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Scope of Service Acute Hemodialysis operates a six bed inpatient unit, as well as having the capability of providing treatments at the bedside. Hours of operation are Monday through Saturday 6:30 am to 11:30 pm. Emergency treatment is available 24 hours/day, using on-call RNs.
The average daily treatment schedule is 45. Acute Hemodialysis provides care for all adult patients over 18 years. Our patient population includes: Inpatients who develop acute renal failure; Patients admitted in acute renal failure; Chronic hemodialysis patients admitted for treatment of other medical/surgical diagnosis; Patients admitted with acute overdose.
Patient care includes: All medical/surgical; including ventilator-dependent patients, stable telemetry, and lower level of care (SNF/ICF) patients receive their treatments in the hemodialysis unit. RN staff/patient ratio 1:2. Exceptions: Respiratory Isolation (TB).
Continuous EKG monitoring/pulse oximetry are available in the hemodialysis unit. All ICU and unstable telemetry patients receive their treatments at the bedside by an RN (1:1). The general ICU care is provided by the ICU RN assigned to the patient in consultation with the HD RN for HD treatment.
All critical care patients are assessed per critical care routine and the needs of the patient. The ANA Standards of Clinical Nursing Practice and American Nephrology Nurses Association Clinical Nursing Practice Standards are followed. Responsibilities I.
JOB SUMMARY/RESPONSIBILITIES Responsible for coordinating clinical care of patient. Integrates all health care providers to ensure high quality patient/family outcomes, and establishes a consistent and accountable relationship with patient/family. Key responsibilities include, but are not limited to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning.
II. TYPICAL PHYSICAL DEMANDS
- Continuous: lifting up to 1/2 lb., seeing, hearing, talking, grasping, fingering. Frequent to continuous: standing, walking, stooping, forward reaching, handling. Frequent: pushing and pulling up to 30 psi, lifting up to 10 lbs., sitting, bending.
Occasional to frequent: squatting, twisting. Occasional: pushing and pulling up to 70 psi; lifting: horizontal lift/carry up to 75 lbs. with assistance, floor to waist up to 35 lbs., waist to shoulder up to 25 lbs., overhead level up to 15 lbs.; carrying up to 35 lbs, running, climbing, side bending, kneeling, crouching, overhead reaching. Operates various machines/tools/work aids.
III. TYPICAL WORKING CONDITIONS Inside work. Exposure to body fluids, blood products, and communicable diseases.
Work environment may be highly stressful, fast paced and hectic. Assignment to inpatient adult psych areas and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which may compromise physical safety.
IV.
A. Education/Certification and
1.
Registered Nurse, State of Hawaii 2. Diploma or Associate Degree in Nursing; Baccalaureate Degree in Nursing preferred. 3. Current BLS/HCP card in all areas; ACLS, NALS and/or PALS in designated areas. 4.
Ability to read, write, speak and understand English effectively. Additional Requirements Additional Requirements for Experienced RN: A. EDUCATION/CERTIFICATION AND
Current ACLS certification. B.
Twelve (12) months of Telemetry, Medical/Surgical, Acute Hemodialysis or In-Center Hemodialysis RN experience required, preferably within the last three (3) years. Equal Employment Opportunity Equal Opportunity Employer / Disability / Vet Your Health. Our Legacy Our Mission: To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai‘i.
Our Values: C ompassion guides our actions A loha inspires us in all that we do R espect and understanding are essential for the dignity of all E xcellence is our quest
About the role
Acute Hemodialysis operates a six bed inpatient unit, as well as having the capability of providing treatments at the bedside. Hours of operation are Monday through Saturday 6:30 am to 11:30 pm. Emergency treatment is available 24 hours/day, using on-call RNs.