1. Patient care + As an In-charge nurse to provide standard nursing care of dialysis patient as plan to patient in pre, post and throughout dialysis treatment. + 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. + Demonstrates willingness to initiate and participate in unit patient/staff education activities e.g., clinical conferences, grand rounds, patient groups + Makes recommendations regarding standards of patient care. + 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 + Review medication and blood value with patients every 1 month. + Performs other professional nursing activities as approved by Head Nurse. + Be a mentor for new renal nurse in dialysis unit and responsible for on-the-job training and experience necessary for the satisfactory performance of their roles. 2. Quality and safety + Acts as role model in advising other staff members on how to handle various situations. + 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 + Monitor and check electrolyte value of dialysate when changing lot number. + Monitor and check bacteria and endotoxin level of dialysate monthly. + Document nursing record completely as professional standard + Assures all medical equipment has PM and calibration as schedule + Collaborates with support services to create an environment optimal for safe delivery of patient care services. + Demonstrates willingness as a leader to initiate or participate in unit quality activities for safety culture. + Innovates and initiates in unit CQI project development. + Evaluates the quality and effectiveness of nursing care administrated to patients in the unit 3. Operation Management + As resources for team consultation in clinical and critical patient. + Assigns role and responsibility to team member appropriately. + Monitor patient monthly time schedule, maintain adequate staffing to meet the needs of the unit. + 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 + Manages all daily incident and customer feedback appropriately and report to Head nurse. + Prioritizes task and time management + Effective environment preparation + Monitors and checks readiness of medical supply, stock, medication and medical equipment + Participates in committee activities, surveys and research pertinent to nursing practice. + Applies resources knowledge for patient needs appropriately + Disciplines employees and initiates disciplinary action where appropriate. + Reviews clinical performance of nursing personnel, completes annual evaluations and sets goals for employees of the center 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. + Monitor all team members to provide service for 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 + Record all incidents and customer feedbacks into system within 24 hours. + Maintain cooperative working relationships with other departments and members of the health care team. + Be a role model in service behaviour + Complies with accepted dress code as a role model. + Maintains a professional image among colleagues and to the public as a role model. 5. Education and learning + As a role model to demonstrates willingness to evaluate own nursing practice. + Keeps abreast of current nursing literature and advice team member. + Avails self of continuing education programs. + Acts as stimulus in helping the units implement new ideas and 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 + Responsible for scheduling classes in the unit specifically designed for nurses and nurse assistants + Responsible for maintenance of employee records for training and in-service regarding state and federal regulations.