Position Title Clinical Nurse, In-center Hemodialysis
Purpose To provide nursing care and support to the adult in-center hemodialysis patient with acute kidney injury (AKI) or end stage renal disease (ESRD). To maintain clinical expertise within this unique population requiring specialized renal therapies. To provide nursing advice and consultation to other health care team members. Utilize the nursing process to provide nursing care to facilitate the attainment and maintenance of an optimal level of health for patients and families. To collaborate with other health care team members and utilize associated resources to provide continuity in patient care and participate with healthcare team members for problem solving.
Organizational Relationships General supervision is received from Clinical Nursing Director, Clinical Nursing Supervisor and Medical Director. Functional supervision may be exercised over assistive personnel in collaboration with the charge nurse.
Staff Related - Collaborate and delegate with the Patient Care Technician’s (PCT) provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
Participates in staff training and orientation of new staff as assigned.
Assists with medication tracking and inventory as assigned.
Checks availability of adequate emergency equipment and supplies as assigned.
Monitors patient care staff for appropriate techniques and adherence to MM policy and procedures.
Patient Care - Provides safe and effective comprehensive delivery of care to patients with AKI and ESRD.
Completes Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to Michigan Dialysis Services (MDS) policies and procedures.
Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
Participate in patient care conferences with the multidisciplinary team and completes all CMS requirements.
Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
Patient Education – Ensures educational needs of patients and families are met regarding renal disease.
Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy and other related health conditions.
Ensures patient awareness related to transplant and treatment modality options.
Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling.
Infection Prevention - Ensures a clean, safe and sanitary environment in the dialysis facility patient care area. Ensures competency in the operation of all dialysis related equipment safely and effectively.
Promotes infection control, equipment and environmental safety.
Medical Records and Documentation - Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
Professionalism - Enforces policies and procedures, as well as regulations set forth by state and federal agencies and departments. Delegate appropriate duties to assistive personnel.
Professional Development/Education for Staff - Successful completion of hemodialysis training with satisfactory performance. Contributes to the professional growth of peers and other interdisciplinary team members. Maintains clinical expertise within the unique patient population which require specialized renal therapies.
Leadership - Responsible for driving the MDS culture through values and customer service standards.
Develops and maintains effective professional relationships through effective and timely communication.
Able to make appropriate independent nursing decisions and delegate responsibilities when necessary.
Promotes outstanding quality patient care in a collaborative, cost effective manner by assessing the diverse needs of the unit and implementing change accordingly.
Initiates or assists with emergency response measures.
Document on the daily time sheet tardiness, when leaving early and absences.
Communication - Promote teamwork by functioning as a resource to peers, other units and various team members involved in the care of patients requiring peritoneal dialysis. Effectively interacts willingly and professionally with peers, patients, families and interdisciplinary team members.
Expectations of the position:
• Actively lead and participate in care plan meetings, including anemia management
• Basic Cardiac Life Support (BCLS) certified
• Demonstrated excellent interpersonal and communication skills to interact with the multidisciplinary team
• Flexibility in adherence to facility specific policies and protocols
• Management of clinical outcomes, patient care technicians and multiple simultaneous patient treatments
• Actively participate in preventing and lowering access infection(s)
• Participation in hospitalizations/missed treatment rate reduction
• Participation in Quality Index (QI) improvement
• Ability to push, lift and move heavy equipment
• Ability to lift, move and position patients
Registered Nurse with current license to practice in the State of Michigan
Minimum five years’ recent (within the last 12 months) adult outpatient chronic hemodialysis experience.
Minimum of one-year charge nurse experience
Dialysis preceptor experience
Experience in NHSN reporting
Experience with policy and procedure auditing in preparation for state surveyors
Comprehensive understanding of End Stage Renal Disease (ESRD) CMS regulations
NOTE: In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.
RESUME REQUIRED (for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position.
Baccalaureate degree in Nursing
Knowledge of Michigan Dialysis Services (MDS) policies and practices
Previous experience with hospital based computer systems, Epic, Outlook, M-Learning and eCube.
Advanced Cardiac Life Support (ACLS) certified
PEDS Chronic Dialysis Experience
ICU or Emergency Department Experience
Certified Nephrology Nurse
Familiarity with CMS regulations around dialysis therapies
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
Nursing at Michigan offers a competitive salary with excellent benefits!
Salary range for Registered Nurses- $67,815.44 - $107,275.37
Evening Shift Differential- $2.55 per hour
Night Shift Differential- $3.40 per hour
Weekend Differential- $1.75 per hour
Hours/Week: 36 hours per week Shift/Hours/Days: Day shift, starting at 4:30 AM (12 hour shift); days vary from Monday to Saturday
Location: Canton Hemodialysis Unit (Michigan Dialysis Services (MDS) – Canton)
Note: All new employees will be expected to float to a designated unit(s) in times of low census.
This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
The University of Michigan is an equal opportunity/affirmative action employer.
Internal Number: 190488
About University of Michigan - Ann Arbor
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.