Outpatient Registered Nurse - RN - Fresenius Medical Care
Company: Fresenius Medical Care
Location: New London
Posted on: April 24, 2024
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Job Description:
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: 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 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. 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 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. 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.
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. 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 and verify 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, 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. 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. SUPERVISION: None
EDUCATION AND REQUIRED CREDENTIALS: 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 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). 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.
Keywords: Fresenius Medical Care, Kannapolis , Outpatient Registered Nurse - RN - Fresenius Medical Care, Healthcare , New London, North Carolina
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