Acute Dialysis Nurse - Davita Kidney Care - Kaiser San Leandro and Fremont, Stanford, Sutter Mills and Eden
(2024-10)
Creates and maintains a climate conducive to healing through being present to the patient and family identifying and managing discomforts providing emotional support and information guiding the patient and family through phases of illness and recovery/passage to death and in accordance with the patient's goals and culture. Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration.
- Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined – hemodialysis, peritoneal, continuous renal replacement therapies, and ultrafiltration
- Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician
- Communicates problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated
- Delivers safe, effective care in a timely an efficient manner
- Gives organized, concise shift reports for patients on assigned shifts
- Applies high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment
- Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and to other health care team members
- Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care
- Accurately documents all treatment information in the individual patient record and the hospital record, as needed
- Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures
- Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate
- Performs all required pre-treatment dialysis machine alarm testing
- If applicable, initiates Solution Delivery System
- Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste
- Understands, conducts, and documents appropriately Dialysis/Peritoneal/CRRT machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies
- Participates in staff meetings as scheduled
- Participates in staff training and orientation as assigned
- Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications
- Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements
- May be assigned to in-center patient care on an as needed basis
- Reviews and complies with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations
- Assists with various projects as assigned by direct supervisor
- Performs other duties as assigned
Stepdown/Telemetry (Travel Nurse Under Medical Solutions) - Mercy Medical Center - Merced, California
(2024-02 - 2024-08)
- Float nurse to the different floors/areas in the hospital throughout my contract
- Monitor patient heart's activity and vital signs using specialized equipment, assessing and re-assessing patient's condition
- Attach electrodes to patients to collect EKG data, set alarm limits on monitors, and keep track of multiple patients simultaneously
- Report to the doctor if arrhythmias occur
- Administer medications and treatments per doctor's orders
- Clear communication, teamwork, and compassion in patient care
- Perform focused assessments like neuro checks for signs of stroke, abdominal exams to check for internal bleeding, or extremity pulses to detect circulatory issues
- Perform peritoneal dialysis, assess for any complications and complaints
- Creates and maintains a climate conducive to healing through being present to the patient and family, identifying and managing discomforts; providing emotional support and information; guiding the patient and family through phases of illness and recovery/passage to death and in accordance with the patient's goals and culture
Acute Dialysis Nurse - American Renal Association - Jacksonville, Florida
(2023-10 - 2023-12)
Provides acute hemodialysis care and treatment, including developing initial and ongoing assessments, and providing patient training and education as applicable. Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge.
- Checking and recording patients' vitals before, during, and after dialysis treatment
- Ensuring that hemodialysis and peritoneal dialysis treatments are administered to patients correctly
- Monitoring patients during dialysis treatment to identify any adverse reactions
- Preparing and updating nursing care plans
- Promptly notifying the appropriate medical practitioner of any problems that occur during dialysis treatments
- Teaching patients and their family members how to operate home dialysis machines should they decide on home dialysis therapy
- Educating patients on dialysis treatment options, kidney disease management, as well as suitable nutrition and exercise regimens
Stepdown (Cardiac, Neuro, Oncology and Medical-Surgical) - Baptist Medical Center Downtown - Jacksonville, Florida
(2023-07 - 2023-12)
- Float nurse to the different stepdown units such as cardiac, neuro, oncology and medical-surgical
- Assess patients including abdominal, neurological, and mental status
- Utilize both high-tech monitoring equipment as well as hands-on physical exams to have comprehensive understanding of the patient's condition from all angles
- Closely monitor all patients throughout their shift, noting any changes in vital signs or symptoms
- Simultaneously treating patients of different ages with diverse medical needs
- Managing patients' medical equipment, such as IVs, feeding tubes, supplemental oxygen, and catheters
- Monitoring patients who need ventilators and airway management assistance
- Responding to code blues or other medical emergencies
- Providing comfort and support to patients, as well as their family members
- Assesses a patient's and family's learning needs and readiness to learn
- Teaches needed information for self-care and illness prevention
- Adjusts information and expectations based on responses from patient, developmental levels, physiological and psychological condition, and cultural variations
- Changing dressings, starting IV lines and inserting catheters
- Perform peritoneal dialysis, assess for any complications and complaints
- Monitors own practices and assists in monitoring others for practices related to patient and employee safety and compliance to standards and policies
- Looks for opportunities for continual improvement in patient care and the work environment
Stepdown (International/Travel Nurse under Avant Health Care Professionals agency) - Baptist Medical Center Downtown - Jacksonville, Florida
(2020-12 - 2023-07)
- Assess patients including abdominal, neurological, and mental status
- Utilize both high-tech monitoring equipment as well as hands-on physical exams to have comprehensive understanding of the patient's condition from all angles
- Closely monitor all patients throughout their shift, noting any changes
