ZAF - Registered Nurse - Lesedi 2

SCOPE:

• Admission of the patient into the acute or chronic treatment center, recording and recapping of medical and surgical history
• Obtain patient information and inform billing department according to unit protocol
• Updating this information as the need arises according to unit protocol
• Obtain a Dialysis Prescription from the treating Nephrologist or Physician
• Ensure that the dialysis machine has been disinfected before use
• Lining and priming of machines with correct consumables
• Weighing the patient and calculating the dry weight and fluid removal
• Monitoring and recording of baseline vital signs.
• Carry out all procedures strictly in accordance with NephroCare Standard Good Dialysis Care (ZA-CI-09-03) and NephroCare Standard Hygiene and Infection Control (ZA-CI-09-04) and NephroCare Standard Water Concentrate and Dialysis Fluid for Haemodialysis and Related Therapies (ZA-CI-10-03)
• Record and Report all patient data accurately using the Database Euclid and TDMS
• Administration of prescribed medication as per doctor’s orders
• Disinfect the machines as per protocol
• Education of patient on renal disease aetiology and treatment modes, blood results, support services and dietary restrictions
• Update all patient files frequently and document all incidents to ensure medico legal requirements are met
• Stock ordering and control as delegated by the unit manager
• Environmental safety and Infection control must be adhered
• Comply with Immunization policy  
• Comply with all FMC SOP’s
• Any other duties assigned from time to time by the Clinic Head Nurse within the Scope of Practice of the Registered Nurse

Required training and education:

• University degree or equivalent diploma Registered General Nurse diploma at SANC

Required personal competencies:

• Respecting the integrity of the patient-physician relationship
• Collaborating with care teams
• Treating all patients with dignity and respect
• Acting ethically, fairly, courteously, competently, and proactively
• Treating patient safety as a priority
• Complying with the law and our policy regarding adverse event reporting and product complaints

Functional knowledge:

• Knowledge of renal anatomy and physiology
• Aetiology and Pathophysiology of the renal disease and treatment modalities
• Clinical skills must include: Aseptic techniques, Infection control standards, Venepuncture, Vital sign monitoring, Cardio Pulmonary Resuscitation.
• Accurate, precise recording keeping, data capturing and monthly qualitative dialysis assessments , disinfection and maintenance record keeping.
• Maintain a safe and comfortable environment
• Keep the equipment, duty room and trolleys clean and stocked
• Check daily the resuscitation trolley to ensure that it is in optimal working condition.
• Administer blood products as per doctors’ orders, following protocol and record vital signs and report any adverse reaction

Summary

• Creating a future worth living for patients. Worldwide. Every day.

• Assist and improve the quality of life in patients with Chronic Kidney Disease

• Treat and education patients with Chronic Kidney Disease

• Nursing Competency in Haemodialysis and Peritoneal dialysis

• Nursing care according to individual Scope of practice and quality operating practice according to Fresenius Medical Care

• Respecting the integrity of the patient-physician relationship

• Treating all patients with dignity and respect

• Collaborating with care team