Description The Medical Surgical Telemetry Pediatrics department at Christus Spohn Alice has a daily average census of approximately 25 patients. We often see patients with CHF, Pneumonia, Skin Abscess, Chest Pain, COPD, Diabetes, Appendicitis, Cholecystectomy, EGD's, Colonoscopy, Pediatrics with Asthma, Bronchitis, Viral Syndrome, and Pneumonia. Our associates feel very proud to work in this department. Med Surg Tele Peds is a unit in which you can develop all of your nursing skills and train to float to other units if desired. MSP requires hard work and critical thinking skills due to range in age of patients and disease processes involved. We are a group of highly skilled nurses that are willing to teach and grow our own nurses to the fullest potential. Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: 7AM - 7PM Work Type: Full Time<img src="https://www.jobg8.com/Tracking.aspx?DgYyEEfljqkBZioNXwM61Qe" width="0" height="0" />

**Nurse - Medical Surgical Telemetry Pediatrics**

The Medical Surgical Telemetry Pediatrics department at Christus Spohn Alice has a daily average census of approximately 25 patients. We often see patients with CHF, pneumonia, skin abscess, chest pain, COPD, diabetes, appendicitis, cholecystectomy, EGD's, colonoscopy, and pediatrics with asthma, bronchitis, viral syndrome, and pneumonia. Our associates feel very proud to work in this department. Med Surg Tele Peds is a unit in which you can develop all of your nursing skills and train to float to other units if desired. MSP requires hard work and critical thinking skills due to the range in age of patients and disease processes involved. We are a group of highly skilled nurses that are willing to teach and grow our own nurses to the fullest potential.

**Job Description**

- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention, and evaluation for assigned patients.
- Addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families in accordance with their level of practice.
- Using the appropriate protocol, administers medications and treatments; monitors for side effects and effectiveness of the treatment prescribed.
- Documents patient history, symptoms, medication, and care given.
- Assesses learning needs and provides education to patients, family members, and/or caregivers; identifies issues and resources.

**Requirements**

- Bachelor of Science Degree in Nursing preferred
- 1 year of experience in the related nursing specialty preferred
- BLS required
- RN License in state of employment or compact

**Work Schedule**

- 7 AM - 7 PM

**Work Type**

- Full Time

RN, Registered Nurse - Med/Surg - Full Time

Description CHRISTUS Spohn Hospital Kleberg is a premier medical facility found in a town known for its ranching history and rich in Texas culture in Kingsville, Texas. Licensed for 100 beds, the hospital is a Level IV Trauma Center general acute care facility offering complete Medical and Surgical Services including Pediatrics, Obstetrics and Skilled Nursing, as well as, Emergency, Intensive Care, Cardiac and Comprehensive Diagnostic Services serving the resident of Kleberg, Brooks, Kennedy and southern Nueces counties. CHRISTUS Spohn Kleberg Plaza houses the hospital's birthing services with modern, state-of-the-art labor/delivery/recovery/postpartum rooms (LDRPs,) a nursery, the Cissy Horlock Taub Women's Center (a diagnostic and education/resource center) and physician office suites. Outpatient rehabilitation services including occupational, and speech therapy, wound care, physical and aquatic therapy are offered at two convenient locations in Kingsville. At CHRISTUS Spohn Hospital Kleberg, we respect what each individual brings to our faith-based mission of healing, and to our commitment to provide the very finest health care. Your background, your skills and your personality are welcome here. We have a supportive environment where quality of work and quality of life are in balance. Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: 5 Days - 8 Hours Work Type: Full Time<img src="https://www.jobg8.com/Tracking.aspx?bWrpFRMJ7jF%2fhcTjpa7%2flQv" width="0" height="0" />

**Nurse**

CHRISTUS Spohn Hospital Kleberg is a premier medical facility found in a town known for its ranching history and rich in Texas culture in Kingsville, Texas. Licensed for 100 beds, the hospital is a Level IV Trauma Center general acute care facility offering complete medical and surgical services including pediatrics, obstetrics, and skilled nursing, as well as emergency, intensive care, cardiac, and comprehensive diagnostic services serving the residents of Kleberg, Brooks, Kennedy, and southern Nueces counties. CHRISTUS Spohn Kleberg Plaza houses the hospital's birthing services with modern, state-of-the-art labor/delivery/recovery/postpartum rooms (LDRPs), a nursery, the Cissy Horlock Taub Women's Center (a diagnostic and education/resource center), and physician office suites. Outpatient rehabilitation services including occupational and speech therapy, wound care, physical and aquatic therapy are offered at two convenient locations in Kingsville. At CHRISTUS Spohn Hospital Kleberg, we respect what each individual brings to our faith-based mission of healing and to our commitment to provide the very finest health care. Your background, your skills, and your personality are welcome here. We have a supportive environment where quality of work and quality of life are in balance.

**Job Description**

- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention, and evaluation for assigned patients.
- Addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families in accordance with their level of practice.
- Using the appropriate protocol, administers medications and treatments; monitors for side effects and effectiveness of the treatment prescribed.
- Documents patient history, symptoms, medication, and care given.
- Assesses learning needs and provides education to patients, family members, and/or caregivers; identifies issues and resources.

**Requirements**

- Bachelor of Science Degree in Nursing preferred
- 1 year of experience in the related nursing specialty preferred
- BLS required
- RN License in state of employment or compact

**Work Schedule**

- 5 Days - 8 Hours

**Work Type**

- Full Time

RN, Registered Nurse - General Surgery

PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. 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.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?TyjQeh3p4%2fOvGZOtIRVfiAm" width="0" height="0" />

**Outpatient RN CAP 1**

The professional registered nurse Outpatient RN CAP 1 is an entry-level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

**Job Description**

- Perform all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with other Registered Nurses.
- Perform ongoing, systematic collection and analysis of patient data pre-during-post hemodialysis treatment for assigned patients and document in the patient medical record, making adjustments or modifications to treatment plan as indicated and notifying Team Leader, Charge Nurse, Supervisor, or Physician as needed.
- Assess, collaborate, and document patient/family's basic learning needs to provide initial and ongoing education to patients and family.
- Direct and provide, 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.
- Administer medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
- Initiate or assist with emergency response measures.
- Serve as a resource for the health care team, participate in staff training and orientation of new staff as assigned.
- Ensure correct laboratory collection, processing, and shipping procedures are performed and reschedule missed or insufficient laboratory collections.
- Identify expected outcomes, document and update the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensure patient awareness related to transplant and treatment modality options.
- Complete CAP requirements to advance.
- Perform all other duties as assigned by Supervisor.

**Physical Demands and Working Conditions**

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

- The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing, and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

**Supervision**

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following:

- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

**Education and Licensure**

- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.

**Experience and Required Skills**

- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. 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.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?XksNG9HqOIQdPeGGP2ucHAs" width="0" height="0" />

Big Texas non-profit Health System seeks a Board Certified or Board Eligible OB/GYN physician to work in the Kingsville, TX area! Join 800 Physicians! - Come make a difference within a growing team of providers that focus to enhance the lives they serve and value learning and growth! CONTACT: Anna Craig The extensive package contains: OB/GYN <ul><li>Income guarantees</li><li>100% paid Malpractice and tail</li><li>Retirement funding with % match</li><li>Relo and SignOn $ Bonus </li><li>Student Loan Repayment at $125k ($25k per year) - if eligible</li><li>Medical-health, Dental- and Vision 100% paid</li><li>Over 1 month off per year, paid!</li></ul> Company: <ul><li>A faith-based, not-for-profit organization</li><li>2018 Acclaim Award Winner- physician group in the Nation</li><li>The area s preferred multi-specialty medical group</li><li>Over 800 physicians and advance practice providers representing 41 specialties in 82 clinic locations throughout Northeast Texas</li><li>A physician-led group with its own board of directors</li><li>Big Texas Health System pays great overall compensation package.</li></ul> Community Description: <ul><li>Year-round outdoor activities include golfing, hunting, fishing, camping, hiking, boating</li><li>Excellent public and private schools </li><li>Excellent family community, great sports, humble people, top schools, no state income tax!</li></ul> Job/Practice Description: OB/GYN physician <ul><li>Full-Time</li><li>Join an established practice in Kingsville, Texas</li><li>Work alongside one other physician in a state-of-the-art practice to provide quality outpatient care</li><li>Additionally, provide outstanding inpatient care with the Obstetrics and Gynecology department</li></ul> Professional Background: OB/GYN physician <ul><li>BC/BE </li><li>Must possess an unrestricted Texas Medical License or be eligible to be licensed in the state of Texas</li></ul> CONTACT: Anna Craig <img src="https://www.jobg8.com/Tracking.aspx?xPUERFVTWlYn4LIdKqTEKgq" width="0" height="0" />

**OB/GYN Physician**

Big Texas non-profit Health System seeks a Board Certified or Board Eligible OB/GYN physician to work in the Kingsville, TX area! Join 800 Physicians! 

Come make a difference within a growing team of providers that focus to enhance the lives they serve and value learning and growth!

**Job Description**

- Full-Time
- Join an established practice in Kingsville, Texas
- Work alongside one other physician in a state-of-the-art practice to provide quality outpatient care
- Additionally, provide outstanding inpatient care with the Obstetrics and Gynecology department

**Requirements**

- BC/BE
- Must possess an unrestricted Texas Medical License or be eligible to be licensed in the state of Texas

**Benefits**

- Income guarantees
- 100% paid malpractice and tail
- Retirement funding with % match
- Relocation and sign-on bonus
- Student loan repayment at $125k ($25k per year) - if eligible
- Medical, dental, and vision 100% paid
- Over 1 month off per year, paid!

**Community Overview**

Year-round outdoor activities include golfing, hunting, fishing, camping, hiking, and boating. 

Excellent public and private schools. 

Excellent family community with great sports, humble people, top schools, and no state income tax! 

**Company Overview**

A faith-based, not-for-profit organization. 

2018 Acclaim Award Winner - physician group in the Nation. 

The area's preferred multi-specialty medical group. 

Over 800 physicians and advanced practice providers representing 41 specialties in 82 clinic locations throughout Northeast Texas. 

A physician-led group with its own board of directors. 

Big Texas Health System pays a great overall compensation package.

Obstetrics & Gynecology Physician

Description Spohn Hospital Alice was built in 1999 to serve the healthcare needs of people in Alice and the surrounding communities. The hospital is a Level IV Trauma Center and is licensed for 186 beds and offers comprehensive medical and surgical services including pediatrics, obstetrics, skilled nursing, emergency and intensive care, as well as cardiac and comprehensive services. Summary: A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications. In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment-pre-treatment, intra-treatment, and post-treatment. Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately. Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order. Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access. Obtains pre- and post-dialysis lab specimens per physician order and organizational policy. Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure. Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection. Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs). Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge. Participates in the development and implementation of an individualized plan of care for each patient. Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed. Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures. Manages time so that workflow is efficient and consistent. Perform other duties as assigned. Job Requirements: Education/Skills Associate's degree in nursing required Bachelor's degree in Science in Nursing (BSN) preferred Experience 1 year of dialysis experience required 1 year of acute clinical experience as a registered nurse preferred Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred Clinical patient care experience in a relevant setting preferred Licenses, Registrations, or Certifications RN license in the state of employment or compact required BLS required ACLS required PALS required at CHRISTUS Children's Hospital In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: 7AM - 7PM Work Type: Full Time<img src="https://www.jobg8.com/Tracking.aspx?WI0v1W63Vg4DRCv7A59ALwf" width="0" height="0" />

**Registered Professional Dialysis Nurse**

Spohn Hospital Alice was built in 1999 to serve the healthcare needs of people in Alice and the surrounding communities. The hospital is a Level IV Trauma Center and is licensed for 186 beds, offering comprehensive medical and surgical services including pediatrics, obstetrics, skilled nursing, emergency and intensive care, as well as cardiac and comprehensive services.

**Job Description**

- Responsible for the delivery of safe, high-quality patient care through assessment, diagnosis, planning, implementation, and evaluation.
- Actively participate in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications.
- Ensure the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy.
- Apply principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment.
- Document in the medical record accurately, timely, and reflect both patient outcomes and prudent resource management.
- Meet expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Demonstrate appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment pre-treatment, intra-treatment, and post-treatment.
- Operate all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; document in the medical record and record changes appropriately.
- Follow policy and procedure in performance of water treatment procedures and testing; properly demonstrate electrolyte addition to acid concentrate per physician order.
- Provide documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access.
- Obtain pre- and post-dialysis lab specimens per physician order and organizational policy.
- Initiate, monitor, and terminate each dialysis treatment per organizational policy and procedure.
- Follow organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues.
- Obtain approval from leadership identified per organizational policy for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection.
- Follow organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs).
- Ensure patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules.
- Participate in the development and implementation of an individualized plan of care for each patient.
- Verify the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed.
- Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures.
- Manage time so that workflow is efficient and consistent.
- Perform other duties as assigned.

**Requirements**

- Associate's degree in nursing required
- Bachelor's degree in Science in Nursing (BSN) preferred
- 1 year of dialysis experience required
- 1 year of acute clinical experience as a registered nurse preferred
- Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred
- Clinical patient care experience in a relevant setting preferred
- RN license in the state of employment or compact required
- BLS required
- ACLS required
- PALS required at CHRISTUS Children's Hospital

**Work Schedule**

7AM - 7PM

**Work Type**

Full Time

RN, Registered Nurse - Dialysis

Description Summary: CHRISTUS Trinity Clinic is looking for a Certified Nurse Midwife to join the Alice clinic. The Nurse Midwife manages women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. Provides direct prenatal, intrapartum, postpartum and/or well women patient services and primary care to low-to-moderate risk obstetrical and gynecological patients. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Responsibilities: Assesses critical elements of the patient's history, interprets test results, and institutes practice protocols with a high degree of independence Partners with physician colleagues to diagnose and manage patients using guidelines and approved standards of care Leads the health care team with expert advice to case managers, nurses, physicians, social workers, and other health care members as appropriate Communicates findings and plan of care to physician and other members of the healthcare team through progress notes and verbal communication Interprets and follows up on test results and response to treatments and medications Evaluates patients' response to the plan of care, and revises the plan as needed, collaborating with a physician as required Identifies patient/family educational needs and in collaboration with appropriate staff, provides patient/family education Acts as an advocate for the patient/family, encouraging participation in decision-making and care Tracks clinical performance outcome data Performs advanced procedures for which competency has been verified Assess learning capabilities and readiness of population or individuals, and tailors education to meet age, developmental, and educational needs Prioritizes learning needs and documents them accordingly Ensures that time frame and subject matter is appropriate for target audience/individual Utilizes appropriate teaching materials (handouts, audiovisuals, demonstration, etc.) and documents use and patient outcome Initiates, designs, and completes educational programs for patients, families, and target audiences Communicates advanced knowledge and skills related to patients, families, and staff at the organizational, community, and national level Adheres to agree upon format/protocol for documentation of records Maintains appropriate level of documentation to promote/support level of complexity when compared against/to service fee charges Documents telephone calls with patients and specialists Documents in concise, clear, logical, and legible manner Identifies the knowledge and skills needed through self-assessment, peer review, and supervisory review Participates in a variety of educational activities in order to maintain and increase competency Maintains licensure/certification Requirements: Education/Skills Master of Science in Nursing Experience 2 -3 years of experience Licenses, Registrations, or Certifications NRP APRN License in state of employment BLS CNM Work Schedule: Monday - Friday 8A-5P Work Type: Full Time Recruiter: Dee Dee Fowler Call/Text:<img src="https://www.jobg8.com/Tracking.aspx?XKBoTrsD0%2bhZNoooqcml6gd" width="0" height="0" />

**Certified Nurse Midwife**

CHRISTUS Trinity Clinic is looking for a Certified Nurse Midwife to join the Alice clinic. The Nurse Midwife manages women's health care, focusing particularly on pregnancy, childbirth, the postpartum period, care of the newborn, and the family planning and gynecologic needs of women. Provides direct prenatal, intrapartum, postpartum and/or well women patient services and primary care to low-to-moderate risk obstetrical and gynecological patients. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.

**Job Description**

- Assesses critical elements of the patient's history, interprets test results, and institutes practice protocols with a high degree of independence.
- Partners with physician colleagues to diagnose and manage patients using guidelines and approved standards of care.
- Leads the health care team with expert advice to case managers, nurses, physicians, social workers, and other health care members as appropriate.
- Communicates findings and plan of care to physician and other members of the healthcare team through progress notes and verbal communication.
- Interprets and follows up on test results and response to treatments and medications.
- Evaluates patients' response to the plan of care, and revises the plan as needed, collaborating with a physician as required.
- Identifies patient/family educational needs and in collaboration with appropriate staff, provides patient/family education.
- Acts as an advocate for the patient/family, encouraging participation in decision-making and care.
- Tracks clinical performance outcome data.
- Performs advanced procedures for which competency has been verified.
- Assesses learning capabilities and readiness of population or individuals, and tailors education to meet age, developmental, and educational needs.
- Prioritizes learning needs and documents them accordingly.
- Ensures that time frame and subject matter is appropriate for target audience/individual.
- Utilizes appropriate teaching materials (handouts, audiovisuals, demonstration, etc.) and documents use and patient outcome.
- Initiates, designs, and completes educational programs for patients, families, and target audiences.
- Communicates advanced knowledge and skills related to patients, families, and staff at the organizational, community, and national level.
- Adheres to agreed-upon format/protocol for documentation of records.
- Maintains appropriate level of documentation to promote/support level of complexity when compared against/to service fee charges.
- Documents telephone calls with patients and specialists.
- Documents in concise, clear, logical, and legible manner.
- Identifies the knowledge and skills needed through self-assessment, peer review, and supervisory review.
- Participates in a variety of educational activities in order to maintain and increase competency.
- Maintains licensure/certification.

**Requirements**

- Master of Science in Nursing.
- 2-3 years of experience.
- NRP APRN License in state of employment.
- BLS CNM.

**Work Schedule**

Monday - Friday 8A-5P.

**Work Type**

Full Time.

Certified Nurse Midwife/CNM - Alice

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Critical Care Department-specific competency validation. Completion of all annual competency verification requirements. Experience One year of experience in Critical Care setting preferred but will accept new graduates. Licenses, Registrations, or Certifications Current ACLS certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. CredentialGrace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire. Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Per Diem As Needed<img src="https://www.jobg8.com/Tracking.aspx?tyIUPsNI6iH5UGeQjhTdCQb" width="0" height="0" />

**Nurse**

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to focus on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

**Job Description**

- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention, and evaluation for assigned patients.
- Addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families in accordance with their level of practice.
- Using the appropriate protocol, administers medications and treatments; monitors for side effects and effectiveness of the treatment prescribed.
- Documents patient history, symptoms, medication, and care given.
- Assesses learning needs and provides education to patients, family members, and/or caregivers; identifies issues and resources.

**Requirements**

- Bachelor of Science Degree in Nursing preferred.
- One year of experience in the related nursing specialty preferred.
- BLS required.
- RN License in state of employment or compact.
- All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
- New hires are precepted by a designated trained staff member and initial onboarding requirements are validated through successful completion of the designated organizational entry competency validation and a Critical Care Department-specific competency validation.
- Completion of all annual competency verification requirements.
- Current ACLS certification required.

**Work Schedule**

- Multiple shifts available.

**Work Type**

- Per Diem as needed.

RN, Registered Nurse - Cardio Cath - PRN

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. The Emergency Department of CHRISTUS Spohn Hospital Kleberg is a 12-bed unit organized and designed for the immediate treatment of emergency medical and/or surgical conditions. We have a medical provider 24 hours per day, with An Advance Practitioner 9 hours per day. The Emergency Department had been designated a Level IV Trauma Center by Texas Department of Health. The department is responsible for initiating lifesaving procedures in all types of emergency situations and for providing emergency care for other conditions, including chronic medical problems and minor injuries and illnesses. After emergency measures are implemented, the patient may be transferred within the hospital, to another institution, or discharged home. Our average daily census is 60. The most frequent medical diagnoses seen are R/O Myocardial Infarction, Congestive Heart Failure, Pneumonia, Cardiovascular conditions, cardiopulmonary conditions, Diabetes Mellitus, Hepatitis, Pancreatitis, URI and Urosepsis. The most frequent surgical conditions are appendicitis, fractured hip and spontaneous abortion. The ER staff work closely with the community by providing education on disease process and safety measures. We also volunteer our time and service to help out our local naval base during events such as "Wings over Texas" and our surrounding areas with events such as, "Beach to Bay." Our team has been recognized for exceeding the goal for treating a MI or stroke patient. They have made changes to the overall flow in the ER to improve the door to doctor times and over all patient experience. We have earned the Silver Award from the American Heart Association for our Stroke Care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation. All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software. Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS certification required Current TNCC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. CredentialGrace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire. Work Schedule: 7AM - 7PM Work Type: Full Time<img src="https://www.jobg8.com/Tracking.aspx?lDK3XfZ8cDe8mZDnkACEjAn" width="0" height="0" />

**Nurse - Emergency Department**

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to focus on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. 

The Emergency Department of CHRISTUS Spohn Hospital Kleberg is a 12-bed unit organized and designed for the immediate treatment of emergency medical and/or surgical conditions. We have a medical provider 24 hours per day, with an Advance Practitioner 9 hours per day. The Emergency Department has been designated a Level IV Trauma Center by the Texas Department of Health. The department is responsible for initiating lifesaving procedures in all types of emergency situations and for providing emergency care for other conditions, including chronic medical problems and minor injuries and illnesses. After emergency measures are implemented, the patient may be transferred within the hospital, to another institution, or discharged home. Our average daily census is 60. The most frequent medical diagnoses seen are R/O Myocardial Infarction, Congestive Heart Failure, Pneumonia, Cardiovascular conditions, cardiopulmonary conditions, Diabetes Mellitus, Hepatitis, Pancreatitis, URI, and Urosepsis. The most frequent surgical conditions are appendicitis, fractured hip, and spontaneous abortion. The ER staff work closely with the community by providing education on disease processes and safety measures. We also volunteer our time and service to help out our local naval base during events such as "Wings over Texas" and our surrounding areas with events such as "Beach to Bay." Our team has been recognized for exceeding the goal for treating a MI or stroke patient. They have made changes to the overall flow in the ER to improve the door-to-doctor times and overall patient experience. We have earned the Silver Award from the American Heart Association for our Stroke Care.

**Job Description**

- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention, and evaluation for assigned patients.
- Addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families in accordance with their level of practice.
- Using the appropriate protocol, administers medications and treatments; monitors for side effects and effectiveness of the treatment prescribed.
- Documents patient history, symptoms, medication, and care given.
- Assesses learning needs and provides education to patients, family members, and/or caregivers; identifies issues and resources.

**Requirements**

- Bachelor of Science Degree in Nursing preferred.
- One year of experience in the related nursing specialty preferred.
- BLS required.
- RN License in state of employment or compact.

**Position Requirements**

- All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
- New hires are precepted by a designated trained staff member and initial onboarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department-specific competency validation.
- All newly licensed RNs may participate in a residency program or other specific orientation.
- Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software.
- Completion of all annual competency verification requirements.

**Licenses, Registrations, or Certifications**

- Current ACLS certification required.
- Current PALS certification required.
- Current TNCC certification required.

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.

**Work Schedule**

7 AM - 7 PM

**Work Type**

Full Time

RN, Registered Nurse - Emergency Department

Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipmentPrimarily works in the clinic setting and conducts initial home visits with another staff member presentPosition functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours PURPOSE AND SCOPE:The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies 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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis 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. Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of equipment, patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage. Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. The position may require travel to training sites, other facilities or patient homes. May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.SUPERVISION:Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 12 months experience as a RN. Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Minimum of 1-year experience as a Registered Nurse (preferred) Home dialysis therapy experience (preferred).ACKNOWLEDGEMENT:I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?GwniYj2kcTBGbP6crnKjzQz" width="0" height="0" />

**Home Therapies RN**

Paid one-on-one training and education provided. Empower, engage, and train dialysis patients on peritoneal and home hemodialysis using state-of-the-art training programs and equipment.

Primarily works in the clinic setting and conducts initial home visits with another staff member present. Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours.

**Job Description**

- The registered professional nurse Home Therapies RN CAP 1 is an entry-level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients.
- Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient-related issues to the physician as needed.
- As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
- Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse.
- Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plans as indicated, and notifies 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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis 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 the 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.
- Assists in the identification, evaluation, selection, and education of Home Dialysis candidates and Home Partners.
- Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner/family readiness and ability to perform dialysis treatments in the home.
- Trains Home Dialysis patients and/or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.
- Required to complete CAP requirements to advance.
- Performs all other duties as assigned by Supervisor.

**Physical Demands and Working Conditions**

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

- The position provides direct patient care that regularly involves heavy lifting, moving of equipment, patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing, and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.
- Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.
- The position may require travel to training sites, other facilities or patient homes.
- May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above.
- Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.

**Supervision**

Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge after meeting all the following:

- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 12 months experience as a RN.
- Successful completion of 3 months experience as a RN in home peritoneal dialysis and/or hemodialysis.

**Education and Licensure**

- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.

**Experience and Required Skills**

- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Minimum of 1-year experience as a Registered Nurse (preferred).
- Home dialysis therapy experience (preferred).