Senior Nurse of the Hemodialysis Center: The Multifaceted Role in Ensuring the Quality of Specialized Care

The article analyzes the professional activities of the senior nurse of a hemodialysis center, using the example of work at a branch of the international Fresenius Medical Care network in Salsk, Rostov Region. Based on the author's practical experience, five key areas of activity are considered: organizing resource provision for the institution, organizing the activities of the structural unit, organizing staff work, controlling staff activities, and providing emergency medical care. Special attention is paid to the specifics of working amid the growing number of patients with chronic kidney disease requiring renal replacement therapy. The author shares experiences in daily solving diverse organizational, clinical, and managerial tasks, describes the system for controlling sanitary and epidemiological regimes, organizing the procurement and accounting of medications using serialization systems, and maintaining documentation of various categories. The issues of staff motivation are discussed in detail, including mentoring, creating a culture of respect, organizing corporate events, and implementing a reward system. Practical aspects of patient education in self-control and interaction with medical personnel are presented. The article is of interest to senior nurses of specialized departments, heads of nursing services, and specialists working in healthcare organization.