Hospital Dialysis Registered Nurse - Apheresis Nurse

Apheresis Experience Required

Make a meaningful impact in acute care nephrology.

Location & Department

Department: Hospital Services Group (HSG)

Setting: Acute Hospital Partner Facilities

Schedule: Full-Time (Day Shifts with Rotating Acute On-Call Coverage)

About the Role

DaVita Hospital Services is seeking a skilled and dedicated Registered Nurse (RN) to join our specialized Acute Apheresis team. As a Hospital Apheresis RN, you will deliver critical, life-sustaining therapeutic apheresis procedures to adult patients within our contracted hospital partner facility.

In this autonomous, high-impact clinical role, you will operate state-of-the-art apheresis technologyspecifically the Spectra Optia Apheresis Systemdelivering specialized treatments directly at the hospital bedside and intensive care units. You will partner closely with hospital physicians, hematologists, transfusion medicine specialists, and hospital nursing teams to provide exceptional, compassionate patient care.

Key Responsibilities & Essential Duties

• Deliver specialized acute apheresis treatments in licensed hospital partner facilities, including:
• Therapeutic Plasma Exchange (TPE)
• Red Blood Cell Exchange (RBCX / Erythrocytapheresis)
• White Blood Cell Collection (Leukapheresis / WBC Depletion & Collection)
• Operate, prime, program, troubleshoot, and maintain the Spectra Optia Apheresis System in strict adherence to manufacturer guidelines, DaVita Hospital Services policies and procedures and hospital protocols.
• Perform comprehensive clinical assessments prior to, during, and following apheresis treatments, including evaluating vital signs, neurological status, fluid balance, and laboratory parameters (e.g., CBC, electrolytes, ionized calcium, coagulation profiles).
• Manage specialized vascular access (central venous catheters, apheresis ports, peripheral IV access) and monitor for access patency and flow adequacy.
• Monitor patients closely for procedural tolerance and acute complications, implementing prompt interventions for citrate anticoagulation effects (including IV/oral calcium replacement protocols), hypovolemia, transfusion reactions, or vasovagal events.
• Provide thorough pre- and post-treatment handoff communication with hospital primary nurses, attending physicians, and blood bank / transfusion services.
• Accurately document all treatment parameters, cellular collection metrics, medication administration, and patient assessments within the electronic medical record (EMR) and DaVita Hospital Services documentation systems.
• Participate in a flexible acute schedule and shared on-call rotation (including evenings, weekends, and holidays) to support emergent inpatient apheresis consultations and urgent hospital admissions.
• Maintain strict adherence to infection prevention standards, bloodborne pathogen safety, sterile technique, and regulatory compliance across all hospital settings.

Qualifications & Requirements

• Education: Graduate from an accredited school of nursing (Associate Degree in Nursing / ASN required; Bachelor of Science in Nursing / BSN strongly preferred).
• Licenses & Certifications: Current, active, and unencumbered Registered Nurse (RN) license in the state of practice (or valid multistate compact license).
• Current Basic Life Support (BLS) CPR certification required; Advanced Cardiovascular Life Support (ACLS) preferred or obtainable upon hire.
• Apheresis Nurse Certification (QIA / HP) or Certified Hemapheresis Practitioner (ASCP) is a plus.
• Clinical Experience: Minimum of one (1) year of acute care RN experience (ICU, CCU, Step-down, Emergency Department, Oncology, Hematology/BMT, or Infusion).
• Prior hands-on experience with therapeutic apheresis procedures and the Spectra Optia Apheresis System is preferred; extensive, comprehensive specialized training is provided for experienced acute nurses.
• Skills & Attributes: Strong critical thinking, autonomous decision-making, and acute patient assessment capabilities.
• Demonstrated proficiency in vascular access management and sterile blood handling techniques.
• Strong interpersonal and communication skills to collaborate effectively with hospital leaders, physicians, and care teams.
• Flexibility to adapt to fluctuating hospital patient censuses and participate in an on-call rotation.

What We Offer

• Comprehensive Specialized Apheresis Training: Robust didactic and hands-on preceptorship on the Spectra Optia platform led by experienced modality educators.
• Clinical Ladder Advancement: Dedicated professional development pathways for acute specialty nurses.
• Total Rewards Package: Competitive hourly rates, call-pay and call-back differentials, comprehensive medical, dental, and vision coverage, 401(k) retirement plan with company match, generous PTO, and tuition assistance programs.
• Community First Culture: Join "The Village"a supportive team culture centered around our Trilogy of Care: Caring for Our Patients, Caring for Each Other, and Caring for Our World.

Equal Opportunity Employer

DaVita is an equal opportunity/affirmative action employer. As an equal opportunity employer, DaVita makes all employment-related decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.