Registered Nurse, Dialysis - Hemodialysis

About This Role

The Registered Professional Dialysis Nurse delivers safe, high-quality patient care through assessment, diagnosis, planning, implementation, and evaluation, focusing on individualized care plans. This role ensures the safe operation of dialysis equipment and proper documentation to support high-value, sustainable dialysis care.

Responsibilities

• Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment
• Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately
• Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order
• Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access
• Obtains pre- and post-dialysis lab specimens per physician order and organizational policy
• Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure
• Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues
• Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs)
• Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules
• Participates in the development and implementation of an individualized plan of care for each patient
• Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed
• Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures

Requirements

• Associate's degree in nursing
• 1 year of dialysis experience
• RN license in the state of employment or compact
• BLS certification
• ACLS certification

Qualifications

• Associate's degree in nursing required
• 1 year of dialysis experience required

Nice to Have

• Bachelor's degree in Science in Nursing (BSN)
• 1 year of acute clinical experience as a registered nurse
• Experience in Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg)
• PALS required at CHRISTUS Children's Hospital

Certifications