RN - Dialysis

Dialysis Registered Nurse (Chronic) — Direct Patient Care + Team Oversight

We're seeking an experienced Dialysis Registered Nurse to assume direct responsibility and accountability for the care of chronic dialysis patients, while also providing day-to-day oversight of unlicensed assistive personnel/technicians in assigned areas. This role delivers safe, effective, and compassionate care aligned with state/federal regulations and organizational policies and procedures.

Dialysis experience is a must. B. Braun machine experience is required. The dialysis RN may be asked to work a pod; there is also a hospital unit on the second floor.

Key Responsibilities

Patient Care & Clinical Oversight

• Provide direct patient care in a knowledgeable, skillful, consistent, and continuous manner within RN scope of practice.
• Supervise assigned patient care staff, including: pre-assessment, treatment initiation monitoring, intradialytic monitoring, treatment termination and post-assessment.
• Complete admission assessments and ongoing reassessments for assigned patients.
• Develop and evaluate the plan of care with the interdisciplinary care team; monitor patient response to treatment.
• Communicate patient condition changes and concerns to the care team and medical staff.

Operational Support

• Oversee opening processes prior to first treatment (including verification of technician opening procedures such as water checks).
• Oversee end-of-day closing procedures after final treatment to ensure readiness for next day operations.
• Schedule patients for treatments.
• Review and update physician orders; implement changes and communicate to appropriate disciplines.
• Ensure accurate, timely documentation (assessments, progress notes, treatment documentation, and system charting).
• Review/verify required water testing each shift as assigned; complete daily run/flow sheet reviews.

Medication & Safety

• Draw/administer medications and complete medication reviews as needed.
• Maintain strict infection control practices and utilize universal safety precautions.
• Respond appropriately to emergencies per protocol and complete required documentation.
• Enforce HIPAA compliance and deliver strong internal/external customer service.

Secondary / Additional Responsibilities

• Take on assigned functional program ownership (examples may include Anemia Management, Access/Catheter Monitoring, Transplant Management, Foot Care, Bone Management, Case Management, etc.) and drive outcomes.
• Perform patient foot checks and support patient/family education (learning needs assessment and teaching plan).
• Support inventory and stocking of supplies to maintain treatment readiness.
• Monthly patient progress evaluation as assigned.
• Prime/troubleshoot dialysis machine issues; partner with biomed as needed.
• Participate in QAPI/process improvement activities.
• Assist with administrative tasks as needed (phones, faxes, audits, referral scheduling, downloading treatment data, paperwork).
• May serve as a preceptor for new staff if trained/approved.
• Minimal travel; other duties as assigned.

Competencies

Patient Care • Problem Solving • Communication • Planning/Organizing • Quality Focus • Adaptability • Dependability • Safety & Security

Requirements

• Active RN license in the state of practice (compact/multistate accepted where applicable).
• CPR/BLS (must obtain within 60 days if not already certified).
• Minimum 2 years of recent dialysis experience (required).
• B. Braun dialysis machine experience (required).
• Associate Degree in Nursing (ADN) or Nursing Diploma required; BSN preferred.
• Critical care background (Med/Surg, ICU/CCU, ER) preferred.
• Dialysis specialty certification encouraged.
• Strong communication/interpersonal skills; able to collaborate professionally with staff, patients, and providers.
• Comfortable with documentation systems and basic computer troubleshooting.