Medical-Surgical/Dialysis RN
Kealakekua, HI
Pyramid Consulting
4x10 hrs, Days

Assignment Details:

• Start Date: 08/24/2026

• Shift: 4x10 hour shifts Day

• Contract Length: 13 Weeks

• Expected Hours per Week: No Expected hours 

Documents Required: 

• Updated Resume
• HI RN License
• BLS Certification
• ACLS License
• Covid Vaccination Proof
• 2 Professional reference from last assignment

• Pay Package: Please reach out for further discussion and negotiation.
• Regular Pay: $23/hr
• Weekly Housing & Meal Stipend: $ 2100/weekly
• Weekly Gross Pay: $ 3,020 (subject to completion of scheduled hours

Registered Nurse (RN) Responsibilities

• Perform comprehensive patient assessments before, during, and after dialysis treatments.
• Initiate, monitor, and discontinue acute hemodialysis treatments in ICU, CCU, ER, and medical-surgical units.
• Operate, troubleshoot, and maintain dialysis machines and related equipment.
• Assess and care for vascular access sites, including AV fistulas, AV grafts, and central venous catheters.
• Monitor patients for complications such as hypotension, electrolyte imbalances, bleeding, and adverse reactions, and intervene appropriately.
• Administer prescribed medications, blood products, and IV fluids according to physician orders.
• Accurately document patient assessments, dialysis treatments, medications, and outcomes in the electronic medical record (EMR).
• Collaborate with nephrologists, hospitalists, intensivists, and interdisciplinary teams to develop and implement individualized care plans.
• Educate patients and families regarding dialysis procedures, treatment plans, medications, dietary restrictions, and post-treatment care.
• Maintain infection prevention and control practices, including adherence to CDC and facility protocols.
• Ensure compliance with CMS, Joint Commission, OSHA, and state nursing regulations.
• Participate in emergency response situations, including Code Blue events when necessary.
• Perform quality assurance activities and maintain dialysis equipment according to manufacturer and facility guidelines.
• Float between hospital units as needed to provide dialysis services.