Practical Nurse

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.