1. Patient care

1.1 As an In-charge nurse to provide standard nursing care of dialysis patient as plan to patient in pre, post and throughout dialysis treatment.

1.2 Responsible for dialysis patient tertiary level and critical care level.

1.3 Assesses patient’s condition and symptom in pre, through out and post treatment effectively and safety.

1.4 Demonstrates willingness to initiate and participate in unit patient/staff education activities e.g., clinical conferences, grand rounds, patient groups

1.5 Makes recommendations regarding standards of patient care.

1.6 Deliver nursing care, plan treatment for patient with attending physician.

1.7 Document patient condition, treatment and progression completely.

1.8 Review, Evaluate and report Laboratory result.

1.9 Demonstrates competency in RO system, setting-up, operating the dialysis machine.

1.10 Assesses patient’s condition, body weight and document in hemodialysis sheet with appropriate treatment plan.

1.11 Be a mentor and performs venipuncture AVF, AVG in order to initiate the dialysis

1.12 Assessed patient’s condition and body weight post treatment to assure patient safety before discharge.

1.13 Educates and evaluates patient and family knowledge of kidney disease, treatment modalities and treatment plan.

1.14 Takes care of patient transferring with safety

1.15 Applies knowledge of altered health status and uses available resources for patient and family’s need

1.16 Review medication and blood value with patients every 1 month.

1.17 Performs other professional nursing activities as approved by Head Nurse.

1.18 Be a mentor for new renal nurse in dialysis unit and responsible for on-the-job training and experience necessary for the satisfactory performance of their roles.

2. Quality and safety

2.1 Acts as role model in advising other staff members on how to handle various situations.

2.2 Record incident or customer feedback into system within 24 hours.

2.3 Monitor unit indicators, record and develop result with team.

2.4 Monitor and check daily checklist of dialysis machine, RO system to ensure safety process

2.5 Monitor and check electrolyte value of dialysate when changing lot number.

2.6 Monitor and check bacteria and endotoxin level of dialysate monthly.

2.7 Document nursing record completely as professional standard

2.8 Assures all medical equipment has PM and calibration as schedule

2.9 Collaborates with support services to create an environment optimal for safe delivery of patient care services.

 2.10 Demonstrates willingness as a leader to initiate or participate in unit quality activities for safety culture.

2.11 Innovates and initiates in unit CQI project development.

2.12 Evaluates the quality and effectiveness of nursing care administrated to patients in the unit

3. Operation Management

3.1 As resources for team consultation in clinical and critical patient.

3.2 Assigns role and responsibility to team member appropriately.

3.3 Monitor patient monthly time schedule, maintain adequate staffing to meet the needs of the unit.

3.4 Review completeness of standard medication order in Medical Record sheet and encourage involved staff to complete record as standard.

3.5 Monitor completeness of nursing document following standard

3.6 Manages all daily incident and customer feedback appropriately and report to Head nurse.

3.7 Prioritizes task and time management

3.8 Effective environment preparation

3.9 Monitors and checks readiness of medical supply, stock, medication and medical equipment 

3.10 Participates in committee activities, surveys and research pertinent to nursing practice.

3.11 Applies resources knowledge for patient needs appropriately

3.12 Disciplines employees and initiates disciplinary action where appropriate.

3.13 Reviews clinical performance of nursing personnel, completes annual evaluations and sets goals for employees of the center

4. Communication and service     

4.1 Communicates effectively with patient and family and ensures that the patient’s problem and feedback receive the rapid response.

4.2 Communicates effectively with multidisciplinary team.

4.3 Monitor all team members to provide service for patient and family with quality of care.

4.4 Demonstrates willingness to take a good care and provide instruction to patient with excellent service behavior.

4.5 Provide excellent service and coordination with multidisciplinary team.

4.6 Take a response to customer feedback and initially CFB management to continue smoothly service for patient and family

4.7 Record all incidents and customer feedbacks into system within 24 hours.

4.8 Maintain cooperative working relationships with other departments and members of the health care team.

4.9 Be a role model in service behaviour

4.10 Complies with accepted dress code as a role model.

4.11 Maintains a professional image among colleagues and to the public as a role model.

5. Education and learning

5.1 As a role model to demonstrates willingness to evaluate own nursing practice.

5.2 Keeps abreast of current nursing literature and advice team member.

5.3 Avails self of continuing education programs.

5.4 Acts as stimulus in helping the units implement new ideas and programs.

5.5 Attends Thai Nephrology Nurses Society meeting or conference annually.

5.6 Attends company’s education courses or conference twice a year.

5.7 As a leader for knowledge and skill sharing with team

5.8 (Journal or Interesting case presentation)

5.9 Be a mentor for new renal nurse to practice in unit

5.10 Responsible for scheduling classes in the unit specifically designed for nurses and nurse assistants.  

5.11 Responsible for maintenance of employee records for training and in-service regarding state and federal regulations.