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Dialysis - Charge RN, Decatur

Location: Decatur, TX
Date Posted: 05-03-2018
  • The Charge Nurse assumes responsibility for clinic patient care while working collaboratively and communicating with members of the interdisciplinary team. 
  • In the absence of the Clinical manager, assumes responsibility for the clinic patients. 
  • Coordinates and delivers care through the nursing process to adult chronic hemodialysis patients utilizing standards of care set by the American Nephrology Nurses Association. 
  • Works to ensure the attainment of patient outcomes that meet KDOQI goals while following regulatory requirements of the Texas Department of State Health Services and the Centers for Medicare/Medicaid Services. 
  • Supervises staff Registered Nurses, Licensed Vocational Nurses and Patient Care Technicians while assuming a ‘hands on role’ and fostering a team approach to patient care delivery. 
  • Minimum of 12 months of experience as a Registered Nurse including at least 6 months experience in acute or chronic hemodialysis obtained within the past 24 months. 
  • Read, speak, write and understand English.
  • Reports to the Clinical Manager. 
  • Supervises staff nurses (RN and/or LVN) and PCTs. 
  • The Charge Nurse is the first level of administrative supervision in the clinic in the absence of the Clinical Manager.
  • 1) Current license as a Registered Nurse in the state of Texas. 
  • 2)  A Registered Nurse who holds a current certification from a nationally recognized board in nephrology nursing may substitute the certification for the six months experience obtained within the past 24 months. 
  • 3)  Current CPR
  • 4) Advanced nephrology nursing certification (CDN, CNN, CHN) preferred
  • 5) Normal color perception.
Must have current licensure/certifications upon hire. 

New Hires will have 60 days to acquire the required Basic Life Support (CPR, ACLS, PALS, BLS, and/or any other life support certifications required for the job).
  • Requires walking, standing, stooping and bending. 
  • Must be able to do lifting of at least 20 lbs. 
  • Requires close mental, visual and auditory attention to patient. 
  • Work environment is characteristic of a health care facility with air temperature control and moderate noise levels. 

Customer service and Professionalism:
  1. Consistently provides customer service as it applies to all internal and external customers, including patients and families, coworkers and physicians.
  2. Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
  3. Promotes a positive morale through demonstration of consistent courtesies.
  4. Completes a minimum of 5 hours of renal-related education annually.
  5. Maintains a professional appearance and practices good grooming habits while adhering to the facility dress code.Consistently meets facility attendance standards.
  1. Demonstrates flexibility in response to unexpected changes to work volume, acuity, staffing and scheduling.
  2. Assumes patient care assignment when needed.
  3. Completes other duties as assigned.
Patient care; planning, implementation and evaluation:
  1. Assesses and documents patient condition pre and post dialysis treatment or when indicated.
  2. Completes a nursing assessment of patients prior to the initiation of their initial dialysis treatment in the facility.
  3. Completes the comprehensive patient assessment and plan of care within 30 days of admission, at 90 days, and annually.
  4. Identifies unstable patient for purposes of conducting reassessments and care plan adjustments monthly.
  5. Ensures plan of care is individualized to reduce complications and promote health.
  6. Provides education for patient/family based on assessment of learning needs.
  7. Evaluates patient responsiveness to interventions in a timely manner.
  8. Documents evaluation and implements changes to plan of care collaborating with other disciplines as needed.
  9. Remains in the treatment area to provide patient care during all dialysis treatments.
  10. Assigns duties to unlicensed personnel in accordance with Texas Board of Nurses rules, DSHS and CMS regulations.
Organization and Problem Solving:
  1. Consistently assures that the admission process is complete with all appropriate forms signed prior to initiation of first treatment.
  2. Consistently documents daily treatment and medication charges for billing.
  3. Accurately evaluates skills and knowledge of unit personnel and delegates assignments.
  4. Organizes and prioritizes work to utilize resources wisely.
  5. Reviews all lab results in a timely manner and consistently notifies physician of critical data.
  6. Makes medication dose changes according to protocol with 2 days of lab result receipt.
  7. Notes, signs and implements physician orders accurately within a 48 hour time frame.
  8. Completes assignments in a timely manner minimizing overtime.
  9. Addresses system problems and concerns with practical solutions.
Leadership and Teamwork:
  1. Consistently demonstrates leadership and sensitivity toward coworkers by assisting as needed.
  2. Participates in orientation and development of new personnel.
  3. Consistently demonstrates respect of individuals and cultural beliefs and lifestyles of patients/family members and coworkers.
  4. Assists team with shift turnover and/or during periods of high patient activity as needed.
  5. Participates in the Quality Assessment Performance Improvement (QAPI) process through conducting audits and data collection as requested and making recommendations on quality improvement strategies.
  6. Maintains open communication to assure that the Director of Dialysis is advised of issues and concerns.
  7. Assists Director of Dialysis with staff performance evaluations.
  8. Oversees completion of clinic specific tasks as assigned.
  1. Consistently provides for patient safety needs and identifies risk factors and age-appropriate safety measures.
  2. Practices good body mechanics and correct methods of moving, lifting and transporting patients.
  3. Assures a clean, safe environment at all times.
  4. Makes staff assignments based on patient needs and regulatory requirements.
  5. Consistently assures that equipment functions properly prior to and during patient use. 
  6. Promptly reports any equipment problems or physical plant maintenance to the appropriate personnel.
  7. Consistently monitors effects of fluid removal and assesses dry weight, making recommendations to the physician based on assessment.
  8. Properly prepares, labels, administers medications and special dialysate baths, as permitted by facility policy.
  9. Adheres to all infection control policies.
  10. Consistently notifies personnel of potential hazards.
  • There is an inherent potential for mucous membrane or skin contact with blood, body fluids, or tissues, or a potential for spills splashes during the performance of the job. 
  • Universal precautions must be observed and protective devices worn by the employee when performing those tasks likely to cause exposure.
Employment standards include current requirements as determined by Federal, State, and Wise Health System policy.
  • Non-Exempt Hourly
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