Registered Nurse Dialysis

Duties:
Reports to the Dialysis Nurse Manager/Coordinator of the Dialysis program. Maintains a collaborative working relationship with the Medical Director, Manager, Technical Leader and all unit staff. Functions include admission and ongoing assessments of patients utilizing physical and psychosocial assessment skills, diagnostic data, and medical evaluations. Evaluates effectiveness of care provided as related to short and long term patient goals. Develops a plan for patient care including actions in anticipation of individual patient needs. Implements nursing actions and medical orders to meet complex needs of patients and significant others, taking into account their age specific psychosocial and educational needs. Documents care provided and patient responses to care in appropriate forms in the patient's record. Assumes Charge Nurse responsibilities and accountability for care provided by LPNs and non-licensed technical personnel as assigned. Leadership abilities are demonstrated in the following: functioning as a professional role model, consumer relations, communication skills, problem solving, decision-making, and assistance in orienting and training personnel. Will strive to fulfill the organizations mission, values, philosophy and goals. Demonstrates team member standards and adheres to diversity principles and expectations including deaf and hard of hearing guidelines.

Principal Duties and Responsibilities:
Demonstrates ability to observe and assess patients on an ongoing basis, keeping in mind age-specific needs.
Demonstrates ability to respond in an emergency situation.
Participates in primary care nursing/case management and will provide direct patient care as necessary.
Performs blood-drawing procedures.
Maintains neat and safe work area.
Monitors and adjusts dialysis therapy to meet the needs of the patient, keeping in mind age-specific needs.
Administers and monitors medication according to policy.
Contributes to on-going patient education and rehabilitation. Provides modality education to patients.
Serves as a referral source for the patient.
Documents nursing care and observations, (for example, pre-post temp, pre-post assessment and completion of treatment records).
Demonstrates a professional approach to job.
Communicates with other hospital departments, outside agencies and dialysis facilities.
Functions as a part of an interdisciplinary team. Oversees care provided by clinical technicians.
Treats patients and families with respect and dignity.
Demonstrates flexibility in work situation.
Demonstrates ability to plan work activities.
Follows infection control policies and procedures (e.g., hand washing, face shield and gloves).
Follows operational activities specific to assigned unit, (e.g., call-in times, equipment and machine checks, breaks).
Demonstrates ability to minimize waste in assigned unit.
Demonstrates acceptance of constructive criticism and direction from supervisor.
Demonstrates problem-solving methodologies for benefit of patients/significant others, the patient care area and the nursing profession. Does so within scope of authority.
Carries out doctors' orders within parameter of role.
Demonstrates technical and task-oriented skills (e.g. cannulation, machine setups, disinfection).
Other duties as assigned.
Demonstrate willingness and ability to function consistently as a team member, positively contributing on a daily basis to the goals and objectives of the dialysis program as appropriate to the scope of position.
Demonstrate willingness and ability to work effectively in a complex and changing environment.
Demonstrate willingness and ability to effectively relate in an organizationally acceptable manner to team members, patients, and other customers in a diverse environment.
Demonstrate a caring and compassionate manner toward the patients and their family members that are a part of the dialysis program.
Complete all required and assigned in-services and online education and demonstrate incorporation of the teaching/learning as appropriate to position.
Act in a manner that demonstrates commitment to the mission, vision, values, goals and objectives of the dialysis program.
Adhere rigorously to all infection control/infection prevention requirements.
Behave in a manner designed to contribute to a neat, clean, safe, compliant environment and appropriately speak up as needed regarding any potential concerns.
Demonstrate willingness and ability to apply process-improvement principles to daily work and work area.
Adhere to confidentiality and HIPAA safety and privacy requirements.
Demonstrate acceptance of working in a continuous learning environment; actively participate in own learning, seek to contribute to team and program learning as appropriate to position.
Give and receive proper communication with supervisor, other charge personnel, and team members, including medical leadership as appropriate to position.

Skills
Must meet or exceed core customer service responsibilities, standards and behaviors asoutlined in the HFHS Customer Service Policy and summarized below:
Communication
Ownership
Understanding
Motivation
Sensitivity
Excellence
Teamwork
Respect
Must practice the customer skills as provided through on-going training and in-services.
Must possess the following personal qualities:
Be self-directed
Be flexible and committed to the team concept
Demonstrate teamwork, initiative and willingness to learn
Be open to new learning experiences
Accepts and respects diversity without judgment
Demonstrates customer service values

Physical Demands/Working Conditoins:
Stands and walks most of time on duty. Lifts and pushes patients on stretchers and in
wheelchairs. Lifts and carries dialysate solution containers. May be subject to
hazardous wastes and materials.
Must pass Color vision test. Ability to respond to audible alarms is required.

Education:
Education/Experience Required:
Graduate of state approved school of nursing.
Possesses current RN licensure with the applicable State Board of Nursing. Prior to assuming charge responsibilities, must have applicable State Board of Nursing. Prior to assuming charge responsibilities, must have at least 12 months experience in nursing care including 3 months experience providing nursing care to maintenance Hemodialysis patients.

Certifications & Licenses:
Registered Nursing License

Schedule Notes:
Assignment is 13- weeks Schedule: 10- hour shift; 4- days a week 8am-730pm Candidate is expected take assignment (possibly tech assignments, meds, and assessments) Candidate must have at least 2 years experience with Dialysis Can see up to 36 patients in office a day.
Does not mean RN will see all patients Clinic Locations candidate may have to work:
Eastpointe 21400 Kelly Rd Eastpointe MI 482021 Fairlane 19001 Hubbard Dr.
Dearborn, MI 48126 Macomb Regional Dialysis Center 16151 19 Mile RD.
Suite 200 Clinton Twp. MI 48038 Northwest Detroit Dialysis 7800 W. Outer Dr.
Suite 190 Detroit, MI 48235 Northwest Detroit Dialysis Lahser Satellite 25664 Lahser Rd. Southfield, MI 48033 Northwest Detroit Dialysis Northland Park 21000 Northwestern Hwy. Southfield, MI 48075 St. Joseph Dialysis 44200 Woodward Ave Suite 109 Pontiac, MI 48341 Taylor 24565 Haig Rd Taylor, MI 48180 Second Avenue 6525 2nd Ave Detroit, MI 48202 OT is billable after 48- hour week