Registered Nurse - RN | Fresenius' career (2023)

Description
Provide guidance and a caring attitude. Bring a smile and your vital knowledge to everyone every day. Illuminate the perspectives of your patients and your career.

Commit to your goals and change lives

with Fresenius Medical Care North America.

Here's your chance to make the deep connections that make the difference. As the world's leading provider of dialysis care, we know what it takes to build strong bonds between patients, their families and our team members – and why it's important. In this positive environment, the people we serve can achieve better results – and professionals can achieve their most important goals.

Why join the Fresenius team?

Dedication. Mission. Knowledge. Motivation. Experience. These are the impressive qualities you will find in the Fresenius management team. Our strength in the North American market and extensive global network offer our employees the best of both worlds - the friendliness of a local organization and the stability of a global organization - for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you will be welcomed into a company built on the philosophy that our people are our most important asset. Our career benefits include:

• Fresenius Medical Care is the country's largest provider of kidney care, serving the needs of more than 135,000 patients in 1,800 clinics across the country.
• Our well-established, trusted organization fosters a spirit of camaraderie and values ​​friendly collaboration, professional support and career development.
• Excellent training UltraCare® quality control and certification processes ensure your potential for success and professional growth.
• Competitive salary and exceptional benefits.
• Excellent tuition reimbursement program.
• Named one of the world's most admired companies by Fortune in 2011.
• National Safety Award from CNA insurance companies for 11 consecutive years.

Opportunities to give back by participating in philanthropy and community outreach programs.

Registered nurse

This is a unique opportunity to succeed with a leading healthcare organization. As a key member of our hemodialysis team, this professional will guide our patient care technicians in the safe and effective delivery of chronic hemodialysis therapy. This individual delegates duties, trains and supervises all personnel who have direct patient contact, including LVNs/LPNs and dialysis assistants, and assesses care needs and develops assignments.

PURPOSE AND SCOPE:

Serves as a registered nurse as part of the hemodialysis healthcare team ensuring quality patient care on a daily basis in accordance with FMS policies, procedures and training. Supports FMCNA's mission vision values ​​and customer service philosophy. Supports FMCNA's commitment to Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction, and actively participates in process improvement activities that increase the likelihood of patients achieving FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program and FMS Patient Care and Administration Policies.

COVENANTS / ACTIVITIES:

CUSTOMER SERVICE:

• Responsible for promoting FMS culture through values ​​and customer service standards.
• Responsible for excellent customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Takes initiative and actions to respond, resolve and follow up on customer service issues in a timely manner with all customers.

PRINCIPAL RESPONSIBILITIES AND OBLIGATIONS

EMPLOYEE RELATED:

• Leads the patient care technician in providing safe and effective delivery of chronic hemodialysis therapy to patients in accordance with the standards set forth in facility policy manuals as well as regulations set forth by state and federal agencies.
• Delegate tasks to all direct patient care staff, including but not limited to LVN/LPN patient care technicians and dialysis assistants.
• Assesses daily patient care needs and develops appropriate patient care tasks.
• Routinely supervises patient caregivers for appropriate techniques and adherence to facility policies and procedures.
• Participates in staff training and introduction of new employees according to assigned tasks
• Attends all necessary staff meetings as scheduled.

PATIENT RELATED:

Education:

• Ensures that the educational needs of patients and family members regarding End-Stage Renal Disease (ESRD) are met.
• Provides ongoing education to patients about vascular access and dialysis therapy for their kidney disease and other related health conditions.
• Discusses with patient and records education on diet/hydration and medication adherence.
• Provides patient specific detailed education on adequacy measures where applicable – Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM).
• Ensures awareness of transplant modalities and promotes catheter reduction.
• Informs patients of laboratory values ​​and the relationship to appropriate adherence to dialysis treatment, medications, and fluids in the treatment plan.

Dialysis treatment:

• Provides safe and effective care for patients with end-stage renal disease.
• Accurately implements treatment protocols, including sodium (Na) modeling and ultrafiltration modeling (where applicable), to ensure stable treatment therapy as indicated.
• Assesses the patient's response to hemodialysis treatment and makes appropriate adjustments and modifications to the treatment plan as directed by the prescribing physician. Communicates problems or concerns to team leader or physician.
• Identifies and communicates patient-related issues to team leader or physician.
• Initiates the initial and annual care assessment and ongoing assessment and documentation of patient care needs in accordance with FMC policies and procedures.
• Actively participates in pre-evaluation, initiation, completion monitoring, access to homeostasis and post-evaluation of patients receiving hemodialysis treatment according to established FMC procedures.
• Takes appropriate action in response to changes in patient adequacy status and in resolving access flow issues identified by amber OLC/AMP lights.
• Provides supervision (if applicable) and monitors hemodialysis access treatment according to established procedures.
• Implements, administers, monitors, and documents patient response to prescribed interdialytic transfusions, including appropriate notification of adverse events to physician and appropriate blood supplier.
• Ensures accurate and complete documentation by the patient care technician on the hemodialysis treatment sheet.

Laboratory related:

• Reviews accurately transcribe and enter medical laboratory orders into the medical information system.
• Ensures adequate preparation of laboratory requirements for Spectra or an alternate laboratory.
• Ensures that the correct laboratory tubes are used for the prescribed laboratory specimens and that laboratory collection and processing procedures are performed correctly for all laboratory specimens.
• Identifies missed laboratory tests and samples reported as inadequate in accordance with company policies and procedures and ensures appropriate follow-up.
• Ensures all specimens are properly packaged in accordance with Department of Transportation (DOT) policies and procedures for shipping blood or body fluid specimens and potentially hazardous materials.
• Ensures that all labs are routed and delivered to the appropriate labs.
• Reports alarm/panic conditions and abnormal laboratory results to the appropriate physician.
• Ensures laboratory results are communicated to physicians upon request.

General tasks:

• Enforces all company approved policies and procedures and regulations established by state and federal agencies and departments.
• Maintains all shift operations in a safe, efficient and effective manner.
• Act as a resource for other employees.
• Meet regularly with the clinical manager to discuss questions and information regarding staff and patient care status.
• Work with and communicate with physicians and other healthcare team members to interpret, adjust and coordinate patient care.
• Provides patients with prescription refill assistance as needed, in accordance with FMCNA guidelines.
• Ensures that all medical orders are transcribed and entered into the medical information system in a timely manner.
• Oversees all patient information documentation.
• Maintains the facility's medication list for all necessary stock medications.
• Maintains competency in all emergency procedures and initiates CPR and emergency response in the event of cardiac and/or respiratory arrest.
• Ensures review and availability of appropriate emergency equipment.
• Ensures provision of appropriate vaccinations and annual tuberculosis (TB) testing.
• Administers medications as prescribed or in accordance with approved algorithms and documents appropriate medical justification when necessary.
• Administers PRN medications as prescribed and produces appropriate documentation to assess effectiveness.
• Maintains proper records of controlled substances as required by law.
• Assists in coordinating patient transport as needed.

MAINTENANCE/TECHNOLOGY:

• Ensures a clean, safe and hygienic environment in the treatment area of ​​the dialysis facility.
• Ensures competence in safe and efficient operation of all dialysis machines.
• Ensures all patient stations, including machines and chairs, are clean, free of blood and properly positioned.
• Ensures that all blood spills are promptly cleaned up in accordance with FMCNA guidelines for the control of bloodborne pathogens.

DRUGS AND DOCUMENTATION:

In general

• Ensures that all pertinent data, including physician orders, laboratory results, vital signs and treatment parameters, and patient status, are properly documented and entered into the medical information system.
• Ensures that all relevant patient-related treatment data is entered into the medical information system.
• Ensures all FMCNA policies regarding patient admission, transfer and discharge are properly implemented.
• Ensures and verifies accuracy of patient care technician documentation.

Daily

• Verifies and ensures correct daily completion of hemodialysis treatment forms by all patient care staff.
• Ensures that all appropriate opening and closing procedures are followed, including monitoring that all staff and patients have safely exited the premises.

Monthly

• Initiates documents and completes ongoing continuous quality improvement (CQI) activities, including monthly reports.
• Complete the nurses' monthly status note.
• Ensures patient medical records are complete with appropriate information documentation and identification on each page (address graph label is on all chart forms).
• Review transplant status and follow established procedure for appropriate actions to be taken.
• Completes patient care plans for new patients within the first 30 days or for patients deemed unstable requiring monthly patient care plans.
• Complete all appropriate long-term programs.

Yearly

• Conducts the initial and annual medical history and assessment examination.
• Ensures the annual review of the rules of procedure is completed with each physician as needed.

ANDRE:

• Performs additional duties as assigned.

PHYSICAL REQUIREMENTS AND WORKING CONDITIONS:

The physical demands and characteristics of the work environment described herein are representative of those to which an employee will be exposed in the performance of the essential functions of the job in question. Reasonable accommodations can be made to enable people with disabilities to perform essential functions.

As an employment requirement, employees must pass Ishihara's color blindness test. Note the following: Failed the Ishihara test. Blindness does not preclude employment. The company will consider whether a reasonable adjustment can be made.

The position provides direct patient care requiring regular lifting and moving of heavy patients and assistance with walking. Equipment assistants and/or colleagues can provide assistance. This position often requires prolonged standing and the employee must be able to bend down. Occasionally, the employee may be required to transport utility machinery and equipment weighing up to 200 pounds. and can lift chemical and water solutions up to 30 pounds. to a height of 5 feet.

The working environment is typical of a healthcare center with controlled air temperature and moderate noise levels. May be exposed to infectious and contagious diseases/materials.

EDUCATION:

• Graduated from an accredited nursing school.
• Current appropriate state license.
• Must meet the practice requirements of the state in which he or she is employed.

EXPERIENCE AND REQUIREMENTS:

• At least one year of experience in medical and surgical treatment is desirable.
• Experience with hemodialysis preferred.
• Experience with an intensive care unit is desired.
• Complete a training course in the theory and practice of hemodialysis.
• Complete the CPR certification.
• Provide coverage at any or all facilities in the region as required by management.
• Icd-9 coding training.
• Technical training for nurses.
• Must meet relevant government requirements (if any).

EO/AA Employers: Minority/Women/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.