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Acute Dialysis - Responsibilities
- Clinical Duties/Direct Patient Care
- Welcome patients into the unit and check two patient identifiers with armband (full name and birthdate).
- Conduct dialysis machine safety checks according to unit policy/procedure.
- Obtain necessary pre- and post-treatment vital signs and weight.
- Place patient on cardiac monitor, pulse oximeter, oxygen and suction as needed. Have basic knowledge of respiratory equipment.
- Under the direction of a nurse, initiate, monitor and terminate hemodialysis.
- Prepare dialysis machine according to prescription.
- Assist with lab draws, labeling and sending to the lab.
- Accurately document in the patients’ electronic medical record.
- As directed by the RN, monitor patients throughout hemodialysis treatment, including patients’ response to dialysis, vascular access site and pressures, and visibility of patients’ face and access.
- Obtain vital signs and perform all relevant functions necessary prior to terminating treatment.
- Discontinue dialysis treatment according to unit approved policies/procedures.
- Hold AVF/AVG needle sites post-treatment.
- Evaluate patient post-treatment.
- Obtain hemostasis and apply appropriate dressings for needles or catheter.
- Evaluate patient prior to discharge.
- Prime CRRT machines.
- Draw labs at bedside.
- Perform and document pre- and post-dialysis evaluation including weight and vital signs.
- Report any significant information and/or change in patient condition to the RN.
- Assist multidisciplinary team members in providing patient specific detailed education regarding adequacy measures where appropriate, including disease process, access, online clearance monitoring, adequacy monitoring program and urea kinetic modeling.
B. Technical Duties
- Disinfect hemodialysis equipment including hemodialysis machines and portable reverse osmosis equipment.
- Maintain environmental integrity by assuring all areas are safe and clean.
- Clean and disinfect dialysis machine surface, equipment, back ledge and surrounding area between treatments according to unit policy.
- Maintain patient care area daily by stocking supplies in the bedside carts and storage cabinets.
- Perform all required pre-treatment dialysis machine alarm testing.
- Ensure all blood spills are immediately cleaned with appropriate disinfectant according to unit policy.
- Prepare, organize and efficiently utilize supplies and equipment to prevent waste.
INU – Responsibilities
A. Clinical Duties/Direct Patient Care
- Knowledge of respiratory equipment used during procedures.
- Scrubs in and assists the Medical Doctor or Physician Assistant with sterile procedures.
- Maintain sterility during procedures.
- Provide recovery for patients after procedure is complete under supervision of the Registered Nurse.
- Suture removal.
- Hold pressure on sites after procedure is complete, under supervision of the Registered Nurse.
- Apply dressings to procedure sites.
B. Technical Duties
1. Maintain patient care area, including procedure and preparation room daily by stocking supplies.
2. Complete daily routine checks of the crash cart, glucometer, POC INR and contrast allergy box.
3. Operate laboratory equipment to determine blood glucose and electrolytes.
4. Set up appropriate sterile field for procedure.
5. Count scrubs and exchange with laundry.
6. Obtain medication from pharmacy as directed by nursing staff.
7. Schedule patients in the electronic medical record.
8. Clean and prepare the preparation and procedure rooms for cases.
9. Clean the blood pressure, pulse and EKG monitoring cables and place in appropriate area every evening.
- High school graduate or equivalent combination of education and experience.
- Certified hemodialysis technician, CCHT.
- Minimum two-years’ experience working in a hemodialysis unit providing direct patient care.
- Basic life support (BLS) certified.
- Excellent communication skills.
- Acute hemodialysis experience.
- Experience with electronic medical documentation.
10 hour shifts. Start time between 1200 – 1600.
Dual unit position, covers the Acute Hemodialysis and the Interventional Nephrology Units.
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The University of Michigan is an equal opportunity/affirmative action employer.
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