Registered Nurse - Home Hemodialysis

Coordination and Communication

• Serve as the primary liaison between the physician, pharmacist, and bedside/hemodialysis nurses regarding all medication-related matters.
• Receive and clarify medication orders from the nephrologist, ensuring accuracy before dissemination to the bedside nurse.
• Coordinate medication changes, dose adjustments, and discontinuations across all relevant teams to prevent errors or duplication.
• Ensure all staff involved in home dialysis are promptly informed of medication updates or safety alerts.
• Participate in care coordination meetings, contributing clinical insights on medication management and patient responses.

Medication Oversight and Safety

• Oversee the entire medication management cycle — prescribing, dispensing, administering, monitoring, and documentation — in accordance with facility and DOH standards.

• Manage medication ordering and coordination with external pharmacies.

• Verify medication availability and proper storage at patient homes, ensuring safe handling and compliance with cold chain requirements where applicable.

• Monitor and record any medication discrepancies, side effects, or adverse drug events and ensure appropriate reporting.

• Conduct periodic audits of medication records, expiry dates, and storage compliance at patient sites.

• Maintain clinical accuracy in documentation and reporting related to medication management.

• Oversee the timely refilling and delivery of medications to patients' homes.

• Provide education to patients and their families on medication usage and adherence.

Clinical Support and Monitoring

• Support the bedside nurse in medication preparation and administration guidance, especially for complex or high-risk drugs (e.g., anticoagulants, erythropoiesis-stimulating agents).

• Review patient charts and dialysis flow sheets to identify trends in medication response, adverse effects, or compliance issues.

• Assist physicians by providing detailed nursing observations and recommendations related to pharmacologic treatment plans.

Patient and Family Education

• Educate patients and caregivers on medication schedules, purposes, and potential side effects, reinforcing adherence to prescribed regimens.

• Counsel patients on self-administration techniques, medication safety at home, and the importance of compliance with dialysis-related medications (e.g., phosphate binders, antihypertensives).

• Provide written and verbal instructions to ensure continuity of medication management in the home setting.
  

Documentation and Quality Assurance

• Maintain complete and accurate documentation of all medication transactions, reconciliations, and communications.

• Support audits, incident reporting, and quality improvement initiatives related to medication management.

• Ensure compliance with facility policies, DOH, and international medication safety standards.

• Participate in continuous education and training sessions to stay updated on renal pharmacology and medication safety practices.

• Contributes as part of the multidisciplinary team, in the development, implementation and maintenance of policies, procedures, standards and protocols.

• Adheres to the requirements of the Occupational Health and Safety Management System.

• Adheres to the requirements of the Occupational Health and Safety requirements of DOH & other regulatory authority.

Coordination and Communication

• Serve as the primary liaison between the physician, pharmacist, and bedside/hemodialysis nurses regarding all medication-related matters.
• Receive and clarify medication orders from the nephrologist, ensuring accuracy before dissemination to the bedside nurse.
• Coordinate medication changes, dose adjustments, and discontinuations across all relevant teams to prevent errors or duplication.
• Ensure all staff involved in home dialysis are promptly informed of medication updates or safety alerts.
• Participate in care coordination meetings, contributing clinical insights on medication management and patient responses.

Medication Oversight and Safety

• Oversee the entire medication management cycle — prescribing, dispensing, administering, monitoring, and documentation — in accordance with facility and DOH standards.

• Manage medication ordering and coordination with external pharmacies.

• Verify medication availability and proper storage at patient homes, ensuring safe handling and compliance with cold chain requirements where applicable.

• Monitor and record any medication discrepancies, side effects, or adverse drug events and ensure appropriate reporting.

• Conduct periodic audits of medication records, expiry dates, and storage compliance at patient sites.

• Maintain clinical accuracy in documentation and reporting related to medication management.

• Oversee the timely refilling and delivery of medications to patients' homes.

• Provide education to patients and their families on medication usage and adherence.

Clinical Support and Monitoring

• Support the bedside nurse in medication preparation and administration guidance, especially for complex or high-risk drugs (e.g., anticoagulants, erythropoiesis-stimulating agents).

• Review patient charts and dialysis flow sheets to identify trends in medication response, adverse effects, or compliance issues.

• Assist physicians by providing detailed nursing observations and recommendations related to pharmacologic treatment plans.

Patient and Family Education

• Educate patients and caregivers on medication schedules, purposes, and potential side effects, reinforcing adherence to prescribed regimens.

• Counsel patients on self-administration techniques, medication safety at home, and the importance of compliance with dialysis-related medications (e.g., phosphate binders, antihypertensives).

• Provide written and verbal instructions to ensure continuity of medication management in the home setting.
  

Documentation and Quality Assurance

• Maintain complete and accurate documentation of all medication transactions, reconciliations, and communications.

• Support audits, incident reporting, and quality improvement initiatives related to medication management.

• Ensure compliance with facility policies, DOH, and international medication safety standards.

• Participate in continuous education and training sessions to stay updated on renal pharmacology and medication safety practices.

• Contributes as part of the multidisciplinary team, in the development, implementation and maintenance of policies, procedures, standards and protocols.

• Adheres to the requirements of the Occupational Health and Safety Management System.

• Adheres to the requirements of the Occupational Health and Safety requirements of DOH & other regulatory authority.