POSITION TITLE: Staff Nurse
LEVEL: General Staff
DEPARTMENT: Provider REPORTING STRUCTURE
Reports to: Unit Head/Team Leader
Direct Reports (if any): None
OVERALL PURPOSE OF JOB:
Responsible for ensuring the consistent provision of quality patient care to patients needing dialysis in accordance with policies, standard operating procedures, compliance requirements, and acquired training concepts; supports the Company's continuous quality improvement activities that are focused on, but not limited to those related to patient satisfaction.
DUTIES AND RESPONSIBILITIES:
CUSTOMER SERVICE
- Ensures the provision of outstanding customer service to all external and internal customers including patients and staff;
- Develops and maintains positive relationships through effective and timely communication with all customers;
- Addresses patient-related issues in a timely manner;
- Assess daily patient care needs and develops appropriate patient care assignments;
- Assists the Unit Head or Team Leader in attending to the unique needs of patients, in ways that make them develop a feeling of importance and belongingness;
- Assists in recording data in the NephroWeb to ensure that all pertinent clinical and patient information are kept updated;
PHILIPPINES
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CLINICAL CARE
- Responsible for accurate implementation of treatment prescription including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy;
- Assesses patient's responses to their treatment therapy, and makes appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician;
- Identifies and communicates patient-related issues and concerns to the Unit Head or Team Leader;
- Initiates initial and annual nursing assessments and maintains an ongoing evaluation and documentation of patient care needs;
- Actively participates in the pre-evaluation, initiation, termination, access homeostasis, and post evaluation of patients receiving dialysis treatment therapy;
- Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified;
- Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including timely notification of adverse reactions to the physician and/or appropriate blood suppliers;
- Collaborates with stakeholders on Continuous Quality Improvement (CQI) presentations;
- Reviews printed request of lab orders to ensure accuracy of lab requisitions transacted in the SAP system;
- Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples;
- Identifies and ensures appropriate follow-through of missed labs and insufficient specimens according to company policies and procedures;
- Ensures all specimens are appropriately packaged according to policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material;
- Ensures timely delivery of lab results to concerned personnel and reports abnormal lab results to Unit Head or Team Leader
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TECHNICAL
- Ensures all relevant data including physician's orders, lab results, vital signs, treatment parameters and patient treatment data are documented and stored appropriately;
- Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets; ensures patient medical records are complete with appropriate information, documentation and identification;
- Initiates, documents, and completes ongoing CQI activities including monthly reports;
- Reviews transplant status and follows corresponding established procedures;
- Assists in establishing patient care plans for new patients and generating various reports related to patients and treatments;
- Reports malfunctioning equipment or apparatus to Unit Head or Team Leader to ensure that all items required for dialysis treatment are in good working condition prior to actual treatment;
- Assists in taking inventory of consumable and non-consumable items during assigned shift and prepares required reports as needed;
- Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing;
- Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification if indicated
ADMINISTRATIVE
- Engages in regular discussions with the Unit Head or Team Leader with regard to personnel and patient care status as well as other related matters;
- Collaborates and communicates with physicians, other members of the healthcare team, Technicians, Utility staff, Cashiers and co-Nurses to interpret, adjust, and coordinate appropriate and excellent patient care;
- Verifies availability of adequate emergency equipment;
- Assists with the coordination of patient transportation if necessary;
- Ensures a clean, safe and sanitary environment in the dialysis facility treatment area;
- Develops and enhances competency in the operation of all dialysis-related equipment;
- Ensures all patient stations, including machines and chairs, are clean and free of blood spills and other foreign matter
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Job Requirements
Functional competencies Competency Name Proficiency Level (Refer Defn. below) Comments
General HR
T
Business Writing
T
Effective Communication
E
Computer Literacy
E
Clinical Competence and expertise
X
Ability to perform staff and patient education
S
Proficiency Level Definition Trained(T) - Attended a training course on this skill and/or has had brief exposure to this skill. - Uses basic terminology in regard to the skill. - Recognizes and/or articulates basic concepts, facts, methods, techniques in day-to-day work experiences. Experienced (E) - Moderate exposure to this skill and related work experiences. - Can assist other team members with questions and problems related to this skill - Applies skill (at basic level to work situations, with some guidance. Skilled(S) - Extensive exposure to this skill and related work experiences. - Applies skill (at advanced level) to work situations with medium complexity, with little or no guidance. - May train and/or direct the work of others in application of skill. Expert(X) - Regarded as a center wide resource on this skill. - Applies detailed knowledge and skills to complex (or new) work situations in multiple settings. - Trains and/or directs work of other in complex facts, methods, and techniques related to the skill.
Professional Competencies Competency Name Proficiency Level (Refer Defn. below) Comments
Initiative
Level 6
Influence
Level 2
Leadership
Level 2
Teamwork/Collaboration
Level 4
Service Management and Delivery
Level 4
Coaching
Level 2
Problem Solving
Level 2
Knowledge Sharing
Level 5
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Proficiency Level
