Registered Nurse - Rn

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:

• Superior training UltraCare® quality control and certification procedures ensure your potential to succeed and advance as a professional.
• Our well-established trusted organization fosters a spirit of camaraderie emphasizing friendly collaboration professional support and career development.
• Recognized among Fortune's World's Most Admired Companies in 2011.
• 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.
• National Safety Award from CNA insurance companies for 11 consecutive years.
• Competitive compensation and exceptional benefits.
• Outstanding tuition reimbursement program.

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.
• 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.
• Accountable for outstanding customer service to all external and internal customers.

PRINCIPAL RESPONSIBILITIES AND DUTIES

STAFF RELATED:

• Assesses daily patient care needs and develops appropriate patient care assignments.
• Participates in staff training and orientation of new staff as assigned
• 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.
• Participates in all required staff meetings as scheduled.
• Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
• Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs Patient Care Technicians and Dialysis Assistants.

PATIENT RELATED:

Education:

• Educates patients regarding laboratory values and the relationship to adequate dialysis therapy compliance with treatment schedule medications and fluid.
• Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM).
• Discusses with patient and records education related to diet/fluid and medication compliance.
• Ensures transplant awareness modality awareness and drive catheter reduction.
• Provides ongoing education to patients regarding their renal disease vascular access and dialysis therapy and other related health conditions.
• Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).

Dialysis Treatment:

• Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
• Provides supervises (if applicable) and monitors hemodialysis access care according to established procedures.
• Accurately implements treatment prescriptions including Sodium (Na) modeling prescription and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
• Implements administers monitors and documents patient's response to prescribed interdialytic transfusions including appropriate notification of adverse reactions to physician and appropriate blood supplier.
• Identifies and communicates patient related issues to Team Leader or physician.
• 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.
• Provides safe and effective delivery of care to patients with ESRD.
• 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.
• Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
• Initiates Initial and Annual Nursing Assessment and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.

Laboratory-related:

• Ensures that all labs are directed and delivered to appropriate labs.
• Ensures lab results are forwarded to physicians as requested.
• Reports alert/panic and abnormal labs results to appropriate physician.
• Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
• 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.
• 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.

General duties:

• Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification if indicated.
• Ensures verification and availability of adequate emergency equipment.
• Oversees all documentation of patient information.
• Maintains overall shift operation in a safe efficient and effective manner.
• Assists with the coordination of patient transportation if necessary.
• Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
• Maintains competency with all emergency operational procedures and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
• Maintains facility drug list for all required stock medications.
• Maintains appropriate recording of controlled substances as required by law.
• Act as a resource for other staff members.
• Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
• Collaborate and communicate with physicians and other members of the healthcare team to interpret adjust and coordinate care provided to the patient.
• Ensures provision of appropriate vaccinations immunizations and annual Tuberculosis (TB) testing.
• Routinely meets with the Clinical Manager to discuss personnel and patient care status issues and information.
• Enforces all company approved polices and procedures as well as regulations set forth by state and federal agencies and departments.
• Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.

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 and verify accuracy of Patient Care Technician documentation.
• Ensures all FMCNA policies regarding patient admission transfer and discharge are appropriately implemented.
• Ensures all appropriate patient related treatment data is entered into the Medical Information System.

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

• Ensures patient medical records are complete with appropriate information documentation and identification on each page (Addressograph label is on all chart forms).
• Completes monthly nurses' progress note.
• Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
• Reviews transplant status and follows established procedure regarding appropriate action to be taken.
• Initiates documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
• 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.

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

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.
• Must meet the practice requirements in the state in which he or she is employed.
• Current appropriate state licensure.

EXPERIENCE AND REQUIRED SKILLS:

• Successfully complete CPR Certification.
• Minimum of one-year medical-surgical nursing experience preferred.
• Nurses Technical Training.
• Hemodialysis experience preferred.
• ICU experience preferred.
• Provide coverage at any or all area facilities as required by management.
• Icd-9 coding Training.
• Must meet appropriate state requirements (if any).
• Successfully complete a training course in the theory and practice of hemodialysis.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

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