Staff RN III - Dialysis Nurse

Core Competencies

• Adheres to infection prevention guidelines
  
  
• Adheres to policies, procedures, and standards of practice to deliver safe and optimal care
  
  
• Assesses patient history, physiological, and psychosocial status
  
  
• Communicates with the patient, family, medical staff and others during the continuum of care
  
  
• Complies with Joint Commission’s national patient safety goals
  
  
• Complies with organizational quality dashboard/benchmarking goals
  
  
• Interprets common variables affecting patient care and follows reporting process
  
  
• Maintains regulatory compliance consistent with quality standards and ethical obligations of the profession
  
  
• Participates in activities in alignment with the Magnet Model
  
  
• Participates in organizational activities
  
  
• Participates in Peer Review
  
  
• Participates in professional development activities
  
  
• Performs as a preceptor in an active and engaged manner
  
  
• Provides age-specific individualized care that supports protection from harm and complies with patient safety centered interventions/bundles
  
  
• Provides patient and family education throughout the care of patient
  
  
• Uses critical thinking to formulate and carry out a care plan according to patient needs
  
  
• Utilizes resources in an economical manner
  
  
• Utilizes safe administration of medications
  
  
• Utilizes Safe Patient Handling
  
  

Department Specific Competencies

• Provides advanced nursing care to patients undergoing hemodialysis and/or peritoneal dialysis, including assessment, planning, implementation, and evaluation of care
• Serves as a clinical resource and mentor to nursing staff; supports onboarding, training, and competency validation
• Demonstrates expert knowledge in dialysis procedures, vascular access management, and complication recognition/intervention
• Collaborates with interdisciplinary teams (nephrologists, dietitians, case managers) to optimize patient outcomes
• Leads or participates in quality improvement initiatives, patient safety efforts, and evidence-based practice projects
• Assists with workflow coordination, patient assignments, and operational oversight during shifts
• Ensures compliance with regulatory standards, infection control protocols, and organizational policies
• Participates in patient and family education regarding dialysis treatment plans, medications, and self-care
• Acts as charge nurse or relief leader as needed, supporting unit operations and staff decision-making
• Contributes to performance improvement, audits, and data tracking related to dialysis outcomes
• Recognizes and manages vasovagal response to treatment.
• Assesses and differentiates types of chest and abdominal pain with appropriate intervention.
• Ensures diet is appropriate and restrictions (food and fluid) are followed.
• Provides activity/rest as appropriate to patient condition, disease process.
• Ensures a safe environment for staff and patients
• Keeps patients clean and turned appropriately.
• Manages hematomas in A-line puncture sites.
• Correlates disease process to drug therapies to manage patients with hyper/hypotension, fluid overload, pump failure, dysrhythmias.
• Reinforces follow up care with physicians ie, blood drug levels, M.D. appointments.
• Works with medical director and leadership team to improve and develop program to improve outcomes.
  
  
  

Education

Experience

License / Certification Requirements