SCOPE:
- Admission of the patient into the acute or chronic treatment center, recording and recapping of medical and surgical history
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Obtain patient information and inform billing department according to unit protocol
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Updating this information as the need arises according to unit protocol
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Obtain a Dialysis Prescription from the treating Nephrologist or Physician
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Ensure that the dialysis machine has been disinfected before use
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Lining and priming of machines with correct consumables
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Weighing the patient and calculating the dry weight and fluid removal
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Monitoring and recording of baseline vital signs.
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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)
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Record and Report all patient data accurately using the Database Euclid and TDMS
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Administration of prescribed medication as per doctor’s orders
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Disinfect the machines as per protocol
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Education of patient on renal disease aetiology and treatment modes, blood results, support services and dietary restrictions
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Update all patient files frequently and document all incidents to ensure medico legal requirements are met
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Stock ordering and control as delegated by the unit manager
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Environmental safety and Infection control must be adhered
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Comply with Immunization policy
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Comply with all FMC SOP’s
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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:
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University degree or equivalent diploma Registered General Nurse diploma at SANC
Required personal competencies:
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Respecting the integrity of the patient-physician relationship
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Collaborating with care teams
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Treating all patients with dignity and respect
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Acting ethically, fairly, courteously, competently, and proactively
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Treating patient safety as a priority
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Complying with the law and our policy regarding adverse event reporting and product complaints
Functional knowledge:
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Knowledge of renal anatomy and physiology
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Aetiology and Pathophysiology of the renal disease and treatment modalities
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Clinical skills must include: Aseptic techniques, Infection control standards, Venepuncture, Vital sign monitoring, Cardio Pulmonary Resuscitation.
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Accurate, precise recording keeping, data capturing and monthly qualitative dialysis assessments , disinfection and maintenance record keeping.
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Maintain a safe and comfortable environment
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Keep the equipment, duty room and trolleys clean and stocked
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Check daily the resuscitation trolley to ensure that it is in optimal working condition.
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Administer blood products as per doctors’ orders, following protocol and record vital signs and report any adverse reaction