- Pre-Dialysis Preparation

- Check and record patient pre-dialysis weight, blood pressure, temperature, and pulse.
- Inspect and assess vascular access sites (AV fistula, grafts, or central venous catheters) for patency and signs of infection.
- Prime, calibrate, and set up the hemodialysis machine, blood tubing lines, and dialyzer according to doctor prescriptions and safety checks.

2.

During Dialysis

Treatment

- Cannulate vascular access or connect the patient safely to the dialysis machine.
- Monitor the patient's vitals, machine parameters, and ultrafiltration rates continuously throughout the session.
- Administer prescribed intra-dialysis medications, heparin, or saline as directed by the nephrologist.
- Identify and rapidly manage intra-dialysis complications such as drops in blood pressure (hypotension), nausea, vomiting, or muscle cramps.

- Post-Dialysis & Patient Care

- Safely disconnect the patient, apply proper pressure/dressings to access sites, and record post-dialysis weight and vitals.
- Clean, disinfect, and maintain dialysis equipment according to hospital infection-control guidelines.




- Maintain accurate electronic or physical nursing documentation of treatment sheets, fluid removal, and lab results.

4.

Patient

Education & Counseling
- Educate patients and their families on fluid and dietary restrictions (e.g., sodium, potassium, and phosphorus management).
- Instruct patients on how to care for their vascular access at home and recognize early signs of infection or clotting.

Requirements

- Qualification: Diploma in General Nursing and Midwifery (GNM) from a recognized institution.
- Registration: Valid registration with the State Nursing Council.
- Experience: Typically ranges from freshers to 1–3 years of hands-on experience in a dedicated Dialysis Unit or Nephrology department (preferred by most hospitals).
- Key Skills: Dialysis machine setup and operation, vascular access cannulation, monitoring vital signs, strict infection control, and emergency response (handling hypotension or muscle cramps during sessions).

📌 Staff Nurse (Kerala)
🏢 Thanal
📍 Kerala