Dialysis Nurse at Alan & Grant

Job Summary 

The Dialysis Nurse provides clinical and holistic care for patients (and their families), ensuring the provision of quality-driven evidence-based patient care. He/she must have the ability to work effectively, independently and within a multi-disciplinary/multi-cultural team to deliver the highest quality of care.

Key Responsibilities

Clinical & Dialysis Care

• Perform within standards of nursing care for dialysis patients, assessing, planning, implementing, and evaluating individualized care programs.
• Maintain high standards of nursing care using a systematic, evidence-based approach.
• Be responsive to patients’ conditions and adjust care plans accordingly.
• Monitor patient response to dialysis treatment, vital signs, vascular access, laboratory findings, and general health.
• Administer dialysis-related medications (IV/oral) per physician orders or protocol.
• Conduct pre- and post-dialysis patient education, ensuring patients and families understand care, lifestyle, and treatment plans.

Dialysis Procedure Management

• Prepare dialysis delivery systems, dialysate baths, and dialyzers; ensure all mandatory machine alarm tests are completed.
• Cannulate vascular access (fistula, graft, or catheter) aseptically and monitor for complications.
• Assess, prepare, and care for dialysis catheters, applying sterile dressings and performing access surveillance for early signs of infection or failure.
• Monitor patient reactions during dialysis and adjust interventions as required.
• Conduct post-dialysis assessment, discharge patients when stable, and document all treatment data.
• Disassemble, disinfect, and maintain dialysis machines, water treatment equipment, and perform water quality testing according to protocols.

Quality Control & Compliance

• Adhere to dialysis protocols, infection control procedures, and hospital policies.
• Maintain accurate patient records and ensure all documentation complies with hospital and regulatory standards.
• Participate in clinical audits, KPIs, and quality improvement activities.
• Support hospital accreditation processes and comply with all defined standards and procedures.

Safety Management

• Promote patient safety, including infection prevention and blood-borne pathogen precautions.
• Identify and report clinical or operational risks in the dialysis unit.
• Take immediate action in emergencies and respond to adverse events during dialysis treatment.
• Ensure all dialysis equipment, consumables, and medications are checked, functional, and safe to use.

Communication & Coordination

• Collaborate with nephrologists, multidisciplinary teams, patients, and families throughout dialysis care.
• Provide structured clinical handovers to relevant healthcare providers.
• Address patient concerns and questions about dialysis treatment, medications, and home care.
• Maintain consistent communication with the Dialysis Unit Manager regarding patient care, workflow, and operational issues.

Problem-Identification & Escalation

• Identify changes in patient condition or potential complications early during dialysis.
• Take appropriate initial action within scope of practice.
• Escalate complex or high-risk cases promptly to the Dialysis Unit Manager or relevant physician.

Documentation & Reporting

• Accurately document all patient assessments, interventions, dialysis treatments, and outcomes.
• Complete incident reports, medication records, and any unit-specific forms according to hospital policy.
• Use documentation to support patient care continuity, auditing, and quality improvement initiatives.

Risk Awareness & Management

• Participate in quality improvement initiatives, KPI tracking, and risk assessments.
• Suggest workflow, patient care, or infection control improvements to enhance safety and efficiency.
• Undertake other clinical and operational activities as assigned by the Dialysis Unit Manager.

Creativity & Continuous Improvement

• Suggest improvements in dialysis workflows, patient care processes, or infection control practices.
• Participate in unit-based quality improvement initiatives, audits, and accreditation activities.
• Innovate patient education methods and support junior staff learning through creative teaching approaches.
• Maintain and update dialysis technical knowledge, skills, and evidence-based practice competencies

Requirements

• Minimum of 3 years’ experience in dialysis or nephrology nursing (recent experience preferred).
• Registered Nurse (RN) with a valid practicing license.
• Knowledge of infection prevention, blood-borne pathogen control, and emergency dialysis procedures.
• Demonstrated proficiency in dialysis machine operation, vascular access cannulation, and water treatment monitoring.
• Strong teamwork and collaboration skills in a multidisciplinary surgical environment.
• Ability to prioritize care, act decisively in emergencies, and maintain meticulous documentation.
• Flexibility regarding shift patterns and clinical areas.
• Experience mentoring or teaching junior staff is an advantage