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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