3 Jobs in Phitsanulok

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)

**PURPOSE AND SCOPE:**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission,