Description Lend direction as well as a caring attitude. Bring a smile and
your vital knowledge to everyone, every day. Brighten prospects for patients
and your career. Connect with your goals and change lives with Fresenius
Medical Care North America. Here is your opportunity to make profound
connections that make all the difference. As the global leader in dialysis
healthcare, we know what it takes to create strong bonds among patients, their
families, and our team members—and why it matters. Within this positive
environment, those in our care can achieve better outcomes—and professionals
can achieve their most important objectives. Why Join the Fresenius Team?
Passion. Dedication. Knowledge. Motivation. Experience. These are the
impressive qualities you’ll find in the Fresenius Leadership Team. Our
strength in the North American market and extensive global network provide our
employees with the best of both worlds—the friendliness of a local
organization and the stability of a worldwide organization—for diverse
experiences and challenging career opportunities. When you join the Fresenius
Medical Care team, you’ll be welcomed into a company that is built on the
philosophy that our employees are our most important asset. Our career
advantages include the following: Fresenius Medical Care is the nation’s
largest provider of renal care, meeting the needs of more than 135,000
patients at 1,800 clinics throughout the country. Our well-established,
trusted organization fosters a spirit of camaraderie, emphasizing friendly
collaboration, professional support, and career development. Superior
training, UltraCare ® quality control, and certification procedures ensure
your potential to succeed and advance as a professional. Competitive
compensation and exceptional benefits. Outstanding tuition reimbursement
program. Recognized among Fortune’s World’s Most Admired Companies” in 2011.
National Safety Award from CNA insurance companies for 11 consecutive years.
Opportunities to give back by participating in philanthropy and community
outreach programs. Staff Registered Nurse This is an exceptional opportunity
to succeed with a premier healthcare organization. As a key member of our
hemodialysis team, this professional will manage our Patient Care Technicians
in providing safe, effective delivery of chronic hemodialysis therapy.
Delegating tasks, training, and monitoring all direct-patient staff, including
LVNs/LPNs and Dialysis Assistants, this individual will assess care needs and
develop assignments. 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. DUTIES / ACTIVITIES : CUSTOMER
SERVICE: Responsible for driving the FMS culture though values and customer
service standards. Accountable for outstanding customer service to all
external and internal customers. Develops and maintains effective
relationships through effective and timely communication. Takes initiative and
action to respond, resolve and follow up regarding customer service issues
with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES
STAFF RELATED: 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. PATIENT RELATED: Education: 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 patient, 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. Dialysis
Treatment: 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. Laboratory-
related: 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 labs 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 labs results to appropriate physician. Ensures lab results are
forwarded to physicians as requested. General duties: Enforces all company
approved polices 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. Act as a resource for other staff members.
Routinely meets with the Clinical Manager to discuss personnel and patient
care status, issues, and information. Collaborate and communicate 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. MAINTENANCE/TECHNICAL: 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. MEDICAL RECORDS & DOCUMENTATION: General 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 and verify accuracy of Patient Care
Technician documentation. Daily 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. Monthly 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. Annually Completes initial and
annual Nursing History and Assessment physical. Ensures completion of Annual
Standing Order Review with each physician as required. OTHER: 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, 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. 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. EDUCATION: Graduate
of an accredited School of Nursing. Current appropriate state licensure. Must
meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS: Minimum of one-year medical-surgical nursing
experience preferred. Hemodialysis experience preferred. ICU experience
preferred. Successfully complete a training course in the theory and practice
of hemodialysis. Successfully complete CPR Certification. Employees have to
meet the necessary requirements of Ishihara's Color Blindness test as a
condition of employment. Provide coverage at any or all area facilities as
required by management. Icd-9 coding Training. Nurses Technical Training. Must
meet appropriate state requirements (if any).