1. Patient care
- As an In-charge nurse to provide standard nursing care of dialysis patient as plan to patient in pre, post and throughout dialysis treatment.
- Responsible for dialysis patient tertiary level and critical care level.
- Assesses patient’s condition and symptom in pre, through out and post treatment effectively and safety.
- Demonstrates willingness to initiate and participate in unit patient/staff education activities e.g., clinical conferences, grand rounds, patient groups
- Makes recommendations regarding standards of patient care.
- Deliver nursing care, plan treatment for patient with attending physician.
- Document patient condition, treatment and progression completely.
- Review, Evaluate and report Laboratory result.
- Demonstrates competency in RO system, setting-up, operating the dialysis machine.
- Assesses patient’s condition, body weight and document in hemodialysis sheet with appropriate treatment plan.
- Be a mentor and performs venipuncture AVF, AVG in order to initiate the dialysis
- Assessed patient’s condition and body weight post treatment to assure patient safety before discharge.
- Educates and evaluates patient and family knowledge of kidney disease, treatment modalities and treatment plan.
- Takes care of patient transferring with safety
- Applies knowledge of altered health status and uses available resources for patient and family’s need
- Review medication and blood value with patients every 1 month.
- Performs other professional nursing activities as approved by Head Nurse.
- Be a mentor for new renal nurse in dialysis unit and responsible for on-the-job training and experience necessary for the satisfactory performance of their roles.
2. Quality and safety
- Acts as role model in advising other staff members on how to handle various situations.
- Record incident or customer feedback into system within 24 hours.
- Monitor unit indicators, record and develop result with team.
- Monitor and check daily checklist of dialysis machine, RO system to ensure safety process
- Monitor and check electrolyte value of dialysate when changing lot number.
- Monitor and check bacteria and endotoxin level of dialysate monthly.
- Document nursing record completely as professional standard
- Assures all medical equipment has PM and calibration as schedule
- Collaborates with support services to create an environment optimal for safe delivery of patient care services.
- Demonstrates willingness as a leader to initiate or participate in unit quality activities for safety culture.
- Innovates and initiates in unit CQI project development.
- Evaluates the quality and effectiveness of nursing care administrated to patients in the unit
3. Operation Management
- As resources for team consultation in clinical and critical patient.
- Assigns role and responsibility to team member appropriately.
- Monitor patient monthly time schedule, maintain adequate staffing to meet the needs of the unit.
- Review completeness of standard medication order in Medical Record sheet and encourage involved staff to complete record as standard.
- Monitor completeness of nursing document following standard
- Manages all daily incident and customer feedback appropriately and report to Head nurse.
- Prioritizes task and time management
- Effective environment preparation
- Monitors and checks readiness of medical supply, stock, medication and medical equipment
- Participates in committee activities, surveys and research pertinent to nursing practice.
- Applies resources knowledge for patient needs appropriately
- Disciplines employees and initiates disciplinary action where appropriate.
- Reviews clinical performance of nursing personnel, completes annual evaluations and sets goals for employees of the center
4. Communication and service
- Communicates effectively with patient and family and ensures that the patient’s problem and feedback receive the rapid response.
- Communicates effectively with multidisciplinary team.
- Monitor all team members to provide service for patient and family with quality of care.
- Demonstrates willingness to take a good care and provide instruction to patient with excellent service behavior.
- Provide excellent service and coordination with multidisciplinary team.
- Take a response to customer feedback and initially CFB management to continue smoothly service for patient and family
- Record all incidents and customer feedbacks into system within 24 hours.
- Maintain cooperative working relationships with other departments and members of the health care team.
- Be a role model in service behaviour
- Complies with accepted dress code as a role model.
- Maintains a professional image among colleagues and to the public as a role model.
5. Education and learning
- As a role model to demonstrates willingness to evaluate own nursing practice.
- Keeps abreast of current nursing literature and advice team member.
- Avails self of continuing education programs.
- Acts as stimulus in helping the units implement new ideas and programs.
- Attends Thai Nephrology Nurses Society meeting or conference annually.
- Attends company’s education courses or conference twice a year.
- As a leader for knowledge and skill sharing with team
- (Journal or Interesting case presentation)
- Be a mentor for new renal nurse to practice in unit
- Responsible for scheduling classes in the unit specifically designed for nurses and nurse assistants
- Responsible for maintenance of employee records for training and in-service regarding state and federal regulations.