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Fresenius Medical Care North America Renal Nurse Specialist in Udon Thani, Thailand

  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 weight post treatment to assure patient safety before discharge.

  • Educates and evaluates patient and family knowledge of kidney disease, treatment modalities and treatment plan.

  • Takes care of patient transferring with safety

  • Applies knowledge of altered health status and uses available resources for patient and family’s need

  • Be a mentor for new nurse in dialysis unit.

  • Review medication and blood value with patients every 1 month.

  • Performs other professional nursing activities as approved by Head Nurse.

  1. Quality and safety
  • Report daily incident and customer feedback to in charge nurse when incident current.

  • Record incident or customer feedback into system within 24 hours.

  • Monitor unit indicators, record and develop result with team.

  • Monitor and check daily checklist of dialysis machine, RO system to ensure safety process

  • Check and monitor electrolyte value of dialysate when changing lot number.

  • Check and monitor bacteria and endotoxin level of dialysate monthly.

  • Document nursing record completely as professional standard

  • Assures all medical equipment has PM and calibration as schedule

  • Provides service for patient safety in the clinical environment.

  • Demonstrates willingness to initiate or participate in unit quality activities for safety culture.

  • Innovates and initiates in unit CQI project development.

  1. Operation Management
  • As resources for team consultation in clinical and critical patient.

  • Assigns role and responsibility to team member appropriately.

  • Assist nurse in charge for operation management and report incident

  • Assist for roster management and daily assignment.

  • Review completeness of standard medication order in Medical Record sheet and encourage involved staff to complete record as standard.

  • Monitor completeness of nursing document following standard

  • Prioritizes task and time management

  • Effective environment preparation

  • Prepares and check reediness of medical supply, stock, medication and medical equipment

  • Participates in committee activities, surveys and research pertinent to nursing practice.

  1. 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.

  • Take a response to customer feedback and initially CFB management to continue smoothly service for patient and family

  • Be a role model in service behaviour

  • Complies with accepted dress code.

  • Maintains a professional image among colleagues and to the public.

  1. 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 twice a year.

  • As a leader for knowledge and skill sharing with team

  • (Journal or Interesting case presentation)

  • Be a mentor for new renal nurse to practice in unit

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