Registered Nurse - Fresenius Medical Care
Company: Fresenius Medical Care
Location: Malverne
Posted on: April 24, 2024
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Job Description:
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.
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. 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. 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.
"The rate of pay for this position will depend on the successful
candidate's work location and qualifications, including relevant
education, work experience, skills, and competencies. Hourly Rate:
$36.00 - $60.00"
Keywords: Fresenius Medical Care, Bayonne , Registered Nurse - Fresenius Medical Care, Healthcare , Malverne, New Jersey
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