Renal Nurse

1. Patient care

• Provide standard nursing care of dialysis patient as plan to patient in pre, post and throughout treatment under supervision of Renal Nurse Specialist.
• Assist Physician during patient round, patient examination or procedure.
• Deliver nursing care to patient as physician’s treatment order under supervision of Renal Nurse Specialist.
• 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.
• Demonstrates competency in operating dialysis machine for double lumen or CVC patient.
• Performs venipuncture AVF, AVG in order to initiate the dialysis under supervision of Renal Nurse Specialist.
• 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.
• Prepares dialysis machine and medical supply for the next day.
• Performs other professional nursing activities as approved by Head Nurse.Demonstrates willingness to evaluate own practice.
• Keeps abreast of current knowledge.
• Avails self of continuing education programs.
• Attends company’s education courses or conference once a year.

2. Quality and safety

• Provide nursing care and service to all patients with patient safety standard.
• Document nursing record completely as professional standard
• Checks and prepares readiness of emergency cart completely.
• Checks and prepares readiness of Treatment cart.
• Checks medical supply and stock
• Provides for patient safety in the clinical environment.
• Record incident and customer feedback and report to head nurse.
• Demonstrates willingness to initiate or participate in unit quality activities for safety culture.
• Innovates and initiates in unit CQI project development.

3. Medication administration

• Prepares medication as treatment plan.
• Provides Medication administration for dialysis patient as medication safety standard.
• Documents medication administration correctly and completely as medication safety standard and policy.
• Review medication and blood value with patients every 1 month.
• Review completeness of standard medication order in Medical Record sheet and encourage involved staff to complete record as standard.

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.
• Provide service to 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.
• Complies with accepted dress code.
• Maintains a professional image among colleagues and to the public.

5. Education and learning

• Demonstrates willingness to evaluate own nursing practice.
• Keeps abreast of current nursing literature
• Avails self of continuing education programs.
•  Attends Thai Nephrology Nurses Society meeting or conference annually.
• Attends company’s education courses or conference as requested
• Exchange knowledge and skill sharing with team once a year.
• (Journal or Interesting case presentation)