Lead Charge Nurse

1 week ago


Honolulu, Hawaii, United States FRESENIUS MEDICAL CENTER Full time
Job Summary

We are seeking a highly skilled and experienced Charge Nurse to join our team at Fresenius Medical Center. As a Charge Nurse, you will be responsible for providing day-to-day direction and supervision to assigned direct patient care staff, ensuring the safe and effective delivery of patient care in compliance with facility procedures and regulations.

Key Responsibilities
  • Provide day-to-day guidance, support, and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation.
  • Participate in department staffing and the appropriate hiring, firing, and disciplinary actions.
  • Ensure compliance with all company and facility-approved procedures and policies as well as regulations set forth by state and federal agencies.
  • Approve or disapprove time or personnel schedule changes in the absence of the Facility Administrator, ensuring compliance with applicable regulations, policies, and procedures for documenting time of work hours for staff members on assigned shift.
  • Participate in patient care plan meetings.
  • Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
  • Train and orient staff as necessary.
  • Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
  • Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
  • Maintain overall shift operation in a safe, efficient, and effective manner.
  • With Facility Administrator, conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
  • Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
  • Supervise all documentation of patient information.
  • Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
  • Assess daily patient care needs and develop and distribute patient care assignments appropriately.
  • Assume primary responsibility in an emergency situation.
  • Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
  • Monitor and supervise all patient care activity during dialysis and assist as necessary.
  • Collaborate with direct patient care team in making decisions to benefit patient care.
  • Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.
  • Administer medications to patients per physician's orders.
  • Act as the subject matter expert and as a resource for staff members.
  • Supervise and participate in completion of short and long-term care plans.
  • Admit new patients according to facility procedure.
  • Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet, and medication.
  • Supervise the safe and effective use of all equipment involved in direct patient care.
  • Operate all dialysis-related and emergency equipment safely and efficiently when needed.
  • Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
  • Complete Nurse's Technical Training Program/Water Quality Facility.
  • Assist with special projects or other duties as assigned by the Facility Administrator.
  • Assist with the interviewing of potential direct patient care staff.
  • Promote efficient use of medical supplies.
  • Attend and participate in monthly Quality Assurance meetings.
Requirements
  • Graduate of an accredited school of Nursing (R.N.).
  • Must be registered and licensed to practice in the applicable State.
  • Minimum of 9 months of nursing experience, plus 3 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
  • Medical/surgical nursing preferred.
  • Supervisory or management experience preferred.
  • Certified in CPR or successfully complete course in CPR certification.
  • Good communication skills - verbal and written.

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