PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li> Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. </li><li> Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. </li><li> Assesses daily patient care needs and develops appropriate patient care assignments. </li><li> Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. </li><li> Participates in staff training and orientation of new staff as assigned </li><li> Participates in all required staff meetings as scheduled. </li><li> Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). </li><li> Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. </li><li> Discusses with patient, and records education related to diet/fluid and medication compliance. </li><li> Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). </li><li> Ensures transplant awareness, modality awareness, and drive catheter reduction. </li><li> Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. </li><li> Provides safe and effective delivery of care to patients with ESRD. </li><li> Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. </li><li> Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. </li><li> Identifies and communicates patient related issues to Team Leader or physician. </li><li> Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. </li><li> Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. </li><li> Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. </li><li> Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. </li><li> Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. </li><li> Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. </li><li> Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. </li><li> Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. </li><li> Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. </li><li> Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. </li><li> Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. </li><li> Ensures that all labs are directed and delivered to appropriate labs. </li><li> Reports alert/panic and abnormal labs results to appropriate physician. </li><li> Ensures lab results are forwarded to physicians as requested. </li><li> Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. </li><li> Maintains overall shift operation in a safe, efficient, and effective manner. </li><li> Act as a resource for other staff members. </li><li> Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. </li><li> Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. </li><li> Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. </li><li> Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. </li><li> Oversees all documentation of patient information. </li><li> Maintains facility drug list for all required stock medications. </li><li> Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. </li><li> Ensures verification and availability of adequate emergency equipment. </li><li> Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. </li><li> Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. </li><li> Maintains appropriate recording of controlled substances as required by law. </li><li> Assists with the coordination of patient transportation if necessary. </li><li> Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. </li><li> Ensures competency in the operation of all dialysis-related equipment safely and effectively. </li><li> Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. </li><li> Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. </li><li> Ensures all appropriate patient related treatment data is entered into the Medical Information System. </li><li> Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. </li><li> Ensures and verify accuracy of Patient Care Technician documentation. </li><li> Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. </li><li> Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. </li><li> Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. </li><li> Completes monthly nurses' progress note. </li><li> Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). </li><li> Reviews transplant status and follows established procedure regarding appropriate action to be taken. </li><li> Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. </li><li> Completes any long-term programs that are due. </li><li> Completes initial and annual Nursing History and Assessment physical. </li><li> Ensures completion of Annual Standing Order Review with each physician as required. </li><li> Performs additional duties as assigned. </li></ul> 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.<ul><li> The position provides direct patient care that regularly involves heavy lifting and 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. up as high as 5 feet. </li> . click apply for full job details<img src="https://www.jobg8.com/Tracking.aspx?hp8pJZw3%2bZEyQQny%2fWBN4Qj" width="0" height="0" />

**Staff Registered Nurse**

Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Continuous Quality Improvement (CQI) activities, including those related to patient satisfaction, and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.

**Job Description**

- Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
- Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
- Assesses daily patient care needs and develops appropriate patient care assignments.
- Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
- Participates in staff training and orientation of new staff as assigned.
- Participates in all required staff meetings as scheduled.
- Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
- Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
- Discusses with patients and records education related to diet/fluid and medication compliance.
- Provides patient-specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
- Ensures transplant awareness, modality awareness, and drive catheter reduction.
- Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
- Provides safe and effective delivery of care to patients with ESRD.
- Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
- Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
- Identifies and communicates patient-related issues to Team Leader or physician.
- Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
- Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
- Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
- Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
- Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
- Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
- Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
- Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
- Ensures correct lab tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
- Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
- Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
- Ensures that all labs are directed and delivered to appropriate labs.
- Reports alert/panic and abnormal lab results to appropriate physician.
- Ensures lab results are forwarded to physicians as requested.
- Enforces all company-approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
- Maintains overall shift operation in a safe, efficient, and effective manner.
- Acts as a resource for other staff members.
- Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
- Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
- Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
- Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
- Oversees all documentation of patient information.
- Maintains facility drug list for all required stock medications.
- Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
- Ensures verification and availability of adequate emergency equipment.
- Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
- Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
- Maintains appropriate recording of controlled substances as required by law.
- Assists with the coordination of patient transportation if necessary.
- Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
- Ensures competency in the operation of all dialysis-related equipment safely and effectively.
- Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
- Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
- Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
- Ensures all appropriate patient-related treatment data is entered into the Medical Information System.
- Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
- Ensures verification accuracy of Patient Care Technician documentation.
- Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
- Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
- Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
- Completes monthly nurses' progress note.
- Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
- Reviews transplant status and follows established procedure regarding appropriate action to be taken.
- Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
- Completes any long-term programs that are due.
- Completes initial and annual Nursing History and Assessment physical.
- Ensures completion of Annual Standing Order Review with each physician as required.
- Performs additional duties as assigned.

**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 and moving of patients, 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. up as high as 5 feet.

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.</li><li>Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.</li><li>Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.</li><li>Participate in patient care plan meetings.</li><li>Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.</li><li>Train and orient staff as necessary.</li><li>Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.</li><li>Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.</li><li>Maintain overall shift operation in a safe, efficient, and effective matter.</li><li>With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.</li><li>Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.</li><li>Supervise all documentation of patient information.</li><li>Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.</li><li>Assess daily patient care needs and develop and distribute patient care assignments appropriately.</li><li>Assume primary responsibility in an emergency situation.</li><li>Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.</li><li>Monitor and supervise all patient care activity during dialysis and assist as necessary.</li><li>Collaborate with direct patient care team in making decisions to benefit patient care.</li><li>Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.</li><li>Administer medications to patients per physician's orders.</li><li>Act as the subject matter expert and as a resource for staff members.</li><li>Supervise and participate in completion of short and long term care plans.</li><li>Admit new patients according to facility procedure.</li><li>Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.</li><li>Supervise the safe and effective use of all equipment involved in direct patient care.</li><li>Operate all dialysis related and emergency equipment safely and efficiently when needed.</li><li>Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.</li><li>Complete Nurse's Technical Training Program/Water Quality Facility</li><li>Assist with special projects or other duties as assigned by the Facility Administrator</li><li>Assist with the interviewing of potential direct patient care staff</li><li>Promote efficient use of medical supplies.</li><li>Attend and participate in monthly Quality Assurance meetings.</li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>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.<ul><li>Day to day work includes desk and personal computer work and i n teraction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.</li><li>The work environment is characteristic of a health care facility with air temperatu r e control and moderate noise levels. May b e exposed to infectious and con t agious diseases/materials.</li></ul></li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.<ul><li>Travel to regional, Business Unit and Corporate meetings may be required.</li></ul> SUPERVISION: <ul><li> Direc t Patien t Car e Staff , War d Cler k a s assigned. </li></ul> EDUCATION : <ul><li>Graduate of an accredited school of Nursing (R.N.)</li><li>Must be registered and licensed to practice in the applicable State.</li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li>Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.</li><li>Medical/surgical nursing preferred.</li><li>Supervisory or management experience preferred.</li><li>Certified in CPR or successfully complete course in CPR certification.</li></ul> <ul><li>Good communication skills - verbal and written.</li></ul> 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?6UU%2fFb9QOBw%2bq11QA7GG6gr" width="0" height="0" />

**Charge Nurse**

Supports FMCNA's mission, vision, core values, and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes.

**Job Description**

- Provide day-to-day guidance, support, and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing, and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.
- Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.
- Approve or disapprove time or personnel schedule changes in the absence of the Facility Administrator ensuring compliance with applicable regulations, policies, and procedures for documenting time of work hours for staff members on assigned shift.
- Participate in patient care plan meetings.
- Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
- Train and orient staff as necessary.
- Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
- Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
- Maintain overall shift operation in a safe, efficient, and effective manner.
- With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
- Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
- Supervise all documentation of patient information.
- Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
- Assess daily patient care needs and develop and distribute patient care assignments appropriately.
- Assume primary responsibility in an emergency situation.
- Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
- Monitor and supervise all patient care activity during dialysis and assist as necessary.
- Collaborate with direct patient care team in making decisions to benefit patient care.
- Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.
- Administer medications to patients per physician's orders.
- Act as the subject matter expert and as a resource for staff members.
- Supervise and participate in completion of short and long-term care plans.
- Admit new patients according to facility procedure.
- Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet, and medication.
- Supervise the safe and effective use of all equipment involved in direct patient care.
- Operate all dialysis-related and emergency equipment safely and efficiently when needed.
- Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
- Complete Nurse's Technical Training Program/Water Quality Facility.
- Assist with special projects or other duties as assigned by the Facility Administrator.
- Assist with the interviewing of potential direct patient care staff.
- Promote efficient use of medical supplies.
- Attend and participate in monthly Quality Assurance meetings.

**Requirements**

- Graduate of an accredited school of Nursing (R.N.)
- Must be registered and licensed to practice in the applicable State.
- Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
- Medical/surgical nursing preferred.
- Supervisory or management experience preferred.
- Certified in CPR or successfully complete course in CPR certification.
- Good communication skills - verbal and written.

**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.

- Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community.
- 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.

Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

Travel to regional, Business Unit, and Corporate meetings may be required.

**Supervision**

Direct Patient Care Staff, Ward Clerk as assigned.

**Additional Information**

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans.

Clinical Coordinator - Charge Registered Nurse - Dialysis

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.</li><li>Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.</li><li>Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.</li><li>Participate in patient care plan meetings.</li><li>Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.</li><li>Train and orient staff as necessary.</li><li>Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.</li><li>Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.</li><li>Maintain overall shift operation in a safe, efficient, and effective matter.</li><li>With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.</li><li>Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.</li><li>Supervise all documentation of patient information.</li><li>Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.</li><li>Assess daily patient care needs and develop and distribute patient care assignments appropriately.</li><li>Assume primary responsibility in an emergency situation.</li><li>Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.</li><li>Monitor and supervise all patient care activity during dialysis and assist as necessary.</li><li>Collaborate with direct patient care team in making decisions to benefit patient care.</li><li>Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.</li><li>Administer medications to patients per physician's orders.</li><li>Act as the subject matter expert and as a resource for staff members.</li><li>Supervise and participate in completion of short and long term care plans.</li><li>Admit new patients according to facility procedure.</li><li>Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.</li><li>Supervise the safe and effective use of all equipment involved in direct patient care.</li><li>Operate all dialysis related and emergency equipment safely and efficiently when needed.</li><li>Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.</li><li>Complete Nurse's Technical Training Program/Water Quality Facility</li><li>Assist with special projects or other duties as assigned by the Facility Administrator</li><li>Assist with the interviewing of potential direct patient care staff</li><li>Promote efficient use of medical supplies.</li><li>Attend and participate in monthly Quality Assurance meetings.</li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>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.<ul><li>Day to day work includes desk and personal computer work and i n teraction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.</li><li>The work environment is characteristic of a health care facility with air temperatu r e control and moderate noise levels. May b e exposed to infectious and con t agious diseases/materials.</li></ul></li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.<ul><li>Travel to regional, Business Unit and Corporate meetings may be required.</li></ul> SUPERVISION: <ul><li> Direc t Patien t Car e Staff , War d Cler k a s assigned. </li></ul> EDUCATION : <ul><li>Graduate of an accredited school of Nursing (R.N.)</li><li>Must be registered and licensed to practice in the applicable State.</li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li>Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.</li><li>Medical/surgical nursing preferred.</li><li>Supervisory or management experience preferred.</li><li>Certified in CPR or successfully complete course in CPR certification.</li></ul> <ul><li>Good communication skills - verbal and written.</li></ul> 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?O%2fbVHH%2fWGiZkWpvR4%2btpNQz" width="0" height="0" />

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li> Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. </li><li> Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. </li><li> Assesses daily patient care needs and develops appropriate patient care assignments. </li><li> Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. </li><li> Participates in staff training and orientation of new staff as assigned </li><li> Participates in all required staff meetings as scheduled. </li><li> Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). </li><li> Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. </li><li> Discusses with patient, and records education related to diet/fluid and medication compliance. </li><li> Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). </li><li> Ensures transplant awareness, modality awareness, and drive catheter reduction. </li><li> Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. </li><li> Provides safe and effective delivery of care to patients with ESRD. </li><li> Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. </li><li> Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. </li><li> Identifies and communicates patient related issues to Team Leader or physician. </li><li> Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. </li><li> Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. </li><li> Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. </li><li> Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. </li><li> Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. </li><li> Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. </li><li> Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. </li><li> Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. </li><li> Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. </li><li> Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. </li><li> Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. </li><li> Ensures that all labs are directed and delivered to appropriate labs. </li><li> Reports alert/panic and abnormal labs results to appropriate physician. </li><li> Ensures lab results are forwarded to physicians as requested. </li><li> Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. </li><li> Maintains overall shift operation in a safe, efficient, and effective manner. </li><li> Act as a resource for other staff members. </li><li> Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. </li><li> Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. </li><li> Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. </li><li> Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. </li><li> Oversees all documentation of patient information. </li><li> Maintains facility drug list for all required stock medications. </li><li> Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. </li><li> Ensures verification and availability of adequate emergency equipment. </li><li> Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. </li><li> Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. </li><li> Maintains appropriate recording of controlled substances as required by law. </li><li> Assists with the coordination of patient transportation if necessary. </li><li> Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. </li><li> Ensures competency in the operation of all dialysis-related equipment safely and effectively. </li><li> Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. </li><li> Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. </li><li> Ensures all appropriate patient related treatment data is entered into the Medical Information System. </li><li> Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. </li><li> Ensures and verify accuracy of Patient Care Technician documentation. </li><li> Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. </li><li> Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. </li><li> Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. </li><li> Completes monthly nurses' progress note. </li><li> Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). </li><li> Reviews transplant status and follows established procedure regarding appropriate action to be taken. </li><li> Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. </li><li> Completes any long-term programs that are due. </li><li> Completes initial and annual Nursing History and Assessment physical. </li><li> Ensures completion of Annual Standing Order Review with each physician as required. </li><li> Performs additional duties as assigned. </li></ul> 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.<ul><li> The position provides direct patient care that regularly involves heavy lifting and 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. up as high as 5 feet. </li> . click apply for full job details<img src="https://www.jobg8.com/Tracking.aspx?HQ4aCmlQg0dSz03OcVIT0wv" width="0" height="0" />

**Staff Registered Nurse**

Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Continuous Quality Improvement (CQI) activities, including those related to patient satisfaction, and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.

**Job Description**

- Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
- Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
- Assesses daily patient care needs and develops appropriate patient care assignments.
- Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
- Participates in staff training and orientation of new staff as assigned.
- Participates in all required staff meetings as scheduled.
- Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
- Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
- Discusses with patients and records education related to diet/fluid and medication compliance.
- Provides patient-specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
- Ensures transplant awareness, modality awareness, and drive catheter reduction.
- Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
- Provides safe and effective delivery of care to patients with ESRD.
- Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
- Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
- Identifies and communicates patient-related issues to Team Leader or physician.
- Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
- Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
- Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
- Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
- Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
- Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
- Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
- Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
- Ensures correct lab tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
- Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
- Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
- Ensures that all labs are directed and delivered to appropriate labs.
- Reports alert/panic and abnormal lab results to appropriate physician.
- Ensures lab results are forwarded to physicians as requested.
- Enforces all company-approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
- Maintains overall shift operation in a safe, efficient, and effective manner.
- Acts as a resource for other staff members.
- Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
- Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
- Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
- Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
- Oversees all documentation of patient information.
- Maintains facility drug list for all required stock medications.
- Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
- Ensures verification and availability of adequate emergency equipment.
- Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
- Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
- Maintains appropriate recording of controlled substances as required by law.
- Assists with the coordination of patient transportation if necessary.
- Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
- Ensures competency in the operation of all dialysis-related equipment safely and effectively.
- Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
- Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
- Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
- Ensures all appropriate patient-related treatment data is entered into the Medical Information System.
- Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
- Ensures accuracy of Patient Care Technician documentation.
- Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
- Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
- Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
- Completes monthly nurses' progress note.
- Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
- Reviews transplant status and follows established procedure regarding appropriate action to be taken.
- Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
- Completes any long-term programs that are due.
- Completes initial and annual Nursing History and Assessment physical.
- Ensures completion of Annual Standing Order Review with each physician as required.
- Performs additional duties as assigned.

**Physical Demands**

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 and moving of patients, 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. up as high as 5 feet.

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li> Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. </li><li> Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. </li><li> Assesses daily patient care needs and develops appropriate patient care assignments. </li><li> Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. </li><li> Participates in staff training and orientation of new staff as assigned </li><li> Participates in all required staff meetings as scheduled. </li><li> Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). </li><li> Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. </li><li> Discusses with patient, and records education related to diet/fluid and medication compliance. </li><li> Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). </li><li> Ensures transplant awareness, modality awareness, and drive catheter reduction. </li><li> Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. </li><li> Provides safe and effective delivery of care to patients with ESRD. </li><li> Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. </li><li> Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. </li><li> Identifies and communicates patient related issues to Team Leader or physician. </li><li> Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. </li><li> Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. </li><li> Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. </li><li> Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. </li><li> Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. </li><li> Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. </li><li> Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. </li><li> Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. </li><li> Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. </li><li> Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. </li><li> Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. </li><li> Ensures that all labs are directed and delivered to appropriate labs. </li><li> Reports alert/panic and abnormal labs results to appropriate physician. </li><li> Ensures lab results are forwarded to physicians as requested. </li><li> Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. </li><li> Maintains overall shift operation in a safe, efficient, and effective manner. </li><li> Act as a resource for other staff members. </li><li> Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. </li><li> Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. </li><li> Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. </li><li> Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. </li><li> Oversees all documentation of patient information. </li><li> Maintains facility drug list for all required stock medications. </li><li> Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. </li><li> Ensures verification and availability of adequate emergency equipment. </li><li> Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. </li><li> Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. </li><li> Maintains appropriate recording of controlled substances as required by law. </li><li> Assists with the coordination of patient transportation if necessary. </li><li> Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. </li><li> Ensures competency in the operation of all dialysis-related equipment safely and effectively. </li><li> Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. </li><li> Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. </li><li> Ensures all appropriate patient related treatment data is entered into the Medical Information System. </li><li> Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. </li><li> Ensures and verify accuracy of Patient Care Technician documentation. </li><li> Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. </li><li> Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. </li><li> Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. </li><li> Completes monthly nurses' progress note. </li><li> Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). </li><li> Reviews transplant status and follows established procedure regarding appropriate action to be taken. </li><li> Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. </li><li> Completes any long-term programs that are due. </li><li> Completes initial and annual Nursing History and Assessment physical. </li><li> Ensures completion of Annual Standing Order Review with each physician as required. </li><li> Performs additional duties as assigned. </li></ul> 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.<ul><li> The position provides direct patient care that regularly involves heavy lifting and 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. up as high as 5 feet. </li> . click apply for full job details<img src="https://www.jobg8.com/Tracking.aspx?3kfN0QpNFtA3BFZudm8GPww" width="0" height="0" />

**Staff Registered Nurse**

Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Continuous Quality Improvement (CQI) activities, including those related to patient satisfaction, and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.

**Job Description**

- Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
- Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
- Assesses daily patient care needs and develops appropriate patient care assignments.
- Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
- Participates in staff training and orientation of new staff as assigned.
- Participates in all required staff meetings as scheduled.
- Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
- Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
- Discusses with patients and records education related to diet/fluid and medication compliance.
- Provides patient-specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
- Ensures transplant awareness, modality awareness, and drive catheter reduction.
- Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
- Provides safe and effective delivery of care to patients with ESRD.
- Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
- Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
- Identifies and communicates patient-related issues to Team Leader or physician.
- Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
- Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
- Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
- Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
- Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
- Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
- Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
- Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
- Ensures correct lab tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
- Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
- Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
- Ensures that all labs are directed and delivered to appropriate labs.
- Reports alert/panic and abnormal lab results to appropriate physician.
- Ensures lab results are forwarded to physicians as requested.
- Enforces all company-approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
- Maintains overall shift operation in a safe, efficient, and effective manner.
- Acts as a resource for other staff members.
- Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
- Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
- Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
- Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
- Oversees all documentation of patient information.
- Maintains facility drug list for all required stock medications.
- Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
- Ensures verification and availability of adequate emergency equipment.
- Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
- Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
- Maintains appropriate recording of controlled substances as required by law.
- Assists with the coordination of patient transportation if necessary.
- Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
- Ensures competency in the operation of all dialysis-related equipment safely and effectively.
- Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
- Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
- Ensures all relevant data including physician orders, lab results, vital signs, treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
- Ensures all appropriate patient-related treatment data is entered into the Medical Information System.
- Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
- Ensures accuracy of Patient Care Technician documentation.
- Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
- Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
- Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
- Completes monthly nurses' progress note.
- Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
- Reviews transplant status and follows established procedure regarding appropriate action to be taken.
- Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
- Completes any long-term programs that are due.
- Completes initial and annual Nursing History and Assessment physical.
- Ensures completion of Annual Standing Order Review with each physician as required.
- Performs additional duties as assigned.

**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 and moving of patients, 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. up as high as 5 feet.