About this role
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.