Registered Nurse (Nephrology)- 6 Posts at Kiambu County Government

REQUIREMENTS FOR APPOINTMENT

• Be a Kenyan citizen
• Be a holder of a Diploma in any of the following disciplines: Kenya Registered Community Health Nursing, Kenya Registered Nursing. Kenya Registered Midwifery, from a recognized institution:
• Higher Diploma in Nephrology Nursing:
• Registration Certificate issued by the Nursing Council of Kenya;
• Valid practicing license from the Nursing Council of Kenya:
• Three (3) years relevant work experience;
• Demonstrate a thorough understanding and commitment to values and principles as outlined in Articles 10 and 232 of the Constitution:
• Ability to work in a multi-ethnic environment and sensitivity and respect for diversity;
• Must have good inter-personal and communication skills;
• Proficiency in computer applications; and
• Satisfy the requirement of Chapier Six of the Constitution.

DUTIES AND RESPONSIBILITIES

• Reviews physician orders for dialysis patients, collects pre-treatment dialysis data, and reviews patient records prior to dialysis.
• Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patient s vascular access, laboratory findings, and the patient § general health.
• Verifies that patients are taking all prescribed medications and performs medication reconciliation.
• Documents findings of patient assessments and interventions and advises providers of any significant change in the patient's condition and other pertinent information.
• Oversees the performance of dialysis from start to finish, monitors patient reaction to treatment and performance of the dialysis machines, and demonstrates an in- depth understanding of the mechanics of dialysis.
• Assesses, prepares, and cannulates a patient's vascular access (including neecle insertion in arteriovenous fistula or grafts for aseptic connection with dialysis equipment).
• Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing on the patient s vascular access (dialysis catheter, arteriovenous access) per protocols.
• Reviews patient’ s electronic/paper records for orders as appropriate and administers dialysis related intra-venous and/or oral medications as prescribed and/or per protocol.
• Conducts post dialysis assessment and patient discharge by evaluating treatment, documenting medication administration utilizing the appropriate protocols, assessing condition of vascular access, discharging the patient when vital signs are stable, and documenting and recording patient treatment data.
• Provides patient education/teaching applicable to fhe patient s medical condition.
• Refers patient to other disciplines or services as needed (nutrition, social work, etc).
• Oversees disassembly and disinfection of dialysis equipment.
• Performs surveillance and testing of dialysis water treatment equipment and dialysis water (such as chlorine, hardness, conductivity, water cultures) to ensure that these machines are operating within the parameters set in the facility's written protocols.
• Demonstrates a working knowledge of dialysis laboratory tests and dialysis medications.
• Demonstrates an in-depth understanding of infection control and prevention of transmission of blood borne pathogens.
• Responds appropriately and provides assistance in emergency situations.
• Provides leadership in improving patient care, maintaining standards of care, directing and teaching personnel in a variety of settings, and providing charge nurse responsibilities as needed.
• Maintains responsibility for providing coverage to the dialysis department
• Any other lawful duties that may be assigned from time fo fime.