RN, Registered Nurse - Hemodialysis
Company: CHRISTUS Health
Location: Texarkana
Posted on: January 3, 2026
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Job Description:
Description Summary: A Registered Professional Dialysis Nurse is
responsible for the delivery of safe, high-quality patient care
through the processes of assessment, diagnosis, planning,
implementation, and evaluation. This role actively participates in
the development and implementation of individualized care plans for
each patient, providing both direct and indirect care throughout
the dialysis treatment process, including pre- and post-treatment
assessments and the administration of prescribed medications. In
addition, the Registered Professional Dialysis Nurse ensures the
safe and efficient operation of dialysis equipment and supplies in
accordance with hospital and departmental policy, applying
principles of stewardship to minimize waste, optimize use of
resources, and preserve the integrity of supplies and equipment.
Documentation in the medical record must be accurate, timely, and
reflective of both patient outcomes and prudent resource
management. By combining clinical excellence with responsible
stewardship, this role supports the delivery of high-value,
sustainable dialysis care. Responsibilities: Meets expectations of
the applicable OneCHRISTUS Competencies: Leader of Self, Leader of
Others, or Leader of Leaders. Demonstrates appropriate hand
hygiene, use of PPE, and facility hygiene, including cleaning and
disinfection of work surfaces and equipment—pre-treatment,
intra-treatment, and post-treatment. Operates all available
dialysis equipment and supplies based on safety, effectiveness, and
cost in accordance with organizational policy to provide expected
patient outcomes; documents in the medical record and records
change appropriately. Follows policy and procedure in performance
of water treatment procedures and testing; properly demonstrates
electrolyte addition to acid concentrate per physician order.
Provides documented pre- and post-dialysis nursing assessments that
include but are not limited to: patient weight and fluid removal
calculations, lung sounds and presence of edema, vital signs,
review of current labs, and assessment and care of the dialysis
access. Obtains pre- and post-dialysis lab specimens per physician
order and organizational policy. Initiates, monitors, and
terminates each dialysis treatment per organizational policy and
procedure. Follows organizational policy and procedure in response
to dialysis-related complications, emergencies, and technical
issues. Nurses are required to obtain approval from leadership
identified per organizational policy, for lab culture collection
from dialysis catheters via the House Supervisor prior to specimen
collection. Follows organizational policy and procedure in the
administration of all medications during dialysis, including
as-needed (PRN) medications, blood and blood products, and
erythropoiesis-stimulating agents (ESAs). Ensures patients are
transported in a timely manner to and from dialysis treatments to
minimize delays in care and maintain treatment schedules. Nurses
should transport patients themselves when necessary to prevent
delays in care or to ensure timely discharge. Participates in the
development and implementation of an individualized plan of care
for each patient. Verifies the safety of each dialysis treatment by
performing and documenting required equipment safety checks,
including acid and bicarb expiration dates and chlorine/chloramine
testing before every treatment and Minncare residual testing as
needed. Responsible for accurately entering charges for each
patient they provide care for, ensuring timely and complete
documentation of billable services in accordance with departmental
procedures. Manages time so that workflow is efficient and
consistent. Perform other duties as assigned. Requirements:
Education/Skills Associate’s degree in nursing required Bachelor’s
degree in Science in Nursing (BSN) preferred Experience 1 year of
dialysis experience required 1 year of acute clinical experience as
a registered nurse preferred Intensive Care Unit (ICU), Critical
Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med
Surg) experience is preferred Clinical patient care experience in a
relevant setting preferred Licenses, Registrations, or
Certifications RN license in the state of employment or compact
required BLS required ACLS required PALS required at CHRISTUS
Children’s Hospital In accordance with the CHRISTUS Health License,
Certification and Registration Verification Policy, all Associates
are required to obtain the required certifications for their
respective positions within the designated time frame. Work
Schedule: 3 Days - 12 Hours Work Type: Full Time
Keywords: CHRISTUS Health, Longview , RN, Registered Nurse - Hemodialysis, Healthcare , Texarkana, Texas
