$5000 Sign On Bonus
Job ID: 16000VUM
Fresenius Kidney Care North America is proud that our unwavering commitment to our patients has made us the global leader in dialysis healthcare. Our caring professionals touch the lives of over 160,000 patients and their families, combining innovative care with profound personal connections.
The Fresenius team comprises over 60,000 dedicated employees in North America, all of whom are focused on a singular goal: delivering the highest-quality care to help patients with renal disease live the most fulfilling, rewarding lives possible. Join us and we'll connect you to a career and a community that rewards you in every way. We are also hiring Registered Nurses at our Weslaco, Harlingen and Alamo locations with a $5,000 sign on bonus.
PURPOSE AND SCOPE:
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the Fresenius commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the Fresenius Quality Enhancement Goals (QEP).
Supports the Fresenius mission, vision, values, and customer service philosophy. Adheres to all requirements of the Fresenius Compliance Program, and Fresenius patient care and administrative policies.
- Responsible for driving the Fresenius culture through values and customer service standards.
- Accountable for outstanding customer service to all external and internal customers.
- Develops and maintains effective relationships through effective and timely communication.
- Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
PRINCIPAL RESPONSIBILITIES AND DUTIES
- Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
- Delegates tasks to all direct patient care staff including but not limited to LVN/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.
- Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
- Dialysis Treatment:
- Provides safe and effective delivery of care to patients with ESRD.
- Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
- Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
- Identifies and communicates patient related issues to Team Leader or physician.
- Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
- Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
- Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
- Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
- Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
- Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet
- Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
- Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
- Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
- Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
- Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
- Ensures that all labs are directed and delivered to appropriate labs.
- Reports alert/panic and abnormal labs results to appropriate physician.
- Ensures lab results are forwarded to physicians as requested.
- Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments.
- Maintains overall shift operation in a safe, efficient, and effective manner.
- Act as a resource for other staff members.
- Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
- Collaborate and communicate 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.
- Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
- 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.
- 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.
- Education and Training qualifications per UltraCare CAP program requirements.
EXPERIENCE AND REQUIRED SKILLS:
- Minimum of one-year medical-surgical nursing experience preferred.
- Hemodialysis experience preferred.
- ICU experience preferred.
- Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program.
- 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).
To Apply please visit: https://jobs.fmcna.com/
Fresenius is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disabilities, or protected veteran status.