Clinical Specialist- Dialysis (Full Time, Days)

Description

Qualifications

Minimum Job Requirements

• Master's Degree Nursing (MSN) (Required)
• RN - Registered Nurse RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) – maintain active and in good standing throughout employment
• CPR BLS -American Heart Association BLS must maintain active and in good standing throughout employment
• PALS - American Heart Association PALS must maintain active and in good standing throughout employment within 2 years of hire
• Complete competency assessment tool upon 3 months for non-Intensive Care Unit and 6 months for a Critical Care setting of hire date.
• 2-4 years RN experience
• At least 6 months of experience working with patients on automated peritoneal dialysis.

Knowledge, Skills, and Abilities

• Previous bedside peritoneal dialysis experience preferred.
• 1 year of managerial nursing with pediatrics preferred.
• Nursing experience in a pediatric healthcare setting is preferred.
• Career Development: National certification preferably within 5 years of hire.
• Strong problem solving, critical thinking, and conflict resolution skills.
• Ability to manage multiple priorities and strong time management skills.
• Effective verbal and written communication skills.
• Microsoft Office proficiency; Word, Excel, & Outlook
• Able to work effectively in a collaborative environment.
• Ability to apply principles of evidenced-based practice, analytical thinking, and service excellence in practice.
• Able to analyze and interpret data and utilize the information to make judgments regarding patient care.
• Able to assist with hemodialysis unit as needed.
• On-call assignment per department and hospital policy.
• Must be available by cell phone on off hours for assistance with cycler specific questions.
• Must be available on weekends for assistance with new PD patients .
• Able to perform home visits as needed.

Job Specific Duties

• Serves as a subject matter expert related to peritoneal dialysis for all hospital staff and patients/families.
• Communicates patient's progress including critical findings/changes in condition with physician and disciplines involved in the care of the child. Completes all nursing assessment of patients.
• Completes patient admission history/discharge planning thoroughly & accurately as per policy & taking spiritual, cultural, developmental, learning, & psychosocial needs into consideration.
• Manages education program/products activities and provides education to staff, residents, & patients/families. Manages assigned forum and/or conferences projects.
• Performs reassessments of patients as per policy, when there is a change in the plan of care, or when an intervention is performed.
• Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care.
• Provides education and training on: normal kidney function & effects of renal failure, mechanism of PD, performance of aseptic technique, catheter and exit site care.
• Provides education and training on: monitoring of weight & blood pressure, exchange procedures; use of cycles for automatic PD.
• Provides education and training on decision making regarding the dialysate to use; S&S of peritonitis, exit site and tunnel infection, adding Intraperitoneal medications.
• Documents patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care etc.).
• Promotes a safe "error free" working environment by consistently performing thorough hand-offs and infection prevention measures.
• Ensures safe/effective/efficient care delivery with emphasis on absence of medication errors, ouch-free procedural pain, reduction of pain, absence of blood borne & surgical site infections, etc.
• Secures peritoneal dialysis catheter on a daily basis when applicable per competency; maintains observance of skin integrity for prevention of skin breakdown.
• Writes, updates, and enforces the hospital's and CMS approved peritoneal dialysis procedures and policies.
• Responsible for surveillance of the patient’s home adaption, including provisions for visits to the home as per CMS requirements.
• Sets up follow-ups with the MD, RN, Social Worker & Dietitian as per CMS guidelines. Educates patients on supplies (solutions dialysis lines, oral meds, injectables, etc.) & ensures proper inventory.
• Ensures through a contact agreement (Baxter), proper installation and maintenance of equipment when required. Ensures Preventive Maintenance (PM) of all at home BP machines on a yearly basis.
• Obtains patient's data and participates in the monthly QAPI Meeting, Crown Web, National Healthcare Safety Network (NHSN) and maintains monthly lab excel spreadsheet.
• Makes weekly appointments, daily follow-up calls, and maintains tally sheets for patient treatments and medical conditions. Updates Admission, Discharge, Transfer (ADT) spreadsheet as appropriate.
• Creates training manual and ensures it is current with changing technologies and written in a manner which meets the health literacy guidelines and scores.
• Reviews daily PD log and assist with dextrose choices, including weekends as needed.
• Attends daily rounds with nephrology team when PD patients are admitted. Ensures weekly PD huddles are scheduled to review patients with the nephrology team.
• Identifies PD Resource nurses on each floor that perform PD and serves as an education resource to keep them updated with current practices.
• Follows PD patients during hospitalizations and assists floor nurses with troubleshooting and problem solving any PD issues.
• Ensures PD program is compliant with state and federal regulations. Enters PD patients in NAPRTCS initially and at every 6 months.
• Obtains routine laboratory work to include routine adequacy testing.

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