New Graduate Nurse
1 month ago
- This position is offered Nationwide, regardless of the location in this posting
- Start after graduation - prior to passing NCLEX (or start date of newly graduated nurse's choosing)
- Newly licensed RNs welcome
- Enrolled in a Nurse Residency Program: During your first year train/work in a nurturing supportive environment, assigned a nurse mentor, frequent check in's with our nurse Education team, your manager & nurse mentor, and offered additional training courses as a new grad that lend to your first year development
PURPOSE AND SCOPE:Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of 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. - Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.PRINCIPAL DUTIES AND RESPONSIBILITIES: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 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.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:
- As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.
- Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.
- Maintain regular and punctual attendance.
- Perform other related duties as assigned.Additional responsibilities may include focus on one or more departments or locations. - See applicable addendum for department or location specific functions.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 theIshihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.SUPERVISION:
- NoneEDUCATION:
- Graduate of an accredited School of Nursing.
- Current appropriate state Temporary Permit.
- Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: -
- 0 - 1 year's related experience.ACKNOWLEDGEMENT:I acknowledge that I have read and accepted this job description. - I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. - Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. - The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. - If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.ADDENDUM:Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. - Managers should consult their state-specific regulations at: . - For additional information please contact your Regional Education Coordinator.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.
- NoneEDUCATION:
-
New Graduate Nurse
1 hour ago
Mishawaka, United States Fresenius Medical Care Full timePOSITION FEATURES: * This position is offered Nationwide, regardless of the location in this posting! * Start after graduation - prior to passing NCLEX (or start date of newly graduated nurse's choosing) * Newly licensed RNs welcome * Enrolled in a Nurse Residency Program: During your first year train/work in a nurturing supportive environment, assigned a...
-
New Graduate Nurse
1 month ago
Mishawaka, United States Fresenius Medical Care Full timePOSITION FEATURES:This position is offered Nationwide, regardless of the location in this posting!Start after graduation - prior to passing NCLEX (or start date of newly graduated nurse's choosing)Newly licensed RNs welcomeEnrolled in a Nurse Residency Program: During your first year train/work in a nurturing supportive environment, assigned a nurse mentor,...
-
Graduate Assistant
3 months ago
Mishawaka, United States Bethel University Full timeJob DescriptionJob DescriptionGraduate Assistant Women's BasketballBethel University, IN Bethel University is seeking a qualified candidate for the position of Graduate Assistant Coach - Women's Basketball.Responsibilities include assisting in all aspects of the women's basketball program including planning and coaching practices, performance,...
-
Graduate Assistant
3 months ago
Mishawaka, United States Bethel University Full timeJob DescriptionJob DescriptionGraduate Assistant Men's SoccerBethel University, IN Bethel University is seeking a qualified candidate for the position of Graduate Assistant Coach - Men's Soccer.Responsibilities include assisting in all aspects of the men's soccer program including planning and coaching practices, performance, and video editing &...
-
Graduate Assistant
3 months ago
Mishawaka, United States Bethel University Full timeJob DescriptionJob DescriptionThe graduate assistant men's volleyball coach will assist the head coach in all phases of recruiting potential student-athletes. Including, but not limited to; strength and conditioning planning and coordination, academic monitoring, social media engagement, home and away match logistics, etc. The graduate assistant coach(s)...
-
Mishawaka, United States TheraCare of New York Full timeJob Description Current opening is for Part-Time/PRN The Speech/Language Pathologist would evaluate and treat patients, in accordance with orders from the physician, through the use of therapeutic procedures designed to improve speech, language, swallowing and hearing disorders to overcome disabilities from a variety of causes. The Speech/Language...
-
Nurse Leadership Development Program
4 days ago
Mishawaka, Indiana, United States Brickyard Healthcare Full timeJob SummaryBrickyard Healthcare is seeking a dedicated and compassionate Registered Nurse to join our team as a Nurse Administrator in Training. This exciting opportunity will provide you with the chance to enhance your skills, gain valuable leadership and management training, and advance your career in a rewarding environment.Key ResponsibilitiesParticipate...
-
Adjunct Nursing Faculty
1 month ago
Mishawaka, United States Bethel University Full timeJob DescriptionJob DescriptionAdjunct Nursing FacultyThe School of Nursing at Bethel University is seeking adjunct nursing faculty to fill clinical and/or classroom teaching positions when needed. Applicants must have a Master's of Science in Nursing, at least 3 years of experience, a strong Christian faith, enjoy sharing their knowledge and passion for...
-
Nurse Care Specialist
4 days ago
Mishawaka, Indiana, United States Neuropsychiatric Hospitals Full timeAbout Our TeamWe are a leading healthcare provider, dedicated to delivering exceptional care to patients with complex medical and neuropsychiatric needs.Our team is passionate about making a difference in the lives of our patients and their families.Job SummaryWe are seeking a highly skilled Registered Nurse to join our team at Neuropsychiatric Hospitals. As...
-
Float Registered Nurse
3 months ago
Mishawaka, United States Fresenius Medical Care Full timePURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care...
-
Float Registered Nurse
3 months ago
Mishawaka, United States Fresenius Medical Care Full timePURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care...
-
Nursing Recruitment Coordinator
1 month ago
Mishawaka, United States Bethel University Full timeJob DescriptionJob DescriptionPosition: Nursing Recruitment CoordinatorDescription: The NRC is a staff position responsible to work under the direction of the DON and in collaboration with the CBM, CPNP, and CGC.Qualifications: University degree required. RN licensure preferred.Appointment: This appointment is made by the Dean of Nursing (DON) and the Vice...
-
Nursing Education Faculty Position
1 week ago
Mishawaka, Indiana, United States Bethel University Full timePosition Overview:The Bethel University School of Nursing is on the lookout for a dedicated full-time faculty member.This role involves teaching courses in Fundamentals of Nursing and Medical-Surgical I, along with associated clinical sessions. We are seeking candidates who are passionate about mentoring and educating novice nursing...
-
Registered Nurse
2 weeks ago
Mishawaka, United States NeuroPsychiatric Hospitals Full time $40 - $45About Us:Ready to make your application Please do read through the description at least once before clicking on Apply.HEALING THE BODY AND MIND Founded fifteen (15) years ago, Neuropsychiatric Hospitals is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We are unique in that we serve a population...
-
Registered Nurse
1 month ago
Mishawaka, United States Neuropsychiatric Hospitals Full timeAbout Us:HEALING THE BODY AND MIND Founded fifteen (15) years ago, Neuropsychiatric Hospitals is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We are unique in that we serve a population which others have been previously been unable to, largely due the patient’s underlying medial issues. Our...
-
Registered Nurse
2 weeks ago
Mishawaka, United States Neuropsychiatric Hospitals Full timeAbout Us:HEALING THE BODY AND MIND Founded fifteen (15) years ago, Neuropsychiatric Hospitals is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We are unique in that we serve a population which others have been previously been unable to, largely due the patient’s underlying medial issues. Our...
-
Licensed Practical Nurse
1 week ago
Mishawaka, Indiana, United States Trinity Health Full timeEmployment TypePart timeShift12 Hour Day ShiftOverviewTrinity Health is a prominent not-for-profit healthcare organization that operates multiple hospitals and health facilities across various regions. Our commitment to quality care is reflected in our mission to serve every individual in need, ensuring that we invest in advanced technology and skilled...
-
Licensed Nursing Professional
1 week ago
Mishawaka, Indiana, United States Trinity Health Full timeEmployment TypePart timeShift12 Hour Day ShiftOverviewTrinity Health is a not-for-profit healthcare organization that encompasses a network of hospitals and health services across various regions. We are dedicated to providing exceptional care to our patients and communities.About Our OrganizationOur system comprises multiple healthcare facilities,...
-
Nursing Education Faculty Position
3 days ago
Mishawaka, Indiana, United States Bethel University Full timePosition Overview:The Bethel University School of Nursing is in search of a dedicated full-time faculty member.Responsibilities:This role involves teaching courses such as Fundamentals of Nursing and Medical-Surgical I, along with overseeing clinical practice.As a Christ-centered institution, Bethel University seeks individuals who embody a strong Christian...
-
Nurse Administrator in Training
2 months ago
Mishawaka, United States Brickyard Healthcare Full timeAre you an experienced Registered Nurse / RN looking for a leadership opportunity? We offer an exciting opportunity to enhance your skills, gain valuable leadership and management training, and a career in a rewarding environment. Why Work For Us? Excellent pay with multiple incentives: Shift pick up More available, ask us for...
