Dialysis Nurse

Job Description

Job Description

We are hiring a Dialysis Rn in Miami, FL for our client.

Position Summary

The Dialysis Registered Nurse (RN) provides specialized nursing care for patients with acute kidney injury (AKI), chronic kidney disease (CKD), and end-stage renal disease (ESRD) requiring hemodialysis or peritoneal dialysis. The RN is responsible for assessing patients before, during, and after dialysis treatments, monitoring treatment effectiveness, preventing complications, educating patients and families, and collaborating with nephrologists and interdisciplinary healthcare teams. Dialysis RNs may work in outpatient dialysis centers, hospitals, or acute care settings.

Essential Responsibilities

• Perform comprehensive patient assessments before, during, and after dialysis treatments.
• Review physician orders and develop individualized dialysis care plans.
• Initiate, monitor, and discontinue hemodialysis and peritoneal dialysis treatments.
• Cannulate arteriovenous (AV) fistulas and grafts and manage central venous dialysis catheters.
• Monitor vital signs, fluid balance, electrolyte status, and patient tolerance throughout treatment.
• Recognize and respond to dialysis-related complications, including:
• Hypotension
• Hypertension
• Cardiac arrhythmias
• Bleeding
• Disequilibrium syndrome
• Access complications
• Administer prescribed medications, including:
• Heparin
• Erythropoietin (ESA)
• Iron therapy
• Vitamin D analogs
• IV antibiotics
• Operate and troubleshoot dialysis machines and water treatment systems.
• Ensure compliance with infection prevention standards and dialysis safety protocols.
• Document patient assessments, treatments, medications, and outcomes in the electronic medical record (EMR).
• Educate patients and families on:
• Kidney disease management
• Home dialysis options
• Medication adherence
• Diet and fluid restrictions
• Vascular access care
• Collaborate with nephrologists, dietitians, social workers, pharmacists, and dialysis technicians.
• Participate in quality improvement initiatives and regulatory compliance activities.

Typical Patient Population

• End-Stage Renal Disease (ESRD)
• Chronic Kidney Disease (CKD)
• Acute Kidney Injury (AKI)
• Diabetic nephropathy
• Hypertensive kidney disease
• Kidney transplant patients
• Patients requiring emergency dialysis
• Critically ill patients requiring bedside dialysis

Required Qualifications

• Active Florida Registered Nurse (RN) License
• Associate Degree in Nursing (ADN) required; BSN preferred
• Current Basic Life Support (BLS) certification
• Advanced Cardiac Life Support (ACLS) preferred for acute care dialysis
• Miminum 3 years of Dialysis RN experience required
• Dialysis experience preferred (acute or chronic)

Preferred Certifications

• Certified Dialysis Nurse (CDN)
• Certified Nephrology Nurse (CNN)
• Certified Dialysis Nurse Manager (CDNM)
• ACLS (hospital-based dialysis)

Required Skills

• Hemodialysis and peritoneal dialysis expertise
• Dialysis machine operation and troubleshooting
• Vascular access management
• Fluid and electrolyte management
• Critical thinking and emergency response
• Patient education
• Infection prevention
• EMR documentation
• Strong communication and interdisciplinary collaboration

Physical Requirements

• Ability to stand and walk for extended periods
• Lift and reposition patients safely
• Frequent bending, reaching, pushing, and pulling
• Ability to respond quickly during medical emergencies
• Ability to work early morning shifts, weekends, holidays, and on-call schedules when required

Job Title: Dialysis Registered Nurse (RN)

Location: Miami, Florida

Department: Acute Dialysis / Chronic Outpatient Dialysis / Nephrology

Employment Type: Full-Time