The statements below describe the general nature and level of work performed in this role. They are not intentded to be a complete list of all duties, and additional responsibilities may be delagated as required.
1. Nursing evaluation of the patient and his/her response to peritoneal dialysis.
2. Participates in direct patient care and peritoneal dialysis training. Documents response to training program by the patient and/or significant other. Documents successful completion of the program. Any patient who performs aspects of self-dialysis care must be trained and verified as competent prior to independently performing any part of his/her care.
3. Monitoring of equipment and patient as needed.
4. Administering I.V. solutions as ordered.
5. Knowledgeable about all equipment or medications necessary for peritoneal dialysis.
6. Administers medications as ordered.
7. Initiation of life-savings corrective measures, including those necessary in treating shock.
8. Drawing blood specimen for lab analysis.
9. Instruction of patient and/or designated person(s) in peritoneal dialysis procedures and related home care. Performs adequacy testing on patients and makes adjustments to dialysis regime with their nephrologist's approval.
10. Responsible for retrieving and reviewing complete self-monitoring data and other information at least every two months and maintaining this information in the patient's medical record.
11. Supports and enforces all policies and procedures.
12. Maintains proper levels of supplies.
13. Records and tabulates data for review of clinical performance measures to track health outcomes, identify, prevent, and reduce medical errors, mortality and morbidities.
14. Implements physician orders.
15. Develops, reviews and implements patient care plans. Care Plans are developed from the Comprehensive Assessments done initially, at 90 days, and annually.
16. Maintains emergency equipment and supplies.
17. Assists each patient in developing a personal disaster plan that identifies actions to take in the event of a natural or other disaster affecting his/her home treatment. Inform each patient and/or helper of the availability and location of back-up dialysis if equipment fails or if dialysis at home is not possible.
18. Assures periodic monitoring of the patient's home adaptation by documentation of a home visit at least at initiation of home therapy and whenever a problem is identified with either the patient's health or equipment that could be related to treatment at home. The interdisciplinary team may designate the most appropriate staff member (s) to make the home visit(s).
19. Communicates problems, symptoms and acute patient complaints to charge nurse and/or attending physician.
20. Other duties as assigned.