Houston, Texas




Do you want to be a part of a family and not just another employee? Are you looking for a work environment where diversity and inclusion thrive? Submit your application today and find out what it truly means to be a part of a team.

We value your contributions. Our employee recognition programs encourage our teams to raise the bar. We are currently seeking a Registered Nurse (RN) Dialysis to join our family. Come be a part of the change!

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount programand employee stock purchase program. We would love to talk to you about this fantastic opportunity.


HCA Houston Healthcare Northwest - Houston, Texas

Registered Nurse- Dialysis

HCA Houston Healthcare Northwest is a 423-bed acute care hospital that has been serving the north Houston community for more than 40 years, providing a wide range of medical services including cardiology, maternity care, neonatal intensive care, pediatrics, bariatrics and neurology.

HCA Houston Healthcare Northwest is affiliated with HCA Houston Healthcare, part of the HCA Healthcare Gulf Coast Division. The division is a comprehensive network of hospitals, outpatient surgery centers, emergency centers and diagnostic imaging facilities in greater Houston, Corpus Christi and South Texas. Facilities include: 17 hospitals, nine ambulatory care centers, 13 off-campus emergency centers, and a regional transfer center.


What you would do in this role:


Renal Dialysis Nurse is responsible for planning and providing patient care for the renal dialysis adult patients in accordance with the physician’s orders, hospital policies and procedures, PSHA guidelines, AMI guidelines, JCAHO standards, federal, state, and local regulations.

The Renal Dialysis Nurse is responsible for communicating with the primary nurse prior to, during, and after the dialysis treatment as necessary to assure continuity of patient care. The Renal Dialysis Nurse is also responsible for acute and chronic treatment modalities as ordered. The Renal Dialysis Nurse independently performs crucial tasks in assessing, initiating, monitoring, and terminating treatment modalities in the inpatient and outpatient setting.

Performs duties independently, in a professional manner, without immediate or continuous supervision.

  • Follow and implement the dialysis treatment orders as ordered by the nephrologist and observe the policies and procedures.
  • Perform patient assessment, obtain, monitor, and vital signs.
  • Evaluate data and intervene appropriately. Perform Renal Replacement Therapies as trained and assigned
  • Administer medication, intravenous solutions, and document in the patient’s medical chart appropriately as per policy and procedure.
  • Provide and document pertinent patient and family education according to ESRD guidelines.
  • Assist proactively with the inventory needs; monitor the water quality treatment system, culturing, and disinfection of equipment following all infection control policies.
  • May assist with the education of the Critical Care team with CRRT.
  • Precept new team members as needed and submit accurate time records per Kronos in a timely manner.
  • Applies the nursing process to a group of patients. Evaluates outcomes of patient care, consults with other disciplines as required and adjusts the plan of care as necessary to ensure optimal service.
    • Effectively identifies predictable problems and plans assigned tasks as needed.
    • Performs nursing assessments and initiates the plan of care.
    • Recognizes changes in patient condition and initiates activities to facilitate appropriate responses.
    • Communicates the patient’s condition and/or change to appropriate staff and/or physician, as needed.
  • Ensure appropriate delivery of patient care for a group of patients according to policy and procedure; assigns and/or delegates patient care assignments to licensed and non-licensed nursing staff, based on acuity, needs of the patient, staff availability and qualifications.
    • Makes patient care and related work assignments to the appropriate department staff; provides direction, and reviews all work, as necessary.
    • Responds promptly to changes in workload, adjusting assignments as necessary to achieve optimal productivity and efficiency.
    • Prioritizes and plans all work steps to ensure success; considers time, supplies and support required from other individuals and departments in setting up work plan and completing duties.
    • Provides pertinent shift report to other members of the team.
    • Assures appropriate follow-up of care for patients assigned to LVN’s and for tasks delegated to non-licensed care givers.
    Participates and facilitates in the case management process and cost containment for patients.
    • Makes appropriate referrals upon admission and throughout hospitalization.
    • Considers all available options and makes appropriate decisions.
    • Assists in the containment of hospital costs through appropriate use of supplies, recovery of patient charges, and conservation of supplies.
    • Assists in the evaluation of patients for appropriate level of care and communicates with others on health care team.
    • Communicates pertinent information regarding patient’s progress and discharge planning needs to appropriate hospital and medical staff.
    • Evaluates patient progress in light of the plan of care and coordinates care to achieve desired outcomes.
    Cooperates with other personnel to achieve department objectives and maintain good employee relations with collaborative integration of the health care team.
    • Maintains harmonious relationship with staff members, providing support and assistance to ensure quality customer service.
    • Demonstrates attitude of cooperation and professionalism.
    • Demonstrates flexibility in working hours and days scheduled in order to meet needs of the department.
    • Seeks and accepts input from Directors/ Supervisors regarding interpersonal relationships that affect the department’s harmony and serviceability.
    Demonstrates accountability for direct patient care and evaluation of patient outcomes.
    • Follows established procedures for all treatments, performance of procedures, and medication administration.
    • Assures the patient treatment plan is followed.
    • Implements prescribed treatments accurately and in timely manner.
    • Evaluates patient response/outcomes to procedures performed, treatments, medication administration and other aspects of the treatment plan.
    • Recognizes changes in patient condition and initiates activities to facilitate appropriate responses.
    Documents all aspects of patient care efficiently and effectively.
    • Ensures documentation and charging of resources/supplies.
    • Documents complete patient assessment upon admission within time frame as per policy.
    • Documents all medications, treatments, and evaluation of such.
    • Determines and documents patient problems list, interventions and evaluation (PIE charting).
    Demonstrates professional practice and conduct at all times.
    • Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
    • Takes responsibility to regularly update self on knowledge of department and hospital communication and changes.
    • Reports to work on time and absences are not to exceed hospital standards.
    • Conducts job duties in accordance with established hospital, department, unit and Tenet policies and procedures and standards.
    • Demonstrates leadership as team leader.
    • Serves as a resource to co-workers.
    • Participates in unit development and problem solving.
    • Communicates effectively with members of health care team.
    • Complies with legal and professional regulations.
    • Demonstrates behaviors that promote teamwork within department and interdepartmentally, in order to best serve patient.
    • Attends and participates in required number of staff meetings per year.
    • Performs other duties as assigned or requested.
    Participates in Performance Improvement as appropriate (i.e. data collection, quality control, etc.)
    • Articulates department P.I.
    • Articulates organization-wide P.I.
    Demonstrates age specific competency for the geriatric
    • Note sensory motor function changes and facilitate care according
    • Assures dentures are in during use of ambu bag.
    • Utilizes fall precautions
    • Monitor for skin breakdown and provide care as needed
    • Assess for an adequate swallow
    • Assess physical and psychosocial changes associated with aging and make recommendations to other interdisciplinary care givers.
    • Involve the patient in planning and providing self-care when possible and include primary at-home caregiver
    Demonstrates critical care skills for managing acutely ill patients.
    • Demonstrates proficiency in identification and management of patients with dysrhythmias.
    • Safely manages patients with mechanical ventilation.
    • Demonstrates working knowledge of vasoactive and antiarrhythmic medications.
    • Proficient in performing emergency protocols for RNs (ACLS)
    • Demonstrates knowledge of specialized procedures performed in critical care area.
    Demonstrates Age Specific Competency for geriatrics:
    • Adjust zone-aire bed for skin protection
    • Assist with all ambulation due to physical limitations
    • ECG leads applied to appropriate areas and changed daily to assess skin
    • Involve family/guardian in patient education.
    • Knowledge of age specific data
  •  Participates in Department On Call rotation: Inpatient Registered Nurses demonstrates the ability to rotate through scheduled on call according to Department Guidelines. The On Call Dialysis Nurse will provide urgent inpatient renal therapies to the critical ill inpatient as scheduled by the Director.




Position Qualifications:

Minimum Education: See licensure requirement

Minimum Experience: 6 months to one year prior dialysis experience required

Required Licensure: RN Licensure in state of Texas

Required Certification: BLS

Skills: Ability to communicate with all customers both orally and written in a clear, professional and effective manner.

HCA Healthcare ranks on Fortune’s list of Most Admired Companies for three consecutive years and HCA ranks 63rd on the fortune 500 list. In addition Ethisphere named HCA as one of the World’s Most Ethical Companies. We want you to join our tradition of excellence. Intrigued? We’d love to hear from you.

If you find this opportunity compelling, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our recruiters. We are actively interviewing so apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.



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For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

Houston, Texas

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