Licensed Practical Nurse - Acute Dialysis LPN - LVN

PURPOSE AND SCOPE:

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies,procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.

 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related:


* Provides patientcare under the direct supervision of Hemodialysis Registered Nurse for assigned patient(s)in the acute setting excluding Intensive Care Units as permitted by state requirements.


* Performs all technical aspectsof dialysis procedures for assignedpatients as prescribed to administer and monitor treatments in accordance with currenttreatment plan under the direction of the Hemodialysis RN.

Responsible for reporting and documenting all new and unusual incidences, information, complaints, or problems to the RN.


* Provides treatments for assignedpatients as assignedto promote and assist in the maintenance of a safe and clean working environment.

Supportsthe FMCNA commitment to the QualityEnhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhancethe likelihood that patientswill achieve the FMCNA QualityEnhancement Goals (QEP).


* With documented competency and proficiency, the LPN/LVN may set up and prime equipment as directed by the Hemodialysis RN for renal replacement therapies (hemodialysis, continuous renal replacement, and peritoneal dialysis therapies).


* Evaluates vascular accessfor patency; obtainsnecessary pre and post treatment vital signs and weight; performsvascular access cannulation as defined by the state and reports any difficulties or unusual findings to the Hemodialysis RN.


* Responsible for accuratedocumentation of information related to the patient treatment.This information is documented appropriately in the individual patient record to include the hospitalElectronic Medical System (EMS) and the Acute Care Electronic System (ACES).


* Responsible for reporting any significant information, change in patient condition, or equipment problemsto the Hemodialysis RN.


* Responsible for ensuringappropriate safety alarms are being used for every treatment.


* Records accurate and timelyinformation regarding vital signs and treatment parameters onto the Hemodialysis Treatment recorded in the EMS and ACES.


* Initiates renal replacement treatment according to prescribed ordersincluding setting bloodflow rate (QB) and dialysate flow rate (QD).


* Collects, labels specimens and ensurestimely delivery of laboratory per facilitypolicy.


* Identifies intradialytic problems and provides intervention as prescribed by physician's order or as directed by Hemodialysis RN.


* Performs and documents any interventions for the patient, documentspatients' response to inte...