accountability to assist in education and training, customer service and patient safety. The Lead Dialysis RN provides leadership and will be the subject matter expert ensuring regulatory standards are followed. They will serve as a preceptor, and be an active member of the healthcare team. The Lead Dialysis RN is a professional registered nurse with expert knowledge in utilization criteria and regulatory documentation requirements. S/he acts as an advocate for the Dialysis team, making sure the Clinical Manager/Director are aware of the unique needs of the team. S/he provides leadership for the Dialysis team by overseeing staff, fielding daily concerns, participating in process improvement initiatives, overseeing education of team and providers, and fostering collaborative relationships. This individual ensures staff education and clinical practice guideline adherence. Additionally, the lead orients staff and coordinates staff schedule, coordinates the department’s document control, and provides supervisory coverage in the manager's absence.

This role also provides professional nursing care to assigned patients with kidney conditions that require dialysis treatment. Reviews patient histories, administers medications, and performs dialysis treatments. Ensures dialysis machine and all products used during a treatment are properly prepared and meet quality standards. Monitors the patient during dialysis, records observations in patient medical records, and reports any changes in condition to the physician as needed and partners with technicians that perform monitoring or patient care tasks during a treatment.

This position will oversee operations at both FMC/VVMC, run water testing quality results, preparing quality reports and coordinating educational needs and onboarding.

Patient Care* Addresses patient and family concerns, communicates issues and solutions through appropriate channels.

* Documents incidents, events, interventions, and patient/staff/physician responses.

* Serves as a patient advocate.

* Prioritizes and problem solves to meet changes in patient status/condition.

* Collaborates with physicians and other health care professionals to ensure staffing patterns meet appropriate skill mix necessary for quality patient care.

* Quickly and accurately assess patient care needs.

* Serves as a liaison with patients, physicians, House Supervisor, Staffing Office, Transfer Center, Care Coordination department, unit staff, ancillary staff and departments.

. * Maintain compliance with Emergency Medical Treatment and Active Labor Act (EMTALA).

* Serves as a resource, assists other staff in caring for patients; able to assist physician with order entry into EMR.

* Monitors and documents status of vascular accesses using proper cannulation or central venous catheter techniques in accordance with state, federal, and local regulations.

* Documents patient observations and seeks guidance when levels are out of normal range for hospitalized dialysis patient.

* Reports patient parameters as needed.

* Obtains blood samples per hospital policy and procedure and appropriately sends them to the lab as needed.

* Oversees set up and monitoring of dialysis machines and reverse osmosis water system for correct functioning, responds to visual and audible alarms and makes appropriate adjustments before, during and after the dialysis treatment, performs safety checks as needed prior to, during and following dialysis treatment.

Administrative* Staffing for current and next shift, determining appropriate staff levels and mix to provide quality care and maintain unit productivity.

* Oversees scheduling and productivity, addresses work flow issues, ensures incidents are appropriately documented and corrective steps are taken.

* Demonstrated knowledge of NAH and department policies and procedures. Participates in or leads process improvement initiatives utilizing organizational tools and resources.

* Assists in hiring, orientation, and training of new staff. Works to ensure best practice among each staff member.

* Keep logs, quality reports, policies and procedures up to date.

Team Coaching and Development* Ensures staff accountability, monitors staff performance, and provides real time constructive feedback whenever possible.

* Collaborates with physicians and other health care professionals.

* Identifies performance opportunities for improvement and provides resources and education as needed. Regularly recognizes employees for strong performance and improvements.

* Collaborates and communicates with clinical manager on employee performance evaluations and staff performance.

Compliance/Safety* Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.

* If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

* Completes all company mandatory modules and required job specific training in the specified time frame.

* Demonstrates and utilizes the guidelines of care and practice via the nursing process and in accordance with Arizona State Board of Nursing Laws and Regulations.