Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements. Perform duties at all times within limitations established by and in accordance with company policy and procedures, hospital contract and protocols, applicable state and federal laws and regulations. May give direct patient care to the extent of performing efficient, safe dialysis according to state regulations. Responds to all emergencies. Signs off before each treatment on water quality verification. Supervise preparation of all equipment and supplies, likewise the clean-up following each patient shift. Ensures personal protective equipment is used as necessary. Complete pre and post treatment physical assessments. Complete pre and post Handoff Communication with hospital staff. Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites per protocol, if allowed by state regulations. Set up dialysis machines; clean, disinfect and provide quality control of dialysis machines as required by policy and procedures. Report machine problems to biomedical technician and/or Acute Manager as appropriate. Participate in infection control monitoring, implementation, and recording as requested. Be familiar with emergency equipment and all emergency operational procedures. Demonstrates effective staffing, as appropriate with staffing ratios per state regulations and effective patient care, under the direction of the Acute Manager. Ensure provision of dialysis related services such as Hemodialysis, Peritoneal dialysis, Continuous Renal Replacement Therapy (CRRT) and Plasmapheresis (TPE) if contracted to do so. Participate in all JCAHO, CMS, DPH and OSHA surveys as required. Ensure nursing care is carried out as directed and treatment is administered in accordance with physician instructions. Ensure appropriate and required information is documented in patient records. Inform Acute Manager or Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy. Prepare and maintain dialysis machines and systems per policy: maintain dialysis records, prepare dialysis water treatment system for use according to established procedure and understand technical operations to resolve minor problems independently. Notify Bio-Medical Technician regarding machine or water treatment malfunctions and provide appropriate documentation. Completes Charge Nurse Checklist and applicable logs. |