BASIC FUNCTION:
The hemodialysis nurse shall be oriented to and guided by the GMCL protocol as expressed through the PRIORITY MIX: Sound decision-making through calibrated weighing in and consideration of the following elements mixed together. PATIENT’S WELFARE, HOSPITAL’S WELFARE, STAFF AND EMPLOYEE WELFARE.
DUTIES AND RESPONSIBILITIES:
- Admission and Scheduling of hemodialysis patients
- In-charge of the walk-in and telephones inquiries
- Screens patients for hemodialysis treatment
- Priming the patient of their responsibilities in their account as to whether they are on cash, PCSO, HMO or PHIC basis before the treatment
- Schedules the hemodialysis treatment of each patient - Machine Setup
- Familiarizes himself / herself to machine’s operations and troubleshooting
- Priming of bloodlines and dialyzer
- Clearance of sterilant and air in the bloodlines and the dialyzer
- Testing the machine by setting up the goal for 5 minutes to check if the ultrafiltration is working properly - Commencing of dialysis
- Verifying the doctors order
- Obtaining the weight and initial vital signs of the patient
- Completion of the data and the target goal for the dialysis
- Preparation of access
- Setting of parameters - Monitoring and Recording
- Monitoring patients vitals every 30 minutes
- Gives direct nursing care
- Carrie’s out doctors order
- Performs machine troubleshooting
- Identifies nursing needs of the patients
- Plan, gives and evaluates nursing care
- Assists patient in moving, maintaining proper alignment and utilizing good body mechanics
- Observes signs and symptoms, institutes remedial action when appropriate and records these in her charts
- Reports observation to the Resident on Duty and the Attending Nephrologists
- Observes and responds to patients emotional and spiritual needs
- Act as a liaison between patient and hospital personnel
- Interprets to the patient and relatives their roles in promoting successful therapy
- Assists physician and prepares patient with the diagnostic and therapeutic procedures
- Assists physician when examining patients
- Administers medication, observed any reaction and documenting the intervention done to the patient
- Charts accurately medication and treatment
- Recording any incidents / accidents in the logbook
- Performing post dialysis vital signs and weight
- Surrendering discharge slips to the billing
- Charges patient for any additional medicines given or procedures done while on dialysis
- Informing the billing department any extra charges made and informing patients to settle their bill.
- Obtaining white discharge slips from the patient prior to discharge
- Discharging of patients - Infection Control
- Observing proper aseptic technique pre and post dialysis procedure
- Proper hand washing technique
- Wearing of face shield and changing of gloves
- Proper handling of patients infected with hepatitis viruses and patients non-hepatitis viruses
