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.
- 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 to.
- 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 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 reaction.
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