Renal Nurse Specialist

1. Patient care
- Provide standard nursing care of dialysis patient as plan to patient in pre, post and throughout treatment under supervision of Renal Nurse Specialist.
- Assist Physician during patient round, patient examination or procedure.
- Deliver nursing care to patient as physician’s treatment order under supervision of Renal Nurse Specialist.
- Document patient condition, treatment and progression completely.
- Review, evaluate and report Laboratory result.
- Demonstrates competency in RO system, setting-up, operating the dialysis machine.
- Assesses patient’s condition, body weight and document in hemodialysis sheet with appropriate treatment plan.
- Demonstrates competency in operating dialysis machine for double lumen or CVC patient.
- Performs venipuncture AVF, AVG in order to initiate the dialysis under supervision of Renal Nurse Specialist.
- Assessed patient’s condition and body weight post treatment to assure patient safety before discharge.
- Educates and evaluates patient and family knowledge of kidney disease, treatment modalities and treatment plan.
- Prepares dialysis machine and medical supply for the next day.
- Performs other professional nursing activities as approved by Head Nurse.Demonstrates willingness to evaluate own practice.
- Keeps abreast of current knowledge.
- Avails self of continuing education programs.
- Attends company’s education courses or conference once a year.

2. Quality and safety
- Provide nursing care and service to all patients with patient safety standard.
- Document nursing record completely as professional standard
- Checks and prepares readiness of emergency cart completely.
- Checks and prepares readiness of Treatment cart.
- Checks medical supply and stock
- Provides for patient safety in the clinical environment.
- Record incident and customer feedback and report to head nurse.
- Demonstrates willingness to initiate or participate in unit quality activities for safety culture.
- Innovates and initiates in unit CQI project development.

3. Medication administration
- Prepares medication as treatment plan.
- Provides Medication administration for dialysis patient as medication safety standard.
- Documents medication administration correctly and completely as medication safety standard and policy.
- Review medication and blood value with patients every 1 month.
- Review completeness of standard medication order in Medical Record sheet and encourage involved staff to complete record as standard.

4. Communication and service
- Communicates effectively with patient and family and ensures that the patient’s problem and feedback receive the rapid response.
- Communicates effectively with multidisciplinary team.
- Provide service to patient and family with quality of care.
- Demonstrates willingness to take a good care and provide instruction to patient with excellent service behavior.
- Provide excellent service and coordination with multidisciplinary team.
- Complies with accepted dress code.
- Maintains a professional image among colleagues and to the public.

5. Education and learning
- Demonstrates willingness to evaluate own nursing practice.
- Keeps abreast of current nursing literature
- Avails self of continuing education programs.
- Attends Thai Nephrology Nurses Society meeting or conference annually.
- Attends company’s education courses or conference as requested
- Exchange knowledge and skill sharing with team once a year.
- (Journal or Interesting case presentation)

**Renal Nurse Specialist**

**Job Description Summary**

The Renal Nurse Specialist is responsible for the nursing care of dialysis patient base on professional standard and required standard for patient safety, coordinate with multidisciplinary team to achieve treatment goal. These responsibilities also include health teaching, counselling, and provision of care to promote quality of life for patients with End Stage Renal Disease. Follow up and improve unit quality indicator to achieve unit goal and be the head of CQI project in unit.

1. Patient care
- As leader team to provide standard nursing care of dialysis patient as plan to patient in pre, post and throughout treatment under supervision of Head Nurse
- Responsible for dialysis patient tertiary level and critical care level.
- Assesses patient’s condition and symptom in pre, through out and post treatment effectively and safety.
- Assist Physician during patient round, patient examination or procedure.
- Deliver nursing care, plan treatment for patient with attending physician.
- Document patient condition, treatment and progression completely.
- Review, evaluate and report Laboratory result.
- Demonstrates competency in RO system, setting-up, operating the dialysis machine.
- Assesses patient’s condition, body weight and document in hemodialysis sheet with appropriate treatment plan.
- Be a mentor and performs venipuncture AVF, AVG in order to initiate the dialysis
- Assessed patient’s condition and body