REGISTERED NURSE (Ambulatory Care-MDS Outpatient Hemodialysis Unit)

Hemodialysis Nurse

To provide nursing care and support to the adult in-center hemodialysis patient with acute kidney injury (AKI) or end stage renal disease (ESRD). To maintain clinical expertise within this unique population requiring 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.

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. Partic ipate 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. Managing anemia algorithms. 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

Required Qualifications:

• Registered Nurse with current license to practice in the State of Michigan
• Minimum two years recent full time nursing experience; one year must be in outpatient chronic hemodialysis -inpatient (acute) dialysis experience will be considered.
• Experience with policy and procedure auditing in preparation for state surveyors
• Knowledge and competence with water room opening and mixing.

Desired Qualifications:

• Previous experience working in a dialysis tech role.
• 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 clinical charting applications.
• Experience with policy and procedure auditing in preparation for state surveyors
• Comprehensive understanding of End Stage Renal Disease (ESRD) CMS regulations
• ICU or Emergency Department Experience
• Certified Nephrology Nurse

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

Nursing at Michigan offers a competitive salary with excellent benefits! Hourly range for Registered Nurses $43.46 -$67.40/ 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 What Benefits can you Look Forward to? 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

Nursing Specific Info Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C. Actual Nursing Framework LEVEL and salary will be determined at time of hire. Nursing Framework levels range from Level A to Level F.

Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined.

If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at View phone number on click.appcast.io.

Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes .

Work Schedule Hours per Week: 30 Shift: Day/Evening Hours: Shifts vary between 4:30 AM and 9:30 PM Days: Scheduled shifts vary Monday through Saturday. Location: Michigan Dialysis Services- Livonia Note: All new employees will be expected to float to a designated unit(s) in times of low census.

Union Affiliation This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.

Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

U-M EEO Statement The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.