Classified Job Specification

JOB TITLE: Nephrology Nurse I

CLASS CODE: 000947


Under direct supervision, provide dialysis and related therapies to patients experiencing temporary or permanent loss of kidney function.


Assess patient's pre-dialysis condition (weight, blood pressure, temperature, patency and access).

Ensure proper set up of equipment (e.g., proper conductivity of electrolyte solution, correct temperature, correct membrane pressure, prescribed blood flow rate, prescribed hemofiltration rate, correct dialyzer) to perform dialysis or other extracorporeal treatment (e.g., plasmapheresis, peritoneal dialysis, continuous hemofiltration).

Follow established procedures in troubleshooting machine problems and in communicating with equipment engineers about machines needing repairs. Perform venipuncture for procedures involving hemodialysis, hemofiltration, or pheresis.

Monitor patient condition during the treatment and identify symptoms of distress and take appropriate action (e.g., treat for shock, convulsions, hypotension, cardiac, or respiratory failure). Administer prescribed intravenous fluids, medications, and blood.

Draw blood specimens for regular laboratory analysis and review laboratory results and report any abnormalities to the physician.

Educate patients about their treatment regimen and work with the dietician to educate the patient and family about diet, fluid restrictions, and prescribed medications. Cooperate with the social worker in defining and working to alleviate the psychosocial need of the patient and family adapting to chronic dialysis and other chronic extracorporeal therapy.

Perform emergency cardiopulmonary resuscitation when needed.

Utilize equipment from the emergency cart including cardiac monitor and defibrillator, Amboo bag, cardiac board, etc. and administer oxygen when indicated. Participate in the evaluation of new equipment and supplies by performing prescribed test procedures and accurately recording test result data.

Perform other related duties as assigned.


Associate's degree in Nursing or equivalent. Registration to practice nursing in the Kentucky or must be registration eligible pending receipt of license from Kentucky State Board of Nursing.


One year of medical-surgical or critical care nursing experience preferred.