RN Hemodialysis
Brooklyn, NY
MetaSense, Inc.
4x10 hrs, Days
Referral Bonus

Required  Experience:
-Minimum one (1) year clinical experience in medical-surgical, emergency room, or critical care.
-Minimum one (1) year related experience in hemodialysis as a dialysis nurse.

Required Education:
-Bachelor's Degree in Nursing (BSN) required.
-Will Accept Associate's Degree with minimum five (5) years' experience in medical-surgical, emergency room, or critical care and minimum five (5) years' experience in hemodialysis as a dialysis nurse.

Preferred Education:
-Master's Degree in Nursing, preferred.

Required Certifications & Licensure:
-Current NY State RN License required.
-Basic Life Support (BLS) required.
-Advanced Cardiovascular Life Support (ACLS) required.

Preferred Certifications & Licensure:
-Basic Arrhythmia Class with Certificate preferred.
-Nephrology Nursing Certification preferred.


Position Summary:
-Under the supervision of the Director of Nursing Hemodialysis Nurses provide direct and individualized nursing care to End Stage Renal Disease patients who require hemodialysis based on the application of scientific nursing principles. In addition to general nursing care, responsibilities of Hemodialysis Nurses include (but are not limited to):

Assessment:
-Conducts ongoing focused physical, psychosocial, and pain assessments; including assessment of patient education needs.

Planning:
-Utilizes the assessment, identifies problems, makes nursing diagnoses, and formulates goals, teaching plans and outcomes to create an individualized plan of care to ESRD patients on hemodialysis.
-Prioritizes and implements an efficient nursing plan of care relating to the care ESRD patient who receives hemodialysis treatment.

Evaluation/Reassessment:
-Consistently conducts timely evaluations, recognizes changes in patient conditions, determines when reassessments are needed, and adjusts the plan of care as necessary.
-Compares expected and achieved outcomes of nursing care utilizing the plan of care.
-Evaluate patient's response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care.
-Prioritizes tasks and adjusts priorities when necessary.
-Maintains an orderly, efficient, and timely flow of patients.
-Recognizes and reports errors, near misses or unusual occurrences, and initiates corrective action when appropriate.
-Develops short and long-term goals specifying expected outcomes.
-Communicates these goals at multi-disciplinary meetings.
-Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process.
-Demonstrates competency in setting up and operating the dialysis machine.
-Assess the patient's vital signs, weight and pain.
-Observe for signs of volume overload and complications of renal failure.
-Assessment includes patient education needs.
-Knowledge of critical lab values.
-Knows special procedures related to dialysis such as changing dialyzer and or blood lines, the interpretation and comprehension of the transmembrane pressure and deduce fluid replacement.
-Initiates/Terminates hemodialysis treatments in patients with AV graft, AV fistulas and catheters.
-Monitor blood pressure every 30 minutes or more frequently as needed.
-Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process.
-Observe access and ensure access site is visible at all times.
-Ensure lines and connections are securely taped to avoid separation of blood lines.
-Observe for complications such as air embolism, hemolysis, exsanguinations, fever, seizures, arrhythmias, hypotension and report immediately to the physician.
-Prepares and administers and records prescribed medications.
-Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse.
-Recognize the signs and symptoms of respiratory emergencies and knowing how to start standard interventions to stabilize the patient.
-Demonstrates efforts in the prevention of hospital acquired conditions (HAC) and falls.
-Refer patient for health maintenance e.g. podiatrist, gynecologist, ophthalmologist.
-Initiates referrals to outpatient clinic and community resources.
-Utilizes available resources in planning care consults as necessary, with Assistant Head Nurse and Physician.

Required Skills:
-Demonstrates a commitment to continuing professional growth and development.
-Critical thinking, math, and computer skills – Excel; Word.
-Works as a team player.
-Demonstrates respect and professionalism in all interactions.
-Excellent oral and communication skills.
-Decision making and problem solving.
-Able to see, hear, read and write English.
-Ability to fully utilize electronic record systems, equipment and healthcare and billing systems relevant to this position.
-Ability to work flex hours.