Registered Nurse Dialysis Lead - Hemodialysis

The Registered Nurse Dialysis Lead oversees and coordinates the day-to-day activities of nursing personnel in dialysis units. This role provides direction to clinical staff, ensures safe and effective dialysis care, and supports compliance with regulatory standards. They act as a nursing lead, responding to emergencies, guiding staffing, and collaborating with other departments to ensure high-quality patient outcomes.

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Responsible for overseeing dialysis nursing services; validating supplies to prevent use of expired items; ensuring timely servicing of all dialysis equipment by vendors and Biomed; and testing water quality in accordance with AAMI and CMS standards to ensure safe and effective dialysis therapy. Achieves daily productivity targets and flexes staff appropriately with census changes to ensure resource stewardship, while maintaining effective dialysis staffing in compliance with state regulations.

Provides direct dialysis care per policy when needed but does not assume primary nursing functions except to ensure patient safety. Responds to all dialysis-related emergencies and is familiar with all emergency equipment and emergency operational procedures per policy. 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 and review of current labs, assessment and care of the dialysis access.

Demonstrates effective dialysis staffing, as appropriate per state regulations, under the direction of the clinical director. Knowledge of federal, state, and local healthcare related laws and regulations as they apply to acute dialysis patient care; demonstrates ability to comply with these healthcare practices and activities. Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues.

Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection. 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.

Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge. 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. Manages time so that workflow is efficient and consistent.

Perform other duties as assigned. Job

Education/Skills Associate’s degree in nursing required Bachelor’s degree in Science in Nursing (BSN) preferred Experience 1 year of dialysis experience obtained within the last 2 years is required 1 year of acute care setting experience required Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred 1 year of previous healthcare management experience preferred Licenses, Registrations, or Certifications RN license in the state of employment or compact required BLS required ACLS required for adult dialysis nursing staff only PALS required for pediatric dialysis nursing staff only In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Work

7AM - 7PM Work Type: Full Time