Registered Nurse–Bedside Hemodialysis (ICU)

Are you passionate about critical care nursing and helping patients with complex renal needs? Northwest Mississippi Regional Medical Center (NWMRMC) is seeking a Registered NurseBedside Hemodialysis to provide individualized dialysis care to critically ill adult patients in our Intensive Care Unit. Reporting to the Telemetry/ICU Manager, this nurse delivers bedside intermittent hemodialysis and coordinates care with nephrology, TeleNephrology, hospitalists, pharmacy, and the ICU team. The role combines strong clinical assessment, safe equipment operation, timely communication, and compassionate patient and family support. About Us At NWMRMC, we are committed to providing high-quality, sustainable healthcare to the citizens of Northwest Mississippi. We value a collaborative environment where every team member contributes to the health and well-being of our patients. Key Responsibilities Complete assessments before, during, and after dialysis, including vital signs, weight, fluid status, laboratory results, cardiopulmonary findings, mental status, and vascular access. Verify patient identity, the dialysis prescription, and documented consent before initiating treatment. Collaborate with nephrology and the ICU team to confirm treatment goals and develop an individualized plan of care. Set up, prime, operate, and complete treatment using the NxStage system according to approved procedures. Assess and manage dialysis vascular access using aseptic technique, including fistulas, grafts, and central venous catheters. Administer prescribed dialysis-related medications and monitor patient response. Monitor treatment closely, respond to equipment alarms, and promptly recognize and escalate changes in patient condition. Respond to dialysis complications and hold or stop treatment when necessary for patient safety, following established protocols. Evaluate treatment outcomes, document care accurately, and communicate through structured handoffs with the primary ICU nurse and treating providers. Educate patients and families about dialysis, vascular access care, and prescribed fluid and dietary restrictions. Advocate for patient rights, informed decisions, privacy, and individual care preferences. Follow infection prevention, equipment disinfection, personal protective equipment, and sharps disposal procedures. Complete required dialysis training and competency validation; support staff education and precepting when qualified. Participate in quality improvement, treatment-record audits, safety reporting, and survey readiness. Coordinate treatment timing, use supplies responsibly, and promptly report equipment concerns or supply shortages. Qualifications Education and Licensure Graduate of an accredited school of nursing required. Current, unrestricted Mississippi RN license or a valid multistate RN license with privilege to practice in Mississippi required. Current BLS and ACLS certifications required. Successful completion of the NWMRMC NxStage hemodialysis training program and initial competency validation required before independently providing dialysis care. CCRN certification preferred. Experience and Knowledge Prior hemodialysis or continuous renal replacement therapy (CRRT) experience preferred. Strong nursing assessment, clinical judgment, and critical-thinking skills. Ability to recognize patient deterioration and communicate urgent concerns promptly. Commitment to safe dialysis practices, infection prevention, accurate documentation, and patient-centered care. Skills and Competencies Assessment and monitoring before, during, and after dialysis. Vascular access assessment and aseptic access management. Safe dialysis equipment operation and alarm response. Recognition and escalation of treatment complications. Effective teamwork, handoffs, and patient and family education. Professional integrity, accountability, and respect for patient preferences. Why Join NWMRMC? Meaningful work: Provide specialized bedside care to critically ill patients in Northwest Mississippi. Clinical impact: Collaborate with ICU and nephrology teams to support safe treatment and continuity of care. Professional growth: Develop specialized dialysis skills through required training and competency development. Competitive compensation and benefits: Including health, dental, and vision coverage. Employer-paid benefits: Basic Life/AD& D and long-term disability insurance. Retirement options and paid time off. Collaborative environment: Work alongside professionals committed to compassionate care and teamwork. Make a Difference at the Bedside Bring your nursing skills, clinical judgment, and commitment to compassionate care to a role supporting patients with complex critical care and dialysis needs. Apply today to join our team! Northwest Mississippi Regional Medical Center is an Equal Opportunity Employer and a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.