Reporting to the Patient Care Manager, collaborates and receives direction from the Registered Nurse (RN) or designate, the Licensed Practical Nurse, Hemodialysis Unit, provides practical nursing services in a hemodialysis environment as a member of an integrated nephrology team performing varied and complex renal interventions. Consults, confers, and collaborates with other members of the nephrology team in facilitating safe and effective interventions through the performance of pre-dialysis, dialysis, and post-dialysis activities such as assessing, planning, implementing, evaluating and documenting patient care, and providing support to patients and their families in accordance with the Standards of Practice for the Licensed Practical Nurses of British Columbia and consistent with the mission, vision and values of Providence Health Care (PHC) and established protocols.
Ability to communicate effectively both verbally and in writing.
Ability to deal with others effectively.
Physical ability to carry out the duties of the position.
Ability to organize work.
Ability to operate related equipment.
Graduation from a recognized program for Practical Nurses with the full range of current licensed practical nursing competencies, and successful completion of Providence Health Care’s Dialysis Program for Licensed Practical Nurses plus one (1) year recent related experience working as a Licensed Practical Nurse in acute care, or an equivalent combination of education, training and experience. Current full practicing licensure with the College of Licensed Practical Nurses of B.C. (CLPNBC). Current basic cardiac life support certification.
Assesses, plans, implements, evaluates and documents patient care during the pre-dialysis, dialysis and immediate post-dialysis periods. Explains care plan to patient and/or family members, provides support, encouragement and educational material for reference.
Performs patient admission duties by methods such as assessing condition, individual patient needs and planning nursing care for the patient in collaboration with the RN, and other members of the nephrology team prior to the patient’s dialysis.
Performs nursing duties related to hemodialysis such as weighing the patient pre and post dialysis, cannulation of established fistula or graft, continuous heparin regulation with RN guidance. Collaborates with the RN as well as other members of the nephrology team as required and performs other nursing functions as instructed.
Performs other related nursing duties such as administering medications, assisting the RN as required in accordance within established standards and protocols, and collaborating with other members of the nephrology team as required.
Monitors patients, recognizes changes and communicates with RN any problems, changes or unusual signs or symptoms of the patient while in the dialysis setting. In collaboration with RN provides appropriate nursing interventions.
Documents observations, treatment and other patient care activities during the pre, intra and post-dialysis periods by methods such as recording observations and/or information onto patient record.
Works collaboratively with RN regarding patient assignment in order to assess changes in patients, both physical and emotional and to determine the appropriate level of care required. Ensures access routes such as intravenous, fistulas and catheters are viable, and if access or other problems exist, the RN may become the primary care provider for the patient.
Maintains knowledge of relevant equipment used for the dialysis process, theory and mechanics of dialysis, in order to recognize problems with machinery, and inform appropriate staff member.
Attends a variety of meetings such as staff meetings, quality improvement and patient rounds to provide and obtain information and feedback about patients and patient care.
Assists with orientation of new staff by performing duties such as explaining and demonstrating work procedures and proper use of equipment and supplies.
Maintains and enhances knowledge of nephrology issues and trends by methods such as educational sessions, in-services, literature reviews and workshops as required to facilitate knowledge enhancement and technology changes.
Provides a safe environment for patients and staff by following safety instructions and reporting any unsafe situations to the Supervisor.
Performs related clerical duties such as answering the telephone, taking and relaying messages and assisting in maintaining standardized records.
Performs other related duties as assigned.