RN Charge Nurse - Staff Developer
Serenity Blue - Dialysis Center Harrisburg, PA, USA
401K, Highmark Medical, Dental & Vision
This is a “working
manager” position. The Dialysis RN
Charge Nurse – Staff Developer provides professional nursing care and
coordination of nursing care by working cooperatively with, patients, family
members, and all patient care team members. These services are for patients of
all ages- pediatric to geriatric in a dialysis center(facility). This manager
will assist with leading the team as assistant to the Dialysis RN Manager.
A.D.N. degree from accredited school
of nursing required; B.S.N preferred; three-year diploma from accredited
diploma program may be substituted for nursing degree.
Licenses and Certification:
Current RN license in
the state of practice required.
certification through American Heart Association.
One or more years of
experience as a registered nurse.
Three months or more experience in providing
nursing care to patients on maintenance dialysis.
Three months experience in hemodialysis (HD)
and peritoneal dialysis (PD).
basic EKG interpretation certification preferred.
staff development experience.
Plans and provides patient care for the
patients in the facility in accordance with physician orders and facility
policy and procedures.
Provides quality direct patient care and renal
replacement therapies independently, in
a professional, considerate and respectful manner.
Performs home dialysis patient care and
training as needed.
Oversees dialysis technicians/LPNs in the
performance of dialysis from start to finish, monitors patient reaction to
treatment and performance of the dialysis machines and demonstrates an in-depth
understanding of the mechanics of dialysis.
Leads a team of three to six
dialysis care givers, at one or more facilities.
Interacts and communicates with facility
partners in a collaborative, respectful manner and gives pre-and post-treatment
reports through appropriate reporting process to primary registered nurse.
Documents patient’s physical assessment, vital
signs, patient’s treatment reviews, and observations in patient medical
records; brings issues to the attention of the physician and primary nurse.
Documents, evaluates, and implements dialysis
orders. This includes collection of the pre-treatment dialysis data and reviews
patient record prior to dialysis. As required,
communicates estimated time of arrival with assigned patient’s nephrologist.
Analyzes patient assessments, dialysis orders,
laboratory results, and discusses issues with the nephrologist. This includes
obtaining patient vital signs, assessing patient’s vascular site, laboratory
findings and general health.
Communicates emergencies, life-threatening
complications to the patient, and related incidents to supervisor, facility
staff, and the patient’s physician. This can include
vascular access complications to patient’s nephrologist, Registered Nurse, and
Nurse Manager so appropriate corrective actions can be taken prior to next
Provides initiation and discontinuation of the
prescribed renal replacement therapy, including but not limited, to formulating
a plan per physician orders, verifying safety measures are in place and
complied with, administering medications or other appropriate treatments, and
documenting all activity appropriately on the hemodialysis flow sheet or
Verifies that patients are taking all
prescribed medications and performs medication reconciliation.
Maintains skills necessary to perform surveillance
on dialysis access (catheter, fistula, graft) for early signs of failure or
infection; this includes (if needed and after receiving the appropriate
training) the ability to perform arteriovenous access monitoring using
Reviews patient’s electronic/paper internal and
external records for orders as appropriate and administers dialysis related
intra-venous and /or oral medications as prescribed and/or via protocol.
Conducts post dialysis assessment and patient
discharge by evaluating treatment, documenting medication administration
utilizing the appropriate protocols, assessing condition of vascular access,
discharging the patient when vital signs are stable, and documenting and
recording patient treatment data. Also, documents notifications
and communicates changes in patient treatment plans and any other pertinent
clinical information, and if needed, to appropriate Outpatient Facility
Administrator when patient is to be discharged.
Provides patient education/teaching applicable
to the patient’s medical condition and charts training and patient description
or demonstration of training received.
Oversees proper functioning of the machine
which includes the preparation of the delivery system, dialysate bath, and
dialyzer and confirms that all mandatory tests on the dialyzer and equipment
are performed, communications of repairs, and disassembly and disinfection of
dialysis equipment. Notifies Bio-Med Technician of
any equipment malfunctions.
Demonstrates an understanding of infection control
and prevention of transmission of blood borne pathogens.
Assists the Administrator in quality measures,
i.e., audits, infection control compliance, accreditation preparation, etc.
Fosters Quality Improvement by participating in Quality Meetings.
Equal Opportunity Employer
About Serenity Blue - Dialysis Center:
Serenity Blue is a
company that has been established in memory of the owner's personal experience
with her father's kidney disease and the subsequent desire to offer a new way
to experience dialysis care that would be holistic and serene. The first
facility for Serenity Blue will be opening in the Harrisburg area Fall of 2021.