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Assist and improve the quality of life in patients with Chronic Kidney Disease
Treat and educate patients with Chronic Kidney Disease
Nursing Competency in Haemodialysis and Peritoneal dialysis
Nursing care according to individual Scope of practice and quality operating practice according to Fresenius Medical Care
Respecting the integrity of the patient-physician relationship
Treating all patients with dignity and respect
Collaborating with care team
SCOPE:
Admission of the patient into the acute or chronic treatment center, 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
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 recording 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