Job Title:
Dialysis Registered Nurse
Company: Nitelines USA, Inc.
Location: San Antonio, TX
Created: 2026-05-02
Job Type: Full Time
Job Description:
Established in 1994, NiteLines USA has successfully delivered contract support services to more than 144 government institutions and medical treatment facilities across the country. Work with a dedicated and caring organization and start doing your life's best work.Pay: $43.00 per hour.Hours: Multiple shifts available.Benefits:Health insurance.Dental insurance.Vision insurance.401k11 paid federal holidays.Paid sick leave.Paid vacation.Locations: Brooke Army Medical Center Duties:Dialysis Expertise: Proficiently performs hemodialysis, peritoneal dialysis, and continuous veno-venous hemofiltration (CVVH) in critical care and outpatient settings, operating various dialysis equipment models (fixed & portable, CRRT machines, peritoneal dialysis cyclers). Maintains knowledge of AAMI standards for water treatment, including RO systems, testing, disinfection, and interpreting/reporting results.Critical Care Nursing: Provides professional nursing care to critically ill patients, including assessment, identification of urgent/emergent needs, and independent modification of care plans per protocols/physician orders to meet dynamic patient conditions.Emergency Response: Initiates resuscitation measures during emergencies, including CPR and medication administration (electrolytes, vasopressors, cardiac medications), assists with procedures like cardioversion and line insertion, and proficiently uses monitoring equipment and airway adjuncts.Renal Failure Management: Delivers comprehensive nursing care to acute and chronic renal failure patients (inpatient/outpatient), including vital signs monitoring, dialysis initiation/termination, physical assessment, order management, lab collection, and documentation. Proficient in vascular access cannulation and care (AV fistula/graft/catheter).Medication Administration: Administers medications and blood products according to policies, including IV iron, ESAs, vitamin D analogs, chemotherapy agents, and biologics.Patient Education & Care Coordination: Provides individualized education on renal disease management (self-care, fluids, medications, dialysis, transplant, access care) and general health maintenance. Participates in interdisciplinary care conferences, recommends dialytic prescription modifications, coordinates care among providers, and maintains patient records.Dialysis Machine Preparation: Sets up dialysis machines, performs function tests, primes dialyzers, and prepares dialysate per physician orders.Quality & Safety: Maintains licensure/certifications, completes required training (emergency drugs, blood products, infection control, patient safety, safe handling of dialysis agents/chemotherapy), participates in process improvement, and follows established standards/protocols to ensure safe/quality care.Mentorship: Assists in training fellows, residents, students, and other nursing staff in the care of dialysis patients.Qualifications:Associates degree of nursing. Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE).BLS and ACLS certification.Must maintain a current, active, and unrestricted license from any U.S. State, District of Columbia, U.S. territory or U.S. jurisdiction to provide healthcare within the scope of practice for a specific health care discipline.The RN shall have at least one (1) year of full-time experience working as a Hemodialysis RN in the last 2 years, post-graduation, in an acute or chronic dialysis setting. Shall complete the BAMC Telemetry test and Chemotherapy training within the first 60 days of employment.Skill setting up, operating, and monitoring specialized medical equipment: IV infusion pumps, cardiac monitoring devices.Monitor patient responses to treatment.