Dialysis RN - Medical Surgical - Casual/PRN

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:
Location: Methodist Fremont Health
Address: 450 E 23rd St. - Fremont, NE

Work Schedule: This is a casual/PRN position. Casual/PRN employees work on an ‘as needed’ basis to meet the needs of the business. Workdays/hours will often vary from week to week.

Dialysis Nurses provide care and support for patients suffering from acute and chronic renal (kidney) failure. They assist pre, during and post dialysis procedures, following physician orders. Position Responsibilities Dialysis Nurses provide direct and individualized care to patients based on the application of scientific nursing principles.

Responsibilities:

Essential Functions

Provides an accurate and thorough assessment of the patient/family to identify human responses to actual or potential health conditions.

- Performs patient care assessments and reassessments based on patient condition and established policy/procedure.
- Demonstrates the ability to effectively utilize the nursing process when providing assessment for all individuals.
- Demonstrates the ability to assess and reassess pain and pain management techniques utilized.
- Documents all assessments and reassessments in an accurate, legible, and timely manner.

Formulation of a nursing diagnosis to identify and plan for the needs of an individual, family, or group.

- Utilizes history and assessment information to identify patient problems and set goals.
- Formulates a teaching plan based upon identified learning needs.
- Demonstrates the ability to revise a plan of care as indicated by patient's response to treatment.
- Utilizes assessment data and formulates a plan for discharge needs.

Implementation of a nursing treatment regimen to provide for the selection, performance and management of proper nursing practices.

- Performs patient care responsibilities considering needs specific to the standards of care patient's age.
- Performs direct patient care utilizing professional nursing skills and judgment according to physicians and other licensed practitioner's orders.
- Teaches health care practices, initiates and participates in patient and family education programs.
- Demonstrates knowledge of medications and their correct administration based on age of the patient and their condition.
- Documentation of nursing care meets current standards and policies.

Evaluation of the plan of care and treatment for all patients under his/her care to promote resolution of patient problems and positive patient outcomes.

- Evaluates overall plan daily for effectiveness and makes adjustments as needed to meet patient goals.
- Evaluates effectiveness of learning and discharge teaching needs.

Coordinates and supervises patient care to provide for the management of a multidisciplinary approach to patient care.

- Communicates pertinent information regarding patient care appropriately and clearly.
- Demonstrates the ability to assist physicians with procedures and patient rounds.
- Utilizes effective clinical delegation skills, demonstrating accountability for the scope of practice of the individual being delegated to and evaluation of the outcome of delegation.
- Consults with co-workers and other departments as appropriate to provide for an interdisciplinary approach to the patient's needs and discharge plan.

Safety initiative - Complies with Methodist Fremont Health (MFH) safety policies and procedures and regulatory requirements e.g., Occupational Safety and Health Administration (OSHA), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Clinical Laboratory Improvement Amendments (CLIA), etc.

- Performs job duties in a manner consistent with organization and departmental safety policies and procedures.
- Completes departmental safety requirements, i.e., blitz, departmental in-services, etc., on an annual basis.

In addition to general nursing care, responsibilities of the Dialysis Nurses include (but are not limited to):

- Primes dialyzer and bloodlines.
- Records patients' medical information and vital signs.
- Readies and maintains dialysis equipment.
- Oversees the dialysis treatment from start to finish.
- Cannulates and accesses permanent and temporary catheters.
- Cleans and dresses permanent and temporary catheters.
- Monitors patient and adjusts specialized equipment used on patients, and interprets and records information.
- Identifies irregular dialysis reactions and notifies appropriate medical team members.
- Secures blood work.
- Teaches patients and significant others how to manage their illness by explaining: post-treatment care needs.
- Maintains medical inventory.
- Provides pre-and post-procedure care to patients.
- Ensures quality reports of dialysis program are completed for regulatory compliance.
- Performs other dialysis-related duties as assigned, depending on patient's needs and setting.

Schedule:

This is a casual/PRN position.

Job Description:

Job Requirements

Education

- Graduate from an accredited Diploma School of Nursing/College of Nursing with an Associate of Science Degree in Nursing (ASN) required.
- Bachelor of Science in Nursing (BSN) preferred.

License/Certifications

- Current unrestricted Registered Nurse (RN) Licensure by the State of Nebraska required.
- Current American Heart Association Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.

Experience

- Minimum two years' previous acute care hospital experience required.
- Prior dialysis experience preferred.

Skills

- Knowledge of computer resources.
- Proficiency in nursing practice.
- Exceptional ability to be self-directed.
- Outstanding ability to communicate with wide variety of disciplines.

Physical Requirements

Physical

- Continuously stand/walk or lift/handle/carry material or equipment of moderate weight (20 to 50 lbs.). Examples: Nurses, Licensed Practical Nurses (LPN's), and physical therapists.

Environmental

- Located in an indoor area with frequent exposure to mild physical discomfort from dust, fumes, temperature, and noise. Examples: patient care providers and laboratory technicians.

Hazards

- OSHA Category 1: Tasks that involve exposure to blood, body fluids, tissues, and other potentially infectious materials.

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.