Lead Charge Nurse

3 weeks ago


Bluefield, West Virginia, United States Fresenius Medical Care North America Full time
Purpose and Scope

Fresenius Medical Care North America is seeking a highly skilled and experienced Charge Nurse to join our team. As a Charge Nurse, you will play a critical role in ensuring the delivery of high-quality patient care while maintaining cost-effective clinical operations.

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 the department staffing and the appropriate hiring, firing, and disciplinary actions. Recommend disciplinary action to the Facility Administrator and initiate as appropriate.
  • 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 the 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 the 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.
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.

Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community.

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.

Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

Travel to regional, Business Unit, and Corporate meetings may be required.


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