Outpatient Dialysis Nurse

2 weeks ago

Lahaina, Hawaii, United States Fresenius Medical Care Holdings, Inc. Full time
Job Title: Outpatient Registered Nurse

Job Summary:

Fresenius Medical Care North America is seeking a highly skilled and compassionate Outpatient Registered Nurse to join our team. As a key member of our hemodialysis team, you will play a vital role in providing safe and effective delivery of chronic hemodialysis therapy to patients.

Responsibilities:

  • Directs Patient Care Technicians in providing safe and effective delivery of chronic hemodialysis therapy to patients.
  • Delegates tasks to all direct patient care staff, including LVNs/LPNs, Patient Care Technicians, and Dialysis Assistants.
  • Assesses daily patient care needs and develops appropriate patient care assignments.
  • 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.
  • 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.
  • 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.

Requirements:

  • 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.
  • 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).

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.

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