| maintenance outpatient dialysis
requiring interim medical and for surgical
intervention in an acute setting or admission to the Massachusetts
Eye and Ear Infirmary. The level of care is highly specific and directed
towards reducing morbidity and mortality. A greater degree of interdisciplinary
collaboration among health care providers is required as is dependence
on highly specialized knowledge and technology. We also provide plasma
exchange to patients with hepatic failure pre and/or post-liver transplantation
among patients having Goodpasteur"s Syndrome, Wegener's and ITP
requiring hemodialysis and plasma exchange. In addition, hemodialysis
or henioperfusion can be performed on an acute basis for the treatment
of selected drug overdose and poisoning.
PATIENT CARE DELIVERY MODEL
The patient care delivery model is a patient-focused
model, supported by primary nursing. Patient-focused care is high
quality, comprehensive, accessible, supportive and personalized
care. Primary nursing is practiced on the Unit. The most common
nursing diagnoses are alteration in electrolytes, alteration in
volume, alteration in circulation re: access, and knowledge deficit
re: coping.
TEAM MEMBERS
The RN staff is supported by PCA's. To
inquire about positions available on this unit, contact Bev Lasovick
at blasovick@partners.org.
SCHEDULING PRACTICES
Staff schedules are driven by patient need.
The scheduling process is staff driven and flexible to accommodate
personal and educational needs. Once the schedule is posted, the
staff manages changes. Dialysis is provided seven days per week.
One RN is on call after regular hours. Dialysis patients are scheduled
for hemodialysis six days per week. Two patient shifts are available
in the dialysis unit; there is a 1:1 nurse/patient ratio for treatments
done outside the dialysis unit.
STAFF ORIENTATION
All staff attends a one- week nursing orientation
program. Unit orientation is preceptor based, individualized and
determined by the Nursing Director, clinical nurse specialist and the
new employee. The length of orientation is also individually determined.
EDUCATIONAL AND DEVELOPMENT OPPORTUNITIES
Staff education and development is supported
by The Norman Knight Nursing Center for Clinical & Professional Development. Full and partial day programs
are offered. Staff may also access outside educational opportunities.
The teaching environment provides staff with a daily opportunity
to discuss patient care related educational issues with members
of the graduate medical education program and with other members
of the care-delivery team. |
