All the benefits and perks you need for you and your family:

• Benefits and Paid Days Off from Day One
• Paid Parental Leave
• Nursing Clinical Ladder Program
• Whole Person Well-being and Mental Health Resources 

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. 

Schedule: Full-time 

Shift: Days 

Location: AdventHealth Fish Memorial – 1055 Saxon Blvd., Orange City, FL 32763 

The role you’ll contribute:

To utilize the nursing process in the direction and administration of Hemodialysis, Peritoneal Dialysis, and Apheresis as appropriate. This performance is in compliance with established structure, standards, process standards and protocols under the supervision of the Nursing Director, Nurse Manager, Clinical Leader or ADON. 

The Registered Nurse will ensure the delivery of safe and effective patient care as defined by Adventist Health Systems and Advent Health standards of nursing care and is consistent with the therapies of other disciplines. 

The value you’ll bring to the team: 

• Rinse, prime and position all appropriate equipment, attach all required tubing, prepare dialysate, calibrate and check alarms, set monitors and perform a system check as required.
• Provide the highest level of critical acute nursing care to ensure patient safety, comfort, and well being
• Perform patient assessment prior to treatment and proceed with treatment based on such assessments and physician’s orders.
• Obtain blood samples and other specimens as indicated by patient’s condition or as ordered.
• Administer appropriate medications, blood and blood products ordered by the physician and/or as stated in polices.
• Assess, evaluate and provide care for patients related to blood pressure and weight changes or other physical conditions, access patency, lab values, dialysate composition, blood and fluid flows.
• Complete nursing notes after every dialysis treatment.
• Notify the physician when appropriate. Communicate with patient’s primary nurse.
• Administer treatment as indicated, including medications, use of oxygen and other therapeutic measures. Monitor blood pressure every 30 minutes or less.
• Clean and dress access sites and other wounds in close proximity to the access site that may potentially contaminate the access using appropriate aseptic techniques.  
• Initiate and perform appropriate emergency procedures.
• Participates in patient and family teaching as needed regarding dialysis treatment and End stage renal dietary recommendations.
• Clean and sanitize equipment; dispose of disposable supplies as practiced by hospital protocols.
• Maintain a safe environment for patient and staff by following infection control procedures.
• Give the primary nurse a full report at completion of dialysis.
• Have knowledge about continuous cycled peritoneal dialysis and peritoneal dialysis solutions 
• Have Knowledge about disequilibrium syndrome, air emboli, hemolysis and neuropathy.
• Have Knowledge about Apheresis treatment modalities.
• Assures the implementation of the prescribed medical regimen. 
• Assures the accurate processing of physicians' orders.
• Assures the documentation of the patient's response to nursing plan of care in all areas of the medical record, in compliance with established nursing standards and protocols.
• Provides for a safe and supportive environment for all patients, families and co-workers.Contributes to the monitoring of the quality and appropriateness of patient care delivered.
• Demonstrates positive communication and interpersonal skills with patients, families and all members of the health care team.
• Contributes to the smooth operation of the Nursing Department.
• Constant contact with patients and other employees; regular contact with visitors, others.

The expertise and experiences you’ll need to succeed: 

Minimum qualifications: 

• Graduate of an accredited School of Nursing
• Active Florida Registered Nurse license
• Minimum of one year experience as a Registered Nurse in a Critical Care setting
• Valid American Heart Association (AHA) Basic Life Support (BLS) certification
• Valid American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) certification
• Critical Thinking skills
• Communication, delegation, coordination, evaluation, assessment and interpersonal skills 

Preferred qualifications:

• Bachelor of Science in Nursing (BSN)
• Experience with Acute/Inpatient dialysis
• ICU, CCU, and ER experience 
• Certified Nephrology Nurse or Certified Dialysis Nurse

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About AdventHealth

At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.

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