Assesses, plans, implements, evaluates, and supervises individual patient care of peritoneal dialysis (PD) patients according to unit policies and procedures. Supports and upholds the Patient Bill of Rights. Practices under the supervision of the Manager/Director.
Minimum Job Requirements
RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) maintain active and in good standing throughout employment
American Heart Association BLS - must maintain active and in good standing throughout employment
American Heart Association PALS required within 2 years of hire - must maintain active and in good standing throughout employment
Certified Nephrology Nurse (CNN) required within 2 years of hire - must maintain active and in good standing throughout employment
1-2 years of previous RN experience
Knowledge, Skills, and Abilities
BSN Degree highly preferred.
Previous bedside peritoneal dialysis experience preferred.
Nursing experience in a pediatric healthcare setting is preferred.
Must complete competency assessment tool upon 3 months for non-Intensive Care Unit and 6 months for a Critical Care setting of hire date.
Career Development: National certification preferably within 5 years of hire.
Strong problem solving, critical thinking, and conflict resolution skills.
Ability to manage multiple priorities and strong time management skills.
Effective verbal and written communication skills.
Microsoft Office proficiency; Word, Excel, & Outlook
Able to work effectively in a collaborative environment.
Ability to apply principles of evidenced-based practice, analytical thinking, and service excellence in practice.
Able to analyze and interpret data and utilize the information to make judgments regarding patient care.
Abe to assist with hemodialysis unit as needed.
On-call assignment per department and hospital policy.
Must be available by cell phone on off hours for assistance with cycler specific questions.
Must be available on weekends for assistance with new PD patients .
Able to perform home visits as needed.
Job Specific Duties
Serves as a subject matter expert related to peritoneal dialysis for all hospital staff and patients/families.
Communicates patient's progress including critical findings/changes in condition with physician and disciplines involved in the care of the child. Completes all nursing assessment of patients.
Completes patient admission history/discharge planning thoroughly & accurately as per policy & taking spiritual, cultural, developmental, learning, & psychosocial needs into consideration.
Manages education program/products activities and provides education to staff, residents, & patients/families. Manages assigned forum and/or conferences projects.
Performs reassessments of patients as per policy, when there is a change in the plan of care, or when an intervention is performed.
Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care.
Provides education and training on: normal kidney function & effects of renal failure, mechanism of PD, performance of aseptic technique, catheter and exit site care.
Provides education and training on: monitoring of weight & blood pressure, exchange procedures; use of of cycles for automatic PD.
Provides education and training on decision making regarding the dialysate to use; S&S of peritonitis, exit site and tunnel infection, adding Intraperitoneal medications.
Documents patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care etc.).
Promotes a safe "error free" working environment by consistently performing thorough hand-offs and infection prevention measures.
Ensures safe/effective/efficient care delivery with emphasis on absence of medication errors, ouch-free procedural pain, reduction of pain, absence of blood borne & surgical site infections, etc.
Secures peritoneal dialysis catheter on a daily basis when applicable per competency; maintains observance of skin integrity for prevention of skin breakdown.
Writes, updates, and enforces the hospital's and CMS approved peritoneal dialysis procedures and policies.
Responsible for surveillance of the patient's home adaption, including provisions for visits to the home as per CMS requirements.
Sets up follow-ups with the MD, RN, Social Worker & Dietitian as per CMS guidelines. Educates patients on supplies (solutions dialysis lines, oral meds, injectables, etc.) & ensures proper inventory. per patient (patients are seen on a monthly basis) R: Individual
Ensures through a contact agreement (Baxter), proper installation and maintenance of equipment when required. Ensures Preventive Maintenance (PM) of all at home BP machines on a yearly basis.
Obtains patient's data and participates in the monthly QAPI Meeting, Crown Web, National Healthcare Safety Network (NHSN) and maintains monthly lab excel spreadsheet.
Makes weekly appointments, daily follow-up calls, and maintains tally sheets for patient treatments and medical conditions. Updates Admission, Discharge, Transfer (ADT) spreadsheet as appropriate.
Creates training manual and ensures it is current with changing technologies and written in a manner which meets the health literacy guidelines and scores.
Reviews daily PD log and assist with dextrose choices, including weekends as needed.
Attends daily rounds with nephrology team when PD patients are admitted. Ensures weekly PD huddles are scheduled to review patients with the nephrology team.
Identifies PD Resource nurses on each floor that perform PD and serves as an education resource to keep them updated with current practices.
Follows PD patients during hospitalizations and assists floor nurses with troubleshooting and problem solving any PD issues.
Ensures PD program is compliant with state and federal regulations. Enters PD patients in NAPRTCS initially and at every 6 months.