REGISTERED NURSE (Ambulatory Care- Ann Arbor Hemodialysis Unit)

Job Summary

Position Title

Clinical Nurse, In-Center Hemodialysis

PurposeTo provide nursing care and support to the adult in-center hemodialysis patient with acute kidney injury (AKI) or end stage renal disease (ESRD). To maintain clinical expertise within this unique population requiring specialized renal therapies. To provide nursing advice and consultation to other health care team members. Utilize the nursing process to provide nursing care to facilitate the attainment and maintenance of an optimal level of health for patients and families. To collaborate with other health care team members and utilize associated resources to provide continuity in patient care and participate with healthcare team members for problem solving.

Organizational Relationships

General supervision is received from Clinical Nursing Director, Clinical Nursing Supervisor and Medical Director. Functional supervision may be exercised over assistive personnel in collaboration with the charge nurse.

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Responsibilities*

Responsibilities

Staff Related - Collaborate and delegate with the Dialysis Technician 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. Participate in staff training and orientation of new staff as assigned. Patient Care - Provide safe and effective comprehensive delivery of care to patients with AKI and ESRD. Complete Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to Michigan Dialysis Services (MDS) policies and procedures. Participate in patient care conferences with the multidisciplinary team. Actively lead Care plan conferences and completes all CMS requirements. Patient Education – Ensure educational needs of patients and families are met regarding renal disease. Provide ongoing education to patients regarding their renal disease, vascular access and dialysis therapy and other related health conditions. Infection Prevention - Ensure a clean, safe and sanitary environment in the dialysis facility patient care area. Ensure competency in the operation of all dialysis related equipment safely and effectively. Medical Records and Documentation - Ensure all relevant data, including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into the Medical Information System. Professionalism - Enforce policies and procedures, as well as regulations set forth by state and federal agencies and departments. Delegate appropriate duties to assistive personnel. Professional Development/Education for Staff - Successful completion of hemodialysis training with satisfactory performance. Contribute to the professional growth of peers and other interdisciplinary team members. Maintain clinical expertise within the unique patient population which require specialized renal therapies. Leadership - Responsible for driving the MDS culture through values and customer service standards. Develop and maintain effective professional relationships through effective and timely communication. Ability to make appropriate and independent nursing decisions and delegate responsibilities when necessary. Promote outstanding quality patient care in a collaborative, cost effective manner by assessing the diverse needs of the unit and implementing change accordingly. Document on the daily time sheet any tardiness, leaving early and absences. Communication - Promote teamwork by functioning as a resource to peers, other units and various team members involved in the care of patients requiring hemodialysis. Effectively interact willingly and professionally with peers, patients, families and interdisciplinary team members. Expectations of the position:

• Actively lead and participate in care plan meetings, including anemia management
• Basic Cardiac Life Support (BCLS) certified
• Demonstrated excellent interpersonal and communication skills to interact with the multidisciplinary team
• Flexibility in adherence to facility specific policies and protocols
• Management of clinical outcomes, patient care technicians and multiple simultaneous patient treatments
• Actively participate in preventing and lowering access infection(s)
• Participation in hospitalizations/missed treatment rate reduction
• Participation in Quality Index (QI) improvement
• Ability to push, lift and move heavy equipment
• Ability to lift, move and position patients
  
  
  

Nursing Specific Info

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

Nursing at Michigan offers a competitive salary with excellent benefits!

Hourly range for Registered Nurses $41.78-$64.81/ hour

Evening Shift Differential-$3.00 / hour

Night Shift Differential- $4.00 / hour

Day Shift Weekend Differential- $2.90 / hour

Evening Shift Weekend Differential- $5.90 / hour

Night Shift Weekend Differential- $6.90 / hour

Charge Nurse Differential- $1.00 / hour

The Benefit Package Includes

• Excellent medical, dental and vision coverage
• 2:1 Match on retirement savings and immediate vesting
• Generous Paid Time Off Allowances
• Robust Tuition and Certification support programs
• Large offering of no cost CEs and professional development for advancement
  
  
  

Nursing Specific Info

Salary & Nursing Framework Level

This UMPNC RN posting is posted as Nursing Framework LEVEL C.

Actual Nursing Framework LEVEL and salary will be determined at time of hire.

Nursing Framework levels range from Level A to Level F.

Required qualifications must be met by the candidate in order to be interviewed and considered for the position.

Posting may be filled after the initial 5-day posting period.

Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort.

Positions less than 20 hours/week may be combined.

If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.

Required Qualifications*

• Registered Nurse with current license to practice in the State of Michigan
• Minimum four (4) years recent RN experience (within the last 12 months)
• 2 years providing in-center hemodialysis in an outpatient clinic (within the last 5 years)
• Comprehensive understanding of ESRD CMS regulations
  
  
  

NOTE: In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.

RESUME REQUIRED (for Both Internal & External Applicants)

You must attach a complete and accurate resume to be fully considered for this position.

Desired Qualifications*

• Baccalaureate degree in Nursing
• Knowledge of Michigan Dialysis Services (MDS) policies and practices
• Previous experience with hospital based computer systems, Epic, Outlook, M-Learning and eCube
• Advanced Cardiac Life Support (ACLS) certified
• ICU or Emergency Department experience
• Certified Nephrology Nurse
• Familiarity with CMS regulations around dialysis therapies
  
  
  

Work Schedule

Hours/Week: 30 hours per week

Shift/Hours/Days: Shifts are variable depending on clinic need; primarily 10 hour shifts, but occasional 9 and 12 hour shifts may be assigned Monday through Saturday

Location: Ann Arbor Hemodialysis Unit (Michigan Dialysis Services (MDS)

Note: All new employees will be expected to float to a designated unit(s) in times of low census.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Union Affiliation

This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

U-M EEO Statement

The University of Michigan is an equal employment opportunity employer.