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Nurse (RN) - MGH - Peritoneal Dialysis - 40 hours

Massachusetts General Hospital
United States, Massachusetts, Boston
90 Blossom Street (Show on map)
Apr 01, 2025
Under the direction of the Medical Director, the Nurse Coordinator and the Administrative Director of the Continuous Ambulatory Peritoneal Dialysis Unit (CAPD), the staff nurse cares for the CKD and ESRD patients. Responsibilities include clinical assessment, initiation of nursing plan of care and follow-up, clerical duties as they pertain to the Peritoneal Dialysis Outpatient Clinic, MGH in-patient clinical areas and the Center for Renal Education.

Education
Associate's Degree Nursing required or Bachelor's Degree Nursing preferred

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials
Registered Nurse [RN - State License] - Generic - HR Only preferred

Experience

* Minimum 3 years nursing experience

* Current licensure as a registered nurse in Massachusetts required

* BSN preferred

* Nephrology nursing experience preferred

* Ambulatory nursing experience preferred

Provides a professional environment in which to meet, interview and educate patients and their families about peritoneal dialysis, individualizing instructions as needed.

* Develops individualized plan of care for each patient

* Directs patients to education resources, including written, video and support group services

* Assesses patient's emotional response and ability to cope with chronic kidney disease and the need for dialysis

* Collaborates with social worker and renal staff

* Educates and monitors patient for possible complications, i.e. exit site infection, peritonitis, catheter malfunction, fluid and electrolyte imbalance

* Encourages patient and families' participation in plan of care

* Changes transfer sets when appropriate, repairs catheter if necessary

* Obtains cultures of peritoneal dialysis fluid and administers IV /IP antibiotics to treat peritonitis, exit site and catheter tunnel infections

* Documents all patient activities, i.e., phone calls, teaching sessions and group meetings

* Participates in the monthly QA/QAPI program based on data collected to address the issues specific to patients with CAPD

* Participates in annual retraining and intermittent updates as new technology becomes available

* Understands and practices the concepts of fiscal responsibility

* Responds to patient care issues in an accountable and sensitive fashion

* Attends staff meetings, weekly Dialysis rounds when appropriate, as well as MGH conferences related to the care of the patient with CKD

* Seeks and maintains personal knowledge regarding kidney disease and associated problems in order to provide accurate resource information to patients

* Triages telephone calls of patients, family members and MGH inpatient clinical staff.

* Maintains and provides an on-call system for established MGH peritoneal dialysis patients

* Calls insurance carriers when necessary

* Frequent communication between patient, nurse, the patient's nephrologist and other care team members

Center for Renal Education Nursing Responsibilities

* Provides a professional environment to interview and educate patients with kidney disease

* Interviews prospective candidates for the early intervention CKD program

* Educates patients and families, individualizing instructions to their needs

* Directs patients to written resources, appropriate support groups and educational websites and videos

* Assesses patient's emotional response and ability to cope with chronic kidney disease

* Collaborates with social worker and dietitian

* Documents all patient activities, phone calls, teaching sessions and group meetings

* Maintains knowledge base regarding CKD in order to provide accurate information to the patient.

* Responds to phone call questions

* Fosters communications between patient, nurse, physicians and other health team members

Hours of operation Monday-Fri: 7:00a-530p

Rotating, remote on call responsibilities

Physical Requirements

  • Standing Frequently (34-66%)
  • Walking Frequently (34-66%)
  • Sitting Occasionally (3-33%)
  • Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
  • Carrying Frequently (34-66%) 20lbs - 35lbs
  • Pushing Occasionally (3-33%)
  • Pulling Occasionally (3-33%)
  • Climbing Rarely (Less than 2%)
  • Balancing Frequently (34-66%)
  • Stooping Occasionally (3-33%)
  • Kneeling Occasionally (3-33%)
  • Crouching Occasionally (3-33%)
  • Crawling Rarely (Less than 2%)
  • Reaching Frequently (34-66%)
  • Gross Manipulation (Handling) Frequently (34-66%)
  • Fine Manipulation (Fingering) Frequently (34-66%)
  • Feeling Constantly (67-100%)
  • Foot Use Rarely (Less than 2%)
  • Vision - Far Constantly (67-100%)
  • Vision - Near Constantly (67-100%)
  • Talking Constantly (67-100%)
  • Hearing Constantly (67-100%)


The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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