HCSS Dialysis Registered Nurse - Dialysis
Company: The University of Texas Medical Branch
Location: Galveston
Posted on: August 3, 2022
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Job Description:
HCSS Dialysis Registered NurseJOB SUMMARY:
Competent Clinician. Possesses knowledge and skill to meet
standards for competent professional nursing practice as specified
in the Texas Nurse Practice Act. Experienced, knowledgeable, and
skilled in specialty area. Competently functions as a member of the
interdisciplinary team. Practice is characterized by predominantly
interdependent decision-making. Practice is problem focused and
patient centered in the manner care is provided. Able to manage
unexpected or emergency situations that are commonly seen in
assigned specialty population. Can manage commonly seen contingency
situations that arise on the clinical unit. Provides patient care
through nursing practices based upon the American Nurses
Association Standards of Professional Practice, Nursing Process and
UTMB's three domains for competency and advancement: Professional
Practice, and Professional Performance. Values specialty unit,
nursing, and institutional strategic initiatives and health system
goals.
MAJOR DUTIES / CRITICAL TASKS:
Nursing Process
* Assesses, plans, implements, evaluates, and documents the daily
care of assigned patients
* Identifies actual and potential nursing diagnoses/patient care
needs; develops and individualizes care plan, and revises plan of
care as needed
* Executes physician's orders for all assigned patients.
Administers medications and treatments and delivers culturally
congruent and specialty appropriate competent nursing care in
accordance with UTMB's policies, procedures, and standards in a
caring and compassionate manner
* Competently and independently performs routine technical
procedures/skills in assigned specialty area:
* Competently demonstrates knowledge and skills to utilize
equipment in assigned specialty area
* Independently capable of performing different aspect of
responsibilities within the department
* Demonstrates competent knowledge and skills to interpret and
respond to patient data and hemodynamic responses
* Competent in identifying cardiac rhythms, waveforms and abnormal
ranges and taking appropriate intervention
* Competently demonstrates knowledge and competency in supporting,
medicating, and monitoring patients throughout dialysis as well as
educating them on kidney disease and the lifestyle choices that
help them to manage their disease.
* Competently and consistently completes accurate, concise and
documentation of the procedure event
Patient/Family Teaching & Health Promotion
* Provides uncomplicated and complex patient/family instruction and
healthcare teaching based on identified learning needs (patient
values, beliefs, barriers, and readiness to learn)
* Coaches others in strategies for patient/family inclusion and
serves as a resource to others for patients/families with complex
learning needs
* Uses Teach-Back to determine effectiveness and modifies
strategies as needed
Care Coordination & Delegation
* Competently and independently plans, coordinates, and prioritizes
patient care activities according to skill level and work
complexity
* Maintains safety and continuity of care using methods such as
bedside shift report, hand-off tools/processes, inter-disciplinary
care rounds, etc.; Role models and coaches others to utilize these
methods
* Demonstrates flexibility in time management to manage changing
patient priorities; coaches and supports others to plan, coordinate
and prioritize care
* Demonstrates competent use of technology in the delivery of
patient care and serves as a resource and provides trouble shooting
support to others
* Delegates appropriately; may seek guidance or clarification of
non-routinely delegated tasks
Ethics (legal/regulatory), Advocacy & Culturally Congruent Care
* Identifies ethical situations and initiates appropriate
communication/consultation to address
* Delivers culturally congruent care using available resources to
meet the needs of patient/family; recognizes situations in which
personal bias may influence
* Serves as a patient advocate; may seek guidance/assistance in
difficult situations
Communication & Collaboration
* Supports healthy work environment by demonstrating respectful
verbal and non-verbal communication with all members of the
healthcare team; may seek support with challenging communication
issues; addresses behavior that does not support respectful
environment
* Recognizes colleagues when they go above and beyond in
demonstrating UTMB's core values
* Plans, coordinates, and prioritizes patient care activities in
collaboration/communication with inter-professional team, including
consult recommendations
* Functions as an independent and supportive team member
* Prioritizes patient and departmental needs. Ability to work long
hours
* Maintains professionalism and communicates effectively in high
stress situations
* Functions as an experienced Nurse Clinician who leads working
effectively with others towards achieving common goals including
morale and teamwork
* Works effectively with others towards achieving common goals
including morale and teamwork
Leadership
* Recognizes informal and formal unit/hospital leaders and can
educate colleagues regarding unit/hospital leadership
* Recognizes unit, nursing, and institutional strategic initiatives
and health system goals
* Recognizes the importance of financial responsibility to promote
fiscal health for the patient, unit, and organization
* Demonstrates acceptable productivity and practices cost
containment for the practice and the patient
* Demonstrates openness to change by actively seeking knowledge and
needed information; uses positive communication and role modeling
to promote understanding of change to colleagues
* Functions as a unit leader, providing direction and assistance to
team members.
* Mentors others and promotes professional development of less
experienced colleagues
Education, Evidence-Based Practice & Research
* Actively attends/participates in unit meetings/activities and
supports the philosophy and goals of the unit/department and
UTMB
* Actively participates in shared leadership at the unit level;
encourages colleague participation
* Attends presentations, professional development activities;
encourages attendance/participation of colleagues
* Participates in one journal club annually.
* Shares educational findings, experiences, and ideas with
colleagues through shared leadership meetings, presentations,
professional development activities
* Mentors others and develops learning opportunities
* Demonstrates commitment to lifelong learning (evidence-based
practice, specialty certification, advanced degree)
* Demonstrates knowledge and utilization of evidence-based
resources to guide patient care; coaches colleagues to utilize
evidence-based resources
* Identifies learning needs of self and others; sets challenging
and realistic goals and develops learning opportunities to meet
goals.
Quality, Resources & Safety
* Identifies patient safety concerns, and reports appropriately;
addresses immediate safety concerns appropriately
* Coaches others regarding unit quality metrics/outcomes data and
improvement activities; actively engages in discussion, activities
related to unit goals; Participates in systematic processes to
achieve quality outcomes
* Demonstrates self-care through practices that support personal
well-being, personal safety, and injury prevention
* Serves as a resource to colleagues regarding the Electronic
Health Record; identifies opportunities for system improvements and
communicates ideas via appropriate channels
General Requirements:
* Completes required specialty specific Competency Based
Orientation (CBO) tools by the initial performance evaluation due
date for placement in employee file.
* Actively participates in the initial and ongoing evaluation of
competency using Competency Based Orientation (CBO) tools
* Performs and reports point of care testing (POCT).
* Prioritizes and organizes work so that required assignments are
completed within a specified time frame.
* Provides and maintains a clean, safe environment and performs
and/or assists others to perform proper aseptic technique,
isolation procedures and infection control measures.
* Demonstrates acceptable productivity and practices cost
containment for the unit/hospital and the patient.
* Competently and consistently completes accurate, concise, and
legible documentation on all patient, unit and hospital records
(including care delivery and telephone patient related
interactions).
* Competently utilizes electronic forms of communication and
documentation.
* Meets periodic UTMB and unit specific compliance requirements for
health screening, training, attendance, safety, and CPR
certification
* Adheres to internal controls and reporting structure.
* Perform related duties as required.
REQUIRED EDUCATION / EXPERIENCE:
* RN with current license or valid permit to practice professional
nursing in Texas.
* Two (2) years of inpatient hospital experience as an Dialysis RN
within the last 2 years.
* Must have current BLS certification obtained through American
Heart Association (AHA)'
EQUIPMENT:
* Able to use equipment and related supplies for a selected patient
population.
* Able to use mechanical devices, such as those used in
cardiopulmonary resuscitation, oxygen administration, and
intravenous therapy. Including point of care testing (POCT) and
quality requirements for that testing
* Able to use related computer equipment.
WORKING ENVIRONMENT:
* On call duty is required and unpredictable work hours may be
required to complete the procedure
* Work in a high stress environment
* Work environment is in a comfortable indoor area.
* Conditions such as noise, odors, cramped workspace and/or fumes
could sometimes cause discomfort.
* Moderate to extreme physical effort may be required, such as
walking, standing, performing CPR, and lifting materials,
equipment, objects, and/or patients.
* Occasional lifting may be very heavy and awkward, over 50
lbs.
* Vision, hearing, talking, and sense of touch abilities must be
adequate to enable one to perform tasks quickly and accurately such
as reading small print, reading from monitoring equipment, defining
details, sending, and receiving clear and accurate oral
communication.
* Frequent periods of concentrated or focused attention will be
needed to interpret visual, auditory, and sensory inputs.
* Minimum to work and stay active is 2 weekend shifts per
month.
* Alertness and careful attention to detail will be required to
avoid injury.
* May be exposed to such occupational hazards as communicable
diseases, radiation, chemotherapeutic agents, and disoriented or
combative patients.
Any qualifications to be considered as equivalents in lieu of
stated minimums require the prior approval of the Executive
Director of Human Resources.
Compensation
* Hiring Range: 60.00
Keywords: The University of Texas Medical Branch, Galveston , HCSS Dialysis Registered Nurse - Dialysis, Healthcare , Galveston, Texas
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