Registered Nurse Dialysis - Hemodialysis

CHRISTUS Santa Rosa Hospital – San Marcos, which originated in 1923 as Hays County Soldiers, Sailors and Marines Memorial Hospital, opened at its current Wonder World Drive location in 1983. Our staff of more than 700 Associates works with more than 300 active and consulting physicians to provide quality services to patients and their families. For more than 20 consecutive years, we have been named The Best Hospital in Hays County in the annual “Best of Hays” publication released by the San Marcos Daily Record. In addition to interventional cardiac services, CHRISTUS Santa Rosa Hospital – San Marcos is a Certified Chest Pain Center and an accredited Primary Stroke Center. We lead the region in da Vinci robotic-assisted surgery and offers a variety of specialty care services including medical imaging, rehabilitation, hospice, women’s services and more. 

Summary:

A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications.

In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment.
• Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately.
• Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order.
• 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, review of current labs, and assessment and care of the dialysis access.
• Obtains pre- and post-dialysis lab specimens per physician order and organizational policy.
• Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure.
• 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.
• Participates in the development and implementation of an individualized plan of care for each patient.
• Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed.
• 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 Requirements:

Education/Skills
• Associate’s degree in nursing required
• Bachelor’s degree in Science in Nursing (BSN) preferred

Experience
• 1 year of dialysis experience preferred
• 1 year of acute clinical experience as a registered nurse preferred
• Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred
• Clinical patient care experience in a relevant setting 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 Schedule:

7AM - 7PM

Work Type:

Per Diem As Needed