Acute Dialysis Registered Nurse

Job Description Summary

The Acute Registered Nurse is responsible and accountable for providing optimal care and services to patients in a hospital environment in a network of surrounding hospitals. The position works independently with the inpatient staff in ICU, CCU, Telemetry, Med/Sur and ED units. The position applies leadership skills and independence in implementing and evaluating individual patent treatment plans within a dynamic atmosphere. The role works on the nephrology health care team and engages in quality improvement initiatives, i.e. teaching, leading, decision-making with the goal to improve patient care results in the inpatient setting.

Experience/Training/Education

• Accredited School of Nursing completed degree.
• Current and active California license to practice as a registered professional nurse.
• Current certification in BLS and/or ACLS
• Current and active "hands on" CPR Certification
  • 1 + years of acute experience preferred
  • Six months of experience in dialysis, preferred
  • Knowledge and understanding of the Nurse Practice Act (NPA).
  • Previous experience in critical care and med/surg nursing, or acute dialysis

The identification of Essential Job Functions does not display an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Additionally, the company operates with an open, transparent pay strategy.

Essential Job Functions

1. Nursing Care and Planning
2. Performs all necessary tasks of Acute RN (See Addendum) and provides safe and efficient patient care
3. Informs and establishes therapeutic relationships with patients and members of the healthcare team, including family
4. Files and enters patient information before, during and following dialysis therapy; stays engages in patient cycle and reports all aspects
5. Educates patients and families regarding dialysis treatments and safety
6. Works with multidisciplinary team to change treatment strategy for individual patient needs

1. Patient Care Management
2. Engages with schedulers regarding initiation of individual patients throughout the day and provides a final report of all dialyzed patient's
3. Works with suitable healthcare team member to monitor and note changes in patient status and adjusts or terminates treatment plans accordingly
4. Monitors HIPPA compliant application ongoing and throughout shift, stays engaged and interacts with appropriate hospital staff and dialysis providers to offer correct continuity of patient treatment
5. Ensures medications are administered as ordered, aligning with contractual agreement between hospital and DCD.
6. Receives and enters nephrology physician orders for assigned patients into the medical record
7. Knows and executes on individual hospital and DCD emergency policies; initiates and assists with emergency response plans
8. Monitors and directs hospital staff in suitable patient practices to align with DCD policies and procedures; delegates these duties to appropriate staff members; coaches hospital staff on specialized treatments such as renal replacement.
9. Uses caution to clearly communicate and uses legible handwriting when needed
10. Performs Acute treatments at assigned hospitals as needed.

1. Unit Responsibilities
2. Participates in Unit Meetings as required, such as Staff Meetings and In-services.
3. Performs other duties and responsibilities as requested or assigned; works at assigned outpatient facility.

Knowledge/Skills/Abilities

General: Exceptional time management, organizational skills, and keen emotional intelligence. High attention to detail. Ability to work well individually and as a team member; always demonstrates a flexible and collaborative approach when working with others. Takes the initiative to identify and implement effective solutions. Demonstrates a professional ethic, respectfulness, honesty and trustworthiness. Must also be punctual and dependable. Must possess cultural awareness and sensitivity.

Ability to organize, prioritize tasks, maintain accurate records and meet deadlines. Prepare correspondence and supporting documentation and provide experienced administrative support.


Technical: Exceptional nursing skills. Ability to speak clearly and convey information effectively, as well as exhibit excellent listening skills, and accurately record messages and information. Able to teach, review and ensure information is received and understood. Demonstrate a Subject Matter Expert (SME) level of knowledge of applicable medications, machines, and therapies. Skilled with email, search engine, and Internet; and ability to effectively use Microsoft Products: Outlook, Word, and Excel, and PowerPoint and the company's accounting system.

Must be able to use and access the HIPPA Compliant Application and stays fully engaged throughout shift,

Communication: Excellent written and verbal communication skills. Ability to read and interpret documents such as procedure manuals, doctor's instructions, etc. Ability to write specific reports and correspondence Acute RN position. Ability to effectively direct routine issues or problems positively to the appropriate person or department and follow through to ensure those issues have been resolved. Ability to communicate diplomatically and respectfully with patients and visitors, as well as within the staff and principals.

Math & Reasoning: Ability to deal with problems involving several concrete variables in standardized situations. Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret tables and bar graphs. Ability to define problems, collect data, establish facts, and draw valid conclusions.

Physical and Environmental Elements

Physical Demands: Ability to stand and sit and walk throughout the workday; potentially prolong standing as needed. Ability to bend, stoop, kneel, or crouch, and to reach with hands and arms throughout shift as needed. Ability to push, pull and lift up to 30 pounds. Ability to clearly speak and hear continuously.

Note: Machine and equipment can be heavy, up to 350 pounds, while on rollers, the position requires the ability to push equipment. Position must life chemicals and water solutions up to 30 pounds up to five feet.


Work Environment: Employee works in a clinical/office environment with moderate noise levels (such as computers and printers) and controlled temperature conditions. The position may be exposed to contagious and infectious diseases and materials and take necessary precautions.

Special Requirements

• May be required to work weekends and holidays as business necessitates; schedules will be determined by the department supervisor/management.
• Driver's license and insurance, potentially needed for tasks related to work

Company Culture

The company is committed to a respectful and purposeful work environment; this includes each team member taking responsibility for the greater good of the Company and its' goal to provide exceptional service to its customers service, and to create a sustainable future for the Company and its employees. Each team member is expected to use professionalism and emotional integrity in all aspects of their work as well as engage in actively encouraging their teammates to also strive for excellence.

If assistance or accommodation due to a disability is needed, please discuss it with a manager or human resources.