Job Description

Established in 1994, NiteLines USA has successfully delivered contract support services to more than 144 government institutions and medical treatment facilities across the country. Work with a dedicated and caring organization and start doing your life's best work.

Pay: $43.00 per hour.

Hours: Multiple shifts available.

Benefits:

• Health insurance.
• Dental insurance.
• Vision insurance.
• 401k
• 11 paid federal holidays.
• Paid sick leave.
• Paid vacation.

Locations:  Brooke Army Medical Center 

Duties:

• Dialysis Expertise: Proficiently performs hemodialysis, peritoneal dialysis, and continuous veno-venous hemofiltration (CVVH) in critical care and outpatient settings, operating various dialysis equipment models (fixed & portable, CRRT machines, peritoneal dialysis cyclers). Maintains knowledge of AAMI standards for water treatment, including RO systems, testing, disinfection, and interpreting/reporting results.
• Critical Care Nursing: Provides professional nursing care to critically ill patients, including assessment, identification of urgent/emergent needs, and independent modification of care plans per protocols/physician orders to meet dynamic patient conditions.
• Emergency Response: Initiates resuscitation measures during emergencies, including CPR and medication administration (electrolytes, vasopressors, cardiac medications), assists with procedures like cardioversion and line insertion, and proficiently uses monitoring equipment and airway adjuncts.
• Renal Failure Management: Delivers comprehensive nursing care to acute and chronic renal failure patients (inpatient/outpatient), including vital signs monitoring, dialysis initiation/termination, physical assessment, order management, lab collection, and documentation. Proficient in vascular access cannulation and care (AV fistula/graft/catheter).
• Medication Administration: Administers medications and blood products according to policies, including IV iron, ESAs, vitamin D analogs, chemotherapy agents, and biologics.
• Patient Education & Care Coordination: Provides individualized education on renal disease management (self-care, fluids, medications, dialysis, transplant, access care) and general health maintenance. Participates in interdisciplinary care conferences, recommends dialytic prescription modifications, coordinates care among providers, and maintains patient records.
• Dialysis Machine Preparation: Sets up dialysis machines, performs function tests, primes dialyzers, and prepares dialysate per physician orders.
• Quality & Safety: Maintains licensure/certifications, completes required training (emergency drugs, blood products, infection control, patient safety, safe handling of dialysis agents/chemotherapy), participates in process improvement, and follows established standards/protocols to ensure safe/quality care.
• Mentorship: Assists in training fellows, residents, students, and other nursing staff in the care of dialysis patients.

Qualifications:

• Associates degree of nursing. Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE).
• BLS and ACLS certification.
• Must maintain a current, active, and unrestricted license from any U.S. State, District of Columbia, U.S. territory or U.S. jurisdiction to provide healthcare within the scope of practice for a specific health care discipline.
• The RN shall have at least one (1) year of full-time experience working as a Hemodialysis RN in the last 2 years, post-graduation, in an acute or chronic dialysis setting. Shall complete the BAMC Telemetry test and Chemotherapy training within the first 60 days of employment.
• Skill setting up, operating, and monitoring specialized medical equipment: IV infusion pumps, cardiac monitoring devices.
• Monitor patient responses to treatment.

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