Staff Nurse

Delivering nursing care to patients in line with the medical prescription nursing profession standards applicable in dialysis and internal company standards with the purpose of contributing to a good health status and good quality of life.

1) Main tasks:
Patient handling and treatment:
Assesses patient status prior to during and after dialysis treatment and informs the physician of significant changes in: general health status weight heart rate and blood pressure body temperature vascular access etc.
Complies with local and corporate safety and hygiene and infection control regulations - especially NC Standard Good Dialysis Care and NC Standard Hygiene and Infection Control
Performs patient connection and disconnection
Performs correct anticoagulation of extracorporeal circuit and administers medication during treatment in line with patient prescription
Monitors patients during treatment and informs physician of changes which need medical attention
Properly handle tunnel and non-tunnel central venous catheters
Performs patient education with regards to managing their health conditions e.g. nutrition hygiene fistula care etc
Assists patients in haemostasis after dialysis treatment whenever needed
Performs blood sampling for lab tests
Performs emergency interventions and resuscitation procedures
Handle (prepare and distribute) meals to patients if applicable
Assists patients on arrival to and departure from dialysis unit if applicable
Prepared bed/chairs for patient treatment if applicable
Performs other examinations with proper medical equipment e.g. BCM ECG etc.
Prepares and administers medication and anticoagulation
Dialysis supplies and disposables:
Checks availability integrity and validity of dialysis disposables disinfectants and other necessary materials and medication for each of allocated dialysis stations before the treatment
Brings dialysis supplies from storage to dialysis treatment room in line with hygiene and infection control procedures
Supervises and/or performs collection of nonmedical and medical waste in line with hygiene and infection control standards and procedures
Dialysis machine manipulation:
Performs machine start internal & external disinfection adds bicarbonate supply and other disposables and performs all other necessary tests and procedures before during and after the treatment

Announces Head Nurse or technician of any irregularities in machine functioning
Primes circuits connects bloodlines and needles in line with existing procedures
Sets treatment parameters in line with the medical prescription
If applicable performs systems start and shut-down procedures i.e water system CDS etc
Checks service label potential equilibration cables and status of latest hydraulic disinfection
May perform dialysis machine replacement
Documentation:
Performs documentation of treatment as required by procedures
Cooperation with others:
Support help teach other nurses as necessary mentoring less experienced personnel if required by Head Nurse
Gives all necessary information to nurses in next shift or to physicians psychologists and other clinical functions
Peritoneal Dialysis tasks (if applicable):
Performs patient education on: hygiene nutrition and basic PD knowledge for CAPD and APD complications and emergency situation
Participates to and supports the PD treatment initiation
Periodically assess and document patient status: blood pressure heart rate presence of oedema body temperature diuresis body weight and ultrafiltration
Verifies that patients are correctly performing PD treatment
Supervises and is responsible for the hygiene status of PD treatment room including the correct disposal of contaminated waste
Strictly follows the physician requirements in regards to patient assessment:
o Lab test sampling storage and sending
o Gathering test results and recording them in patient files
o Follows patients to different tests recommended by the physician
o Performs peritoneal QA tests

Key Performance Indicators

Efficiency of treatments performed
Patient outcomes related to nursing procedures
Patient satisfaction related to quality of care
Absenteeism and general behavior

1) Required training and education:
Registered General Nurse diploma
Applicable dialysis training programmed

2) Required professional experience (in years):
Dialysis nursing experience and proper fundamental dialysis nursing training required before directly caring for patients 3) Important personal qualities:
Professional attitude characterized by an efficient and patient oriented working style
Trustworthiness
Ability to cooperate with others in a supportive and efficient manner
Social competence with an empathetic and sincere personality
Structured methodical approach leading to pragmatic and effective work
Level of flexibility openness and empathy well balanced with high resilience persuasiveness self-confidence and good ability to work under pressure 4) Other specialized knowledge:
a) Technical knowledge
Nursing & hygiene standards
Nursing practice standards

b) Languages
English

Local Language
c) IT skills
Comfortable with MS Office standard applications
d) Product knowledge
Knowledge on dialysis services and products