1. Patient care + As leader team to provide standard nursing care of dialysis patient as plan to patient in pre, post and throughout treatment under supervision of Head Nurse + Responsible for dialysis patient tertiary level and critical care level. + Assesses patient’s condition and symptom in pre, through out and post treatment effectively and safety. + Assist Physician during patient round, patient examination or procedure. + Deliver nursing care, plan treatment for patient with attending physician. + Document patient condition, treatment and progression completely. + Review, evaluate and report Laboratory result. + Demonstrates competency in RO system, setting-up, operating the dialysis machine. + Assesses patient’s condition, body weight and document in hemodialysis sheet with appropriate treatment plan. + Be a mentor and performs venipuncture AVF, AVG in order to initiate the dialysis + Assessed patient’s condition and body weight post treatment to assure patient safety before discharge. + Educates and evaluates patient and family knowledge of kidney disease, treatment modalities and treatment plan. + Takes care of patient transferring with safety + Applies knowledge of altered health status and uses available resources for patient and family’s need + Be a mentor for new nurse in dialysis unit. + Review medication and blood value with patients every 1 month. + Performs other professional nursing activities as approved by Head Nurse. 2. Quality and safety + Report daily incident and customer feedback to in charge nurse when incident current. + Record incident or customer feedback into system within 24 hours. + Monitor unit indicators, record and develop result with team. + Monitor and check daily checklist of dialysis machine, RO system to ensure safety process + Check and monitor electrolyte value of dialysate when changing lot number. + Check and monitor bacteria and endotoxin level of dialysate monthly. + Document nursing record completely as professional standard + Assures all medical equipment has PM and calibration as schedule + Provides service for patient safety in the clinical environment. + Demonstrates willingness to initiate or participate in unit quality activities for safety culture. + Innovates and initiates in unit CQI project development. 3. Operation Management + As resources for team consultation in clinical and critical patient. + Assigns role and responsibility to team member appropriately. + Assist nurse in charge for operation management and report incident + Assist for roster management and daily assignment. + Review completeness of standard medication order in Medical Record sheet and encourage involved staff to complete record as standard. + Monitor completeness of nursing document following standard + Prioritizes task and time management + Effective environment preparation + Prepares and check reediness of medical supply, stock, medication and medical equipment + Participates in committee activities, surveys and research pertinent to nursing practice. 4. Communication and service + Communicates effectively with patient and family and ensures that the patient’s problem and feedback receive the rapid response. + Communicates effectively with multidisciplinary team. + Provide service to patient and family with quality of care. + Demonstrates willingness to take a good care and provide instruction to patient with excellent service behavior. + Provide excellent service and coordination with multidisciplinary team. + Take a response to customer feedback and initially CFB management to continue smoothly service for patient and family + Be a role model in service behaviour + Complies with accepted dress code. + Maintains a professional image among colleagues and to the public. 5. Education and learning + Demonstrates willingness to evaluate own nursing practice. + Keeps abreast of current nursing literature + Avails self of continuing education programs. + Attends Thai Nephrology Nurses Society meeting or conference annually. + Attends company’s education courses or conference twice a year. + As a leader for knowledge and skill sharing with team + (Journal or Interesting case presentation) + Be a mentor for new renal nurse to practice in unit