Renal Nurse Specialist

1. Patient care

• As leader team to provide standard nursing care of dialysis patient as plan to patient in pre, post and throughout treatment under supervision of Head Nurse
• 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.
• Assist Physician during patient round, patient examination or procedure.
• 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
• Be a mentor for new nurse in dialysis unit.
• Review medication and blood value with patients every 1 month.
• Performs other professional nursing activities as approved by Head Nurse.

2. Quality and safety

• Report daily incident and customer feedback to in charge nurse when incident current.
• 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
• Check and monitor electrolyte value of dialysate when changing lot number.
• Check and monitor bacteria and endotoxin level of dialysate monthly.
• Document nursing record completely as professional standard
• Assures all medical equipment has PM and calibration as schedule
•  Provides service for patient safety in the clinical environment.
•  Demonstrates willingness to initiate or participate in unit quality activities for safety culture.
• Innovates and initiates in unit CQI project development.

3. Operation Management

• As resources for team consultation in clinical and critical patient.
• Assigns role and responsibility to team member appropriately.
• Assist nurse in charge for operation management and report incident
• Assist for roster management and daily assignment.
• 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
• Prioritizes task and time management
• Effective environment preparation
•  Prepares and check reediness of medical supply, stock, medication and medical equipment
•  Participates in committee activities, surveys and research pertinent to nursing practice.

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.
• Take a response to customer feedback and initially CFB management to continue smoothly service for patient and family
• Be a role model in service behaviour
• 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 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