REGISTERED NURSE (Ambulatory Care- Michigan Dialysis Services- Decentralized Float)

Position Title

Clinical Nurse, Outpatient Hemodialysis

Purpose

To provide nursing care and support to the adult hemodialysis patient with acute kidney injury (AKI) or end stage renal disease (ESRD). To maintain clinical expertise within this unique population requires specialized renal therapies. To provide nursing advice and consultation to other health care team members. Utilize the nursing process to provide nursing care to facilitate the attainment and maintenance of an optimal level of health for patients and families. To collaborate with other health care team members and utilize associated resources to provide continuity in patient care and participate with healthcare team members for problem solving.

Organizational Relationships

General supervision is received from Clinical Nursing Director, Clinical Nursing Supervisor and Medical Director. Functional supervision may be exercised over assistive personnel in collaboration with the Clinical Nursing Director or Nursing Supervisor.

Staff Related

• Collaborate and delegate with the Patient Care Technicians (PCT) provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
• Participates in staff training and orientation of new staff as assigned.
• Assists with medication tracking and inventory as assigned.
• Checks availability of adequate emergency equipment and supplies as assigned.
• Monitors patient care staff for appropriate techniques and adherence to MM policy and procedures.

Patient Care

• Provides safe and effective comprehensive delivery of care to patients with AKI and ESRD.
• Completes Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to Michigan Dialysis Services (MDS) policies and procedures.
• Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
• Participate in patient care conferences with the multidisciplinary team and completes all CMS requirements.
• Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.

Patient Education

• Ensures educational needs of patients and families are met regarding renal disease.
• Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy and other related health conditions.
• Ensures patient awareness related to transplant and treatment modality options.
• Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling.

Infection Prevention

• Ensures a clean, safe, and sanitary environment in the dialysis facility patient care area. Ensures competency in the operation of all dialysis related equipment safely and effectively.
• Promotes infection control, equipment, and environmental safety.

Medical Records and Documentation

• Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.

Professionalism

• Enforces policies and procedures, as well as regulations set forth by state and federal agencies and departments. Delegate appropriate duties to assistive personnel.

Professional Development/Education for Staff

• Successful completion of hemodialysis training with satisfactory performance. Contributes to the professional growth of peers and other interdisciplinary team members. Maintains clinical expertise within the unique patient population which require specialized renal therapies.

Leadership

• Responsible for driving the MDS culture through values and customer service standards.
• Develops and maintains effective professional relationships through effective and timely communication.
• Able to make appropriate independent nursing decisions and delegate responsibilities when necessary.
• Promotes outstanding quality patient care in a collaborative, cost effective manner by assessing the diverse needs of the unit and implementing change accordingly.
• Initiates or assists with emergency response measures.
• Document on the daily time sheet tardiness, when leaving early and absences.

Communication

• Promote teamwork by functioning as a resource to peers, other units and various team members involved in the care of patients requiring peritoneal dialysis. Effectively interacts willingly and professionally with peers, patients, families, and interdisciplinary team members.

Expectations of the position

• Actively lead and participate in care plan meetings, including anemia management
• Basic Cardiac Life Support (BCLS) certified
• Demonstrated excellent interpersonal and communication skills to interact with the multidisciplinary team
• Flexibility in adherence to facility specific policies and protocols
• Management of clinical outcomes, patient care technicians and multiple simultaneous patient treatments
• Actively participate in preventing and lowering access infection(s)
• Participation in hospitalizations/missed treatment rate reduction
• Participation in Quality Index (QI) improvement
• Ability to push, lift and move heavy equipment
• Ability to lift, move and position patients

This position will be required to support all three MDS locations (Ann Arbor, Canton, and Livonia)

Required Qualifications

• Registered Nurse with current license to practice in the State of Michigan
• Minimum five years recent adult outpatient chronic hemodialysis experience.
• Minimum of one-year charge nurse experience
• Experience with policy and procedure auditing in preparation for state surveyors
• Comprehensive understanding of End Stage Renal Disease (ESRD) CMS regulations

NOTE: To be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.

RESUME REQUIRED (for both internal & external applicants):
You must attach a complete and accurate resume to be fully considered for this position

Desired Qualifications

• Baccalaureate degree in Nursing
• Knowledge of Michigan Dialysis Services (MDS) policies and practices
• Previous experience with hospital-based computer systems, Epic, Outlook, M-Learning and eCube.
• ICU or Emergency Department Experience
• Certified Nephrology Nurse
• Experience with hemodialysis and peritoneal dialysis renal therapies

Benefits

Nursing at Michigan offers a competitive salary with excellent benefits!

Hourly range for RSAM Registered Nurses $41.44 - $64.45 / hour

Evening Shift Differential-$3.00 / hour
Night Shift Differential- $4.00 / hour
Day Shift Weekend Differential- $2.90 / hour
Evening Shift Weekend Differential- $5.90 / hour
Night Shift Weekend Differential- $6.90 / hour
Charge Nurse Differential- $1.00 / hour

The benefit package includes:

• Excellent medical, dental and vision coverage
• 2:1 Match on retirement savings and immediate vesting
• Generous Paid Time Off Allowances
• Robust Tuition and Certification support programs
• Large offering of no cost CEs and professional development for advancement

Hours per Week: 36
Shift: Day/Evening
Hours: Shifts vary between 4:30 AM and 9:30 PM
Days: Scheduled shifts vary Monday through Saturday.

Location: All three MDS locations (Ann Arbor, Canton and Livonia)

Note: All new employees will be expected to float to a designated unit(s) in times of low census.