RN Dialysis On Call PRN

Community Health Systems; Kirksville (MO); On-site; USD 60,000 - 90,000; Part time

Job summary

Community Health Systems in Kirksville, MO seeks an experienced Dialysis RN for a brand-new acute dialysis program. This PRN, 100% on-call role requires attending orientation and monthly meetings.

You will set up and operate dialysis machines, monitor patients, educate families, and participate in a growing clinical team as the program scales to 24/7.

Qualifications

• Active RN license in the United States.
• 0–2 years of clinical nursing in acute settings preferred.
• Strong knowledge of dialysis nursing protocols and patient safety.

Responsibilities

• Coordinate and deliver high-quality patient care per nursing process.
• Monitor patients before, during, and after dialysis treatments.
• Educate patients and families about kidney disease and dialysis procedures.
• Maintain dialysis equipment and document treatments per standards.
• Engage with the clinical team to ensure safe, effective care.

Skills

Dialysis expertise

RN patient care

On-call scheduling

Patient education

Education

RN license (US)

Tools

Dialysis machines

Job description

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.