SCOPE: Admission of the patient into the acute or chronic treatment centre, recording and recapping of medical and surgical history.
- Obtain patient information and inform billing department according to unit protocol.
- Update 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.
- Weigh the patient and calculate the dry weight and fluid removal.
- Monitor and record baseline vital signs.
Carry out all procedures strictly in accordance with NephroCare Standard Good Dialysis Care (ZA-CI-09-03), 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.
- Administer prescribed medication as per doctor’s orders.
- Disinfect the machines as per protocol.
- Educate the 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 to.
- Comply with Immunization policy.
- Comply with all FMC SOPs.
- 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 renal disease and treatment modalities.
Clinical skills must include: Aseptic techniques, Infection control standards, Venepuncture, Vital sign monitoring, Cardio Pulmonary Resuscitation.
Accurate, precise record 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 reactions.
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