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Dialysis Outpatient Registered Nurse
2 months ago
Job Summary:
Fresenius Medical Care North America is seeking a highly skilled Dialysis Outpatient Registered Nurse to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and ensuring the delivery of safe and effective dialysis therapy to patients in our outpatient dialysis facilities.
Responsibilities:
- Directs Patient Care Technicians in the provision of safe and effective delivery of chronic hemodialysis therapy to patients.
- Delegates tasks to direct patient care staff, including LVNs/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.
- 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.
- Ensures transplant awareness, modality awareness, and drive catheter reduction.
- Collaborates and communicates 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.
- 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 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.
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.
- 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:
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
