Hemodialysis Registered Nurse (RN)

JOB PURPOSE:  

The Hemodialysis Registered Nurse (RN) provides direct nursing care to patients with Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) undergoing hemodialysis treatment. This role is responsible for assessing patient needs, planning and delivering individualized care, monitoring treatment responses, and ensuring safe and effective dialysis therapy. The RN collaborates with physicians, technicians, dietitians, social workers, and other team members to support high‑quality patient outcomes, regulatory compliance, and a positive care environment.

KEY RESPONSIBILITIES:

Patient Assessment and Care Delivery

1.    Perform comprehensive nursing assessments on all assigned dialysis patients, including physical, psychosocial, and treatment related evaluations.

2.    Develop, implement, and update individualized plans of care in collaboration with the interdisciplinary team.

3.    Initiate, monitor, and terminate hemodialysis treatments according to physician orders and facility protocols.

4.    Administer medications as prescribed and monitor patient responses during and after treatment.

5.    Evaluate patient tolerance to dialysis, identify complications, and intervene promptly and appropriately.

6.    Provide patient and family education on dialysis procedures, access care, medications, and lifestyle considerations.

Clinical Monitoring and Documentation

7.    Monitor vital signs, fluid balance, vascular access function, and treatment parameters throughout dialysis sessions.

8.    Document all assessments, interventions, patient responses, and care activities accurately in electronic or manual records.

9.    Review laboratory results, communicate abnormalities to the physician, and implement nursing interventions as needed.

10.  Ensure compliance with infection control standards, including aseptic technique and universal precautions.

Interdisciplinary Collaboration

11.  Participate in interdisciplinary team meetings, including care planning, quality improvement, and patient review conferences.

12.  Provide clinical guidance and oversight to Hemodialysis Technicians and support staff.

13.  Communicate effectively with physicians, dietitians, social workers, and other healthcare professionals to coordinate patient care.

Regulatory Compliance and Quality Improvement

14.  Adhere to all federal, state, and CMS regulations governing dialysis care.

15.  Support facility quality initiatives, including QAPI activities, audits, and performance improvement projects.

16.  Maintain competency in dialysis equipment operation, emergency procedures, and facility protocols.

Safety and Emergency Preparedness

17.  Ensure a safe treatment environment by following OSHA standards, infection control policies, and equipment safety guidelines.

18.  Respond to medical emergencies, dialysis complications, and facility emergencies according to established procedures.

19.  Assist in patient evacuation during fire, disaster, or emergency situations.

Professional Development

20.  Maintain current RN licensure and required certifications (e.g., CPR).

21.  Participate in continuing education related to nephrology nursing and dialysis care.

22.  Support orientation and training of new nursing and technical staff.

KNOWLEDGE, SKILLS, ABILITIES:

Knowledge

•    Renal physiology, CKD/ESRD disease processes, and hemodialysis treatment principles.

•    Vascular access types, complications, and access care standards.

•    Infection control, OSHA safety practices, and emergency procedures.

•    Medication actions commonly used in dialysis and interpretation of lab values.

•    Federal and state regulations governing dialysis (CMS Conditions for Coverage).

Skills

•    Conducting thorough nursing assessments and developing individualized care plans.

•    Initiating, monitoring, and discontinuing dialysis treatments safely.

•    Recognizing and responding to dialysis complications and patient changes.

•    Clear communication with patients, families, technicians, physicians, and interdisciplinary staff.

•    Teaching patients about dialysis, access care, and treatment expectations.

Abilities

•    Prioritize patient needs and make sound clinical decisions in fast paced settings.

•    Work collaboratively with the interdisciplinary team and provide leadership to technicians.

•    Maintain composure during emergencies and follow established protocols.

•    Build rapport with diverse patient populations and support long term treatment adherence.

•    Adapt to changing patient conditions, regulatory requirements, and unit workflow

MINIMUM EDUCATION REQUIRED:

Graduate of an accredited school of nursing. Bachelors Degree in Nursing (RN) from an accredited university

MINIMUM EXPERIENCE REQUIRED:

Minimum of one year of nursing experience; dialysis experience preferred.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:       

-    Current Registered Nurse (RN) license in the state of practice.

-    Certification in Nephrology Nursing (CNN/CDN) preferred or willingness to obtain

ADDITIONAL QUALIFICATIONS: (Preferred qualifications)

-    Strong assessment, critical‑thinking, and clinical decision‑making skills.

-    Ability to work effectively with diverse patient populations and interdisciplinary teams.

-    Proficiency in electronic health records and clinical documentation

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As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.

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