Rn - In-Patient Dialysis (Full Time, 36, Day/Evening)

Acute Hemodialysis operates a six bed inpatient unit, as well as having the capability of providing treatments at the bedside. Hours of operation are Monday through Saturday 6:30 am to 11:30 pm. Emergency treatment is available 24 hours/day, using on-call RNs. The average daily treatment schedule is 45.

Acute Hemodialysis provides care for all adult patients over 18 years. Our patient population includes:

• Chronic hemodialysis patients admitted for treatment of other medical/surgical diagnosis;
• Inpatients who develop acute renal failure;
• Patients admitted in acute renal failure;
• Patients admitted with acute overdose.

Patient care includes:

• All medical/surgical; including ventilator-dependent patients, stable telemetry, and lower level of care (SNF/ICF) patients receive their treatments in the hemodialysis unit. RN staff/patient ratio 1:2. Exceptions: Respiratory Isolation (TB).
• The ANA Standards of Clinical Nursing Practice and American Nephrology Nurses Association Clinical Nursing Practice Standards are followed.
• Continuous EKG monitoring/pulse oximetry are available in the hemodialysis unit.
• All critical care patients are assessed per critical care routine and the needs of the patient.
• All ICU and unstable telemetry patients receive their treatments at the bedside by an RN (1:1). The general ICU care is provided by the ICU RN assigned to the patient in consultation with the HD RN for HD treatment.

I. JOB SUMMARY/RESPONSIBILITIES
Responsible for coordinating clinical care of patient. Integrates all health care providers to ensure high quality patient/family outcomes, and establishes a consistent and accountable relationship with patient/family. Key responsibilities include, but are not limited to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning.
II. TYPICAL PHYSICAL DEMANDS
Essential functions- Continuous: lifting up to 1/2 lb., seeing, hearing, talking, grasping, fingering. Frequent to continuous: standing, walking, stooping, forward reaching, handling. Frequent: pushing and pulling up to 30 psi, lifting up to 10 lbs., sitting, bending. Occasional to frequent: squatting, twisting. Occasional: pushing and pulling up to 70 psi; lifting: horizontal lift/carry up to 75 lbs. with assistance, floor to waist up to 35 lbs., waist to shoulder up to 25 lbs., overhead level up to 15 lbs.; carrying up to 35 lbs, running, climbing, side bending, kneeling, crouching, overhead reaching. Operates various machines/tools/work aids.
III. TYPICAL WORKING CONDITIONS
Inside work. Exposure to body fluids, blood products, and communicable diseases. Work environment may be highly stressful, fast paced and hectic. Assignment to inpatient adult psych areas and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which may compromise physical safety.
IV. MINIMUM QUALIFICATIONS
A. Education/Certification and Licensure:
1.Licensure: Registered Nurse, State of Hawaii
2.Diploma or Associate Degree in Nursing; Baccalaureate Degree in Nursing preferred.
3.Current BLS/HCP card in all areas; ACLS, NALS and/or PALS in designated areas.
4.Ability to read, write, speak and understand English effectively.

Additional Requirements for Experienced RN:

A. EDUCATION/CERTIFICATION AND LICENSURE:

• Current ACLS certification.

B. EXPERIENCE:

• Twelve (12) months ICU Registered Nurse experience preferred.
• Twelve (12) months Telemetry, medical/surgical, acute hemodialysis or in-center hemodialysis Registered Nurse.

Equal Opportunity Employer / Disability / Vet