Are you an experienced Dialysis RN looking for a high-impact, flexible opportunity? We are launching a brand-new, Acute Dialysis Program and are seeking skilled PRN nurses to help us build and scale to a 24/7 service. This role offers ultimate scheduling flexibility, operating as a 100% on-call position (aside from mandatory orientation and monthly meetings). If you thrive in dynamic environments, possess deep dialysis expertise, and want to be a foundational part of a growing clinical team, we want to hear from you. Position Details: PRN/ 100% On-Call • In Person (Orientation and Clinical Shifts) Must be able to attend mandatory in-person orientation during your first week, as well as monthly staff meetings and training as needed. • Phase 1 (Initial Launch): Day shift call only. Minimum of two 12-hour call shifts per month. • Phase 2 (Program Expansion): Transitioning to a 24/7 acute dialysis schedule. Minimum of two 24-hour call shifts per month. What You Bring: Strong clinical judgment, adaptability for a startup program environment, and a commitment to collaborative, high-quality patient care. Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions • Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. • Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. • Utilizes knowledge of human growth and development to provide age-appropriate care and education. • Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. • Assists physicians during procedures within the scope of documented competency and skill level. • Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. • Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. • Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. • Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. • Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. • Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. • Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. • Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. • Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. • Documents patient care and education thoroughly and promptly in the medical record. • Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. • Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. • Dialysis RN: • Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed. • Takes vital signs, monitors signs of complications, and responds to changes in patient condition. • Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication. • Inspects and maintains dialysis machines and equipment. • Performs other duties as assigned. • Maintains regular and reliable attendance. • Complies with all policies and standards. Qualifications • 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities • Strong knowledge of the nursing process and clinical nursing practices. • Ability to perform thorough patient assessments and communicate findings effectively. • Proficient in administering medications and monitoring for side effects. • Effective communication and interpersonal skills to collaborate with interdisciplinary teams. • Strong organizational skills and attention to detail in documenting patient care. • Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications • RN - Registered Nurse - State Licensure and/or Compact State Licensure required • BCLS - Basic Life Support required • ACLS - Advanced Cardiac Life Support preferred • PALS - Pediatric Advanced Life Support preferred • NRP - Neonatal Resuscitation preferred • Refer to facility or unit-specific guidelines for additional requirements.