Passmaster : trouble shooting the system ,computer(displaced connections) & RAM cards ; formatting RAM cards , programming/initiating cards, making ^’s & updating cards ; analyzing , interpreting & printing patient grafts & collaborating with nephrologist regarding concerns – for ex. BV as it relates to GW, - plasma conductivity as it relates to patients serum conductivity(increased thirst)- Kt/V related to dialyzer, access, clotted fibres ,larger body surface area ,etc (ensure trouble shoot run/sprio to consulting with Dr.) ; entering /initiating new patients into database ; I.S. support for passmaster (Gambro rep’s)
Staffing : assignments –knowledge of things to consider in creating staff/patient assignments; providing new nurses with the opportunities & support to do ICU’s , acute & emergent dialysis in collaboration with mentor & clinical educator ; ensuring on-call list completed ,reviewed , ^’s made & posted on time ; working with staffing clerk to ensure unit staffing needs are met (refer to workload requirement specifics- (algorhythm to be worked on), dealing with short term sick calls & workload issues ;diversion requirements & how to initiate; handling staff injury & incident reports ;handling general staff complaints & problems , skill &/or work issues & accomplishments, recognition of staff achievements ;communication of day to day issues, long & short term changes in unit policies & procedures , patient up-dates , am & 1500 report , reporting to evening charge nurse ,CRN report , SW , UC Tech & Mentor communication books (voice mail for SW & Dietician also an option) , report to SW , Dietician & Pharmacist q am & prn ; maintain communication with Techs & UC regarding board changes & with Nurses regarding their assignment changes ; informing at least 1 person ( usually U.C.) when leaving unit for an extended period of time; monitoring & guiding staff both in the dialysis unit & off ward ; responsible to set staff meeting agenda (provided by staff -blank document posted prior to meeting)
Rounds : q thur ; designate nurse (prn) to follow-up on outstanding unit issues while at rounds ; print rounds lists (usually U.C.) , ensure Pharmacist , SW, Dietician , Neprologist & interested staff aware of time & location or any ^’s from the usual ; preparation for rounds & follow-up of identified issues; clarification & documentation (on rounds sheet) of person & or discipline responsible for follow-up ; document prn in appropriate areas any pertinent findings discussed during rounds
Multidisciplinary Interactions :pharmacy med list done q week for patients due med reviews (according to master list) (this task may be designated or soon relinquished to the U.C’s) & give list to U.C. by, no later than Sun. so she may call Mondays patient to bring their meds & med book (see med. review guidelines & ensure UC aware to place med book ,order summary sheet & then thin chart after ) ; fax copy to Pharmacy Attn: Gord or Indy ; give report to Pharmacist q am (or when they arrive on unit) regarding any in patients being D/C , admitted or any patient med concerns or ward MAR concerns ;ensure any relevant issues reported to you are reported to Dietician ,SW, Pastoral Care, Pharmacist , Doctors etc.(or designate person to report ); collaborate with lab, BCCD ,various surgeons related to patient follow-up (particularly vascular surgeons & diagnostic imaging) working with national , regional, local & outside agencies related to patient ,unit & staff concerns (for ex.: CRN is the contact & person responsible for CORR data , working in co-operation with Specials @ RCH for patient interventions , maintenance @ SMH for unit physical problems, WCB for staff injuries) ; transplant work-up & initiation of test & submission of forms ,or ensure patients Nephrologist office aware of referral to transplant, ensuring cytotoxic antibodies drawn the 1st of q month
Misc. : responsible for patient , staff & visitor safety while in the dialysis unit by having knowledge of & ability to implement when necessary: evacuation procedures & routes ,direct persons to appropriate fire exits & ensure passage kept clear ,implement disaster procedures according to manual & fan out lists , implement or provide for crisis intervention ,initiation of diversion policy ,monitor infection control guidelines & policies & ability to recognize & report appropriately any trend changes negative or otherwise that impact patient outcomes & safety as well as staff performance & safety ; thorough knowledge of dialysis machines/RO , procedures , safety issues , equipment & unit procedures , hospital policies & procedures
V.Sparrow ,June,2003