PRINCIPAL DUTIES AND RESPONSIBILITIES:
· Performs vascular access evaluation pre-treatment.
· Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.
· Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to nurse supervisor.
· Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
· Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
· Monitors patients’ response to dialysis therapy.
· Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment and documents appropriately.
· Evaluates patients prior to termination of venous access - standing & sitting blood pressure.
· Obtains hemostasis and applies appropriate dressings.
· Evaluates the patient prior to discharge.
· Documents information related to patient treatment include documentation in the patient health record.
· Reports any significant information and/or change in patient condition directly to the nurse supervisor.
· Performs and documents interventions for unusual patient status and document patients’ response to intervention.
· Obtains all prescribed laboratory testing and prepares specimens for collection.
· Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
· Maintains environmental integrity and aesthetics - ensures all areas are safe and clean.
· Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
· Performs all required pretreatment dialysis machine set up and testing.
· Ensure that all blood spills are immediately cleaned with appropriate disinfectants according to facility policy.
· Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste.
Clerical & Administrative:
· Enters all treatment data into the designated clinical application accurately and in a timely manner.
· Reviews health care record for completeness and ensures omitted entries are completed or corrected where appropriate.
· Prepares lab requisitions for prescribed or stat lab specimens according to laboratory destination.
· Collects, labels, appropriately prepares and stores lab samples according to required laboratory specifications.
· Ensures collection of lab specimens by appropriate lab courier.