Job ID 210003VB
Available Openings 1
Position Specific Information
$3K Sign-On Bonus
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.
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. 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 FMC Quality Enhancement Goals (QEP).
DUTIES / ACTIVITIES:
- Responsible for driving the FMS culture through 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
- Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
- Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
- Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
- Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.
- Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
- Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
- Perform administration of Heparin as delegated or as allowed by state law.
- Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
- Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
- Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.
- Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
- Discontinue dialysis treatment according to established procedures,
- Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
- Obtain Hemostasis and apply appropriate dressings.
- Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
- Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.
- Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
- Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.
- Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
- Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
- Report any significant information and/or change in patient condition directly to the nurse supervisor.
- Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor.
- Perform and document any intervention for unusual patient status and document patients' response to intervention.
- Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the nurse supervisor.
- Obtain all prescribed laboratory testing and prepare specimens for collection.
- Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
- Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
- Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
- Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
- Initiate Solution Delivery System (SDS) system.
- Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
- Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
CLERICAL & ADMINISTRATIVE:
- Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
- Enters all treatment data into the designated clinical application accurately and in a timely manner.
- Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate.
- Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
- Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
- Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
- Ensure collection of lab specimens by appropriate lab courier.
- Perform additional duties as assigned.
ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):
Assisting the HT RN:
- May assist HT RN on Home Visit as directed
- Reinforces PD / HHD education under supervision of qualified HT RN
- Schedules and contacts patients regarding appointments
- Weigh patient and obtain vital signs
- Collect treatment records and review for completion. Notify RN of incomplete / missing records.
- Cleaning and prepping treatment room; prep charts
- Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
- Clerical duties as assigned (faxing, mailing to physician offices etc.)
- Obtain home hemo water sampling as directed by the HT RN
- Set-up of the home hemo machine and PD Cycler.
- Assist with exit site care when directed by HT RN.
- Warm dialysate solution when directed by the HT RN
- Draw dialysate solution for testing as directed by the HT RN
- Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)
- Assembles/breaks down charts/thins charts
- Maintains logs as directed and applicable
- Inventory of Home Program
- Maintains par levels of home department supplies
- Files home patient packing slips/invoices
- Inventory for Patients
- Assists patient with supply management and contacting customer service
PURPOSE AND SCOPE:
The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients.
As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment.
Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire.
Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed.
Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input.
Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients.
Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record
Initiates or assists with emergency response measures.
Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians.
Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.
Promotes infection control, equipment and environmental safety.
Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.
Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
Ensures patient awareness related to transplant and treatment modality options.
Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling.
Checks availability of adequate emergency equipment and supplies as assigned.
Assists with medication tracking and inventory as assigned.
Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
Participates in all required staff meetings as scheduled.
Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy.
Performs all other duties as assigned by supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The position provides direct patient care that regularly involves heavy lifting 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. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities.
May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following:
Successful completion of all FKC education and training requirements for new employees plus
Must have a minimum of 9 months experience as an RN plus
Successful completion of 3 months experience in chronic hemodialysis.
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:
- Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years.
- Minimum of 9 months experience as a Registered Nurse (preferred).
- Chronic hemodialysis experience (preferred).
- Successful completion of FKC Education and Training requirements for new employees.
- Successful completion and maintenance of CPR BLS Certification.
- Meet all conditions of employment including Ishihara's Color Blindness Test.
- Successful completion of all annual required education/training/competencies.
- Successful completion of on-going training and education as assigned or required.
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.
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