Dialysis Charge Nurse RN
US-KY-Lexington - Lexington, KY

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6-day/week clinic and runs three shifts

SUMMARY: Under the direction of the Clinical Supervisor and/or the Nurse Manager, the Charge Nurse is responsible for the clinical management of the dialysis unit and the supervision of all nursing personnel in order to ensure a safe, efficient dialysis treatment for all patients by performing the following duties.

ESSENTIAL DUTIES AND RESPONSIBILITIES : To include but not limited to the following:
Performs all functions and duties as outlined in the job description for a Registered Nurse
Responsible for patient care staffing, matching patient needs with staff capabilities and experiences to maximize staffing resources
Assures the transcription and implementation of Physician orders
Coordinates with the Clinical Supervisor/Nurse Manager the scheduling of patients to ensure accommodations of all patients per Clinic’s policies
Assists patient care staff as necessary in initiating, monitoring and termination of dialysis treatments
Directly or indirectly makes appropriate referrals to all disciplines of the patients Health Care Team including but not limited to Dietitian, Social Worker, Physician and transplant center, as necessary
Supervises initial and ongoing patient education. Review and documentation of patient education as necessary to ensure compliance with ESRD Network, regulatory agencies, as well as DCI’s CQI Program and the individual clinic’s requirements
Responsible for obtaining consent forms and review of all clinical policies and procedures and information pertaining to the patient with new dialysis patients prior to initiation of first dialysis treatment
Coordinates obtaining medical release forms and updating of consent forms annually or as Clinic policy requires.
Interacts with the hospital and acts a liaison between in-center dialysis unit and the hospital in the patients behalf to ensure continuity of care
Maintains emergency preparedness procedures including CPR certifications, fire drills, emergency power failure and routine check of emergency cart supplies
Daily review of patient flow sheets for completeness, appropriateness and accuracy of documentation
Maintains medication inventory of the unit and coordinates the ordering process with the Clinical Supervisor and /or the Nurse Manager. Works with Technical Manager to ensure adequate stocking of unit supplies.
Assumes responsibility for communicating patient problems to physician and implementing and
documenting orders
Oversees responsibility for monthly patient lab work in accordance with the clinic’s policies and procedures
Reports housekeeping and equipment problems to technical staff and follows up as necessary
Coordinates and participates in the completion of short term and long term care plans per clinic’s policies and procedures
Reviews patient data in accordance with ESRD Network criteria identifying problems and formulating corrective action plans
Assists the Clinical Supervisor and/or the Nurse Manager in administrative and supervisory duties
Oversees primary nursing teams for completion of monthly assignments
Participates in patient care conferences, medical rounds and reviewing charts
Maintains a clean and orderly work environment
Must be able to recognize and respond to emergency situations
Knowledgeable and able to implement safe and effective infection control procedures in accordance with the clinic’s policies and procedures
Knows and practices procedures related to hazardous waste disposal
Actively supports and promotes appropriate attitude and loyalty to management
Knowledgeable and able to implement emergency, fire and disaster protocols
Knowledgeable of and utilizes the occurrence reporting system in accordance with guidelines set forth by the Clinic
Assists in the teaching and raining of new staff members as directed and supervised by the Education Coordinator, the Clinical Supervisor and/or the Nurse Manager

Completion from an accredited Registered Nursing Program/Licensed Practical Nursing Program
Six months experience in a dialysis is preferred
Experience in critical care nursing is preferred
Experience in a supervisory role is preferred
Must successfully complete DCI’s comprehensive training program

Since this is a healthcare environment, there is the possibility of exposure to infectious / contagious diseases, needle sticks and blood and body fluids. Further information about this position’s specific work environment and exposure category will be provided during orientation. This position is classified as Category I.

DCI offers a very competitive benefits package.
DCI is an Equal Opportunity Employer