(Archived) Registered Nurse, Dialysis

A-Team Solutions is seeking a Dialysis RN for a part-time position at the VA in Philadelphia, PA. Outpatient Dialysis hours are: 6:00am-4:30pm Monday-Saturday, and Inpatient Dialysis hours are: 8:00am-6:30pm Monday-Friday.

Job Duties:

• Under the supervision of the nurse manager, the dialysis staff nurse maintains accountability for the coordination and delivery of care to patients with end stage renal disease. The responsibilities of the dialysis staff nurse include:
• For the Acute Dialysis Setting, Registered Nurses require: a current ACLS certificate
• Accredited by the American Heart Association, minimum (3) years’ experience performing hemodialysis on patients who are hospitalized in an acute setting, and experience with dialysis of patients in intensive care unit setting. Agency Nurses are preferred to have completed the ECG Course.
• Oversees the preparation of the delivery system, dialysate bath, and dialyzer and confirms that
• all mandatory alarm tests on the dialyzer and equipment are performed.
• Reviews physician orders for dialysis patients, collects pre-treatment dialysis data, and reviews
• patient records prior to dialysis.
• Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patient’s vascular access, laboratory finding, and the patient’s general health.
• Verifies that patients are taking all prescribed medications and performs medication reconciliation.
• Documents findings of patient assessments and interventions and advises providers of any significant change in the patient's condition and other pertinent information.
• Discusses patient concerns and answers questions relevant to care.
• Oversees dialysis technicians 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
• .Assesses, prepares, and cannulates a patient’s vascular access (including needle insertion in arterioveinous fistula or grafts for aseptic connection with dialysis equipment).
• Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing on the patient’s vascular access per protocols.
• 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 arterioveinous access monitoring using Transonic machine per 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. Performs other treatments and diagnostic tests such as blood sugar testing and other tests required as part of patient treatment. Oversees disassembly and disinfection of dialysis equipment. Maintains skills necessary to do regional heparinization, separate and store blood samples, setup oxygen, administer saline, and maintain dialysis equipment.
• Maintains responsibility for providing coverage to the dialysis center.

Requirements:

• Education requirements: Bachelor’s degree in Nursing required
• Current unrestricted registered nurse license from any State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States,
• Must have a clear background to clear government credentialing
• Must have active BLS and ACLS certifications through the American Heart Association.

A-Team Solutions is an Equal Opportunity Employer

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