Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. - Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. - Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. - Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. - Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. - Initiates or assists with emergency response measures. - Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. - Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. - Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. - Ensures patient awareness related to transplant and treatment modality options. - Required to complete CAP requirements to advance. - Performs all other duties as assigned by Supervisor.