Renal Nurses at Avenue Healthcare

Key Responsibilities

• Ensure proper inventory of the available equipment on a daily basis and ensure that they are in good working condition. Report any malfunction to BioMedical Technician/Nurse in charge. 
• Ensure the unit is financially viable and demonstrate growth through; 
• Offering quality care to patients and ensuring good working relationship with our stakeholders 
• Ensure financial objectives are met by managing costs within budget, timely and accurate billing of drugs and services. Ensure an invoice rejection rate of < 3% by ensuring that proper pre-authorisations and documentation has been done. 
• Ensure that Avenue corporate governance policies are adhered to. 
• Prevent, detect and report any fraud or criminal activity 
• Liaise with the Nurse in charge to fully implement internal audit recommendations and attain satisfactory ratings in subsequent audits. 
• Read, understood and is conversant with all systems, policies and procedures as outlined in the Hospital Manual especially the Renal unit policy and policies pertaining to provision of medical services i.e. Admission & discharge procedures, nurses’ reports, ward equipment and supplies, emergency protocols etc. 
• 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 and dialysis emergencies. 
• Incident reporting tool – record all sentinel incidents/events and report within 24 hours using the provided tools 
• Maintain and enforce infection control standards per the hospital manual and observe the infection control bundles (SSI,VAP,CAUTI and CLABSI) where applicable. Demonstrates an in depth understanding of infection control in the dialysis unit and prevention of transmission of pathogens. 
• Performs disinfection of dialysis equipment. 

Supervise patient attendants as per their job description 

• Engaging the multi disciplinary team actively through an established physician contact system and during Doctors/ Nephrologist visit rounds. Refers patients to other disciplines or services as needed (Nutrition, Social work, support groups etc). 
• Reviews Nephrologist prescription for dialysis patients, collects pre-treatment dialysis data, and reviews patient records prior to dialysis. 
• Ensure recording and safe keeping of patient’s valuables 13. Document findings of patient assessment and intervention and advises providers of any significant change in the patients condition and other pertinent information as soon as they are available. 
• Performs diagnostic tests such as blood sugar testing. Collection of pre-dialysis blood samples for testing. Ensure that all diagnostic requests and reports (lab and radiology) have accurate patient’s clinical information and biodata.Demonstrates a working knowledge of dialysis laboratory tests and dialysis medications. 
• Ensure patients safety following the 6 International Patient Safety Goals (IPSGs) (patient identification, effective communication, safety of high alert medication, ensure correct site procedure and surgery, reduce the risk of healthcare associated infections, reduce the risk of patient harm resulting from falls) 
• Provides patient and family education/teaching applicable to the patients medical condition. Discusses patient concerns and answers questions relevant to care. 
• Prioritize patient needs. Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patient’ s vascular access, laboratory findings, and the patient’ s general health. 
• Organize emergency trolley for easy use during resuscitation, drugs and supplies are well stocked, damaged equipment is removed and reported promptly A checklist should be kept and updated on the 1st and 16th of every month, and as needed. 
• Preparation of the dialysis delivery system, dialysate bath, and dialyzer and confirms that all mandatory alarm tests on the dialysis equipment are performed. 
• Perform all invasive nursing procedures under aseptic technique. Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing on the patient’ s vascular access (dialysis catheter , arterioveinous access) per protocols 
• Promptly assesses, prepares, and aseptically cannulates a patient’ s vascular access (including needle insertion in arterioveinous fistula or grafts for connection with dialysis equipment). 
• Ensure all the relevant consultants have explained procedures and have obtained consent 
• 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. 
• Ensure patient privacy and confidentiality is maintained at all times, as per policy. 

Drug administration; 

• Adhere to the 10 rights of drug administration (right patient, medication, dosage, route, time, documentation, client education, assessment, evaluation and client refusal of treatment) 
• Submit all new drug orders to pharmacy promptly and STAT doses given within 30 minutes 
• Keep D.D.A. drugs safe and drug register properly per unit requirements 
• Refund all unused drugs immediately 
• Ensure All verbal prescriptions should be signed within 24 hours by the respective doctor per the hospital policy. 
• Ensure all treatment sheets have patients biodata including information on drug allergies 
• Maintains skills necessary to do regional heparinization, set up oxygen, administer saline, intradialytic transfusion and maintain dialysis equipment. 
• Participate in emergency response 
• Adhere to Government and respective professional standards of care and treatment of patients as guided by the Nursing Council of Kenya. 
• Client satisfaction (patient, consultants and others)- ensure client satisfaction through optimal quality

Personal Specifications

• A Higher Nursing Diploma Nephrology
• A Diploma in Nursing{KRCHN/KRN/M]
• A valid Nursing council License
• Updated BLS, ACLS/ATLS certificate
• Minimum of 1 years of relevant working experience
• Proficient in computer and Health Information Systems
• Confident, organized and with excellent communication
• Critical thinking, analytical and problem-solving skills
• Excellent interpersonal and a team player
• Ethical, Empathetic and customer focused