Registered Nurse-Per Diem
Company: Nantucket Cottage Hospital (NCH)
Posted on: September 24, 2019
Performs standard nursing practices as outlined by Dialysis Unit
policies and procedures.
Essential Job Duties and Responsibilities
Demonstrate understanding of the standards of care related to
Demonstrates proficiency in performing dialysis nursing by:
Assessing patient access for patency and/or complications
Performing cannulation efficiently and effectively
Assessing patient pre and post treatment
performing dialysis treatment per unit standard
monitoring for patient response to Rx
Assessing patient for discharge
Monitoring estimated dry weight appropriately
Handling complications efficiently and effectively
seeking guidance/advice from appropriate source when indicated
maintaining effective psycho-social skills with patients
Collects and documents all data pertinent to each patients actual
and potential needs.
Documents and reports significant findings of ongoing patient
Formulates the patient plan of care based on acceptable standards
Communicates the patient plan of care (written/verbal) through
Plans individualized patient care using nursing theory in
collaboration with patient and other health care providers.
Attends Short and Long Term Care Plan conferences
Implements patients plan of care in collaboration with patient,
family members and significant others.
Communicates the initial plan of care and revision (written/verbal)
through shift reports and other established procedures.
Implements, consistently provides and documents patient education
related to ESRD/dialysis plan of care in the patient record.
Evaluates nursing interventions to changing patient situations as
demonstrated by patient outcome, documentation in the patient
record and revision of the plan of care.
Prioritizes nursing interventions in complex and rapidly changing
patient situations, as evidenced by the patient outcome and
documentation in the record.
Recognizes acute problems that occur in the unit and intervenes in
a safe manner, in accordance with Nursing Department and Hospital
Reports unusual occurrences to Clinical Coordinator/Clinical Nurse
Manager and/or MD as appropriate.
Demonstrates proficiency in administering treatments, procedures
and equipment appropriate to the unit/department as demonstrated by
the skills checklist.
Administers safely and documents medication regimen according to
established procedures with no more than three (3) documented
errors per year.
Uses standard precautions and appropriate personal protective
equipment as outlined in the Nursing Department Infection Control
Demonstrates competency in the following areas by physical
demonstration, verbal or written exam (medical equipment, age
specific assessment and intervention, procedures such as IV
therapy, lab draws, medication administration, etc.), as may be
required in the performance of job duties and responsibilities.
Participates in activities designed for professional growth in
nursing as well as Nephrology.
Attends all mandatory Hospital/Nursing Department in-service
training sessions and meetings.
Participates in department meetings and conferences as
Reviews and signs all in-service updates.
Identifies own limitations in skills and knowledge as demonstrated
by seeking guidance when needed from appropriate colleagues.
Actively participates in own performance appraisal.
Helps maintains performance and sterility of dialysis machines by
Heat and bleach disinfection
Obtaining monthly cultures
Maintaining machine logs
Maintains order by maintaining adequate stock of supplies and
ensuring adequate forms for the clinical record, patient education,
Participates in department quality improvement activities.
Provides assistance to other staff members when needed and
Participates in the orientation of new staff members.
Assists in the scheduling of seasonal/transient patients and
obtaining the necessary transfer paperwork.
Maintains confidentiality of patient information in accordance with
Hospital policy and applicable statutes and regulations.
Essential Knowledge, Skills, and Abilities Required for the
Must be able to demonstrate adequate technical skills and judgment
to function unsupervised during on-call, second shift, and weekend
Ability to tactfully communicate with both internal and external
Ability to handle stress and work in emergency situations. Ability
to use of fingers and hands to operate all department-related
equipment as described on the Department checklist. Additionally,
must use beeper, telephone, calculator, fax, and other related
Ability to Stand and walk approximately ninety percent (90%) of
shift, with frequent climbing, bending, reaching, stooping,
squatting, and helping to lift objects and/or patients ranging from
five (5) to three hundred (300) or more pounds.
Ability to bend, twist, crouch, squat, pull, push, reach, and
remain stationary for short period of times and perform repetitive
Ability to use hands, fingers, arms and wrists, hearing, smell, and
verbal skills are required in order to perform job duties.
Ability to differentiate colors
Credentials and Experience Required
Graduate of an accredited RN program required,
Bachelors Degree preferred.
Prior experience of greater than 1 year in a medical/surgical unit
Critical care experience preferred.
Valid Massachusetts RN License,
BLS required, ACLS recommended but not required.
Cardiopulmonary resuscitation (CPR) certification preferred.
Must be available to work day or evening shifts, as well as weekend
rotations, as assigned.
Must be available to stay overnight should need arise during
patient transports off island.
Must be able to rotate to other units, as assigned.
Must be willing to work additional shifts, as assigned.
Must be available to work in the case of a declared hospital
Must be tested on hire for color-blindness
The hospital does not discriminate on the basis of race, color,
national origin, citizenship, alienage, religion, creed, sex,
sexual orientation, gender identity, age, or disability.
Keywords: Nantucket Cottage Hospital (NCH), Nantucket , Registered Nurse-Per Diem, Healthcare , Nantucket, Massachusetts
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