Dialysis Outpatient Registered Nurse - RN
Company: Fresenius Medical Care
Location: Inglewood
Posted on: April 16, 2024
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Job Description:
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 FMCNA's mission,
vision, values, and customer service philosophy. Supports the FMCNA
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 FMCNA Quality
Enhancement Goals (QEP). Adheres to all requirements of the FMCNA
Compliance Program, and FMS patient care and administrative
policies.PRINCIPAL DUTIES AND RESPONSIBILITIES: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.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 assignedParticipates 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.Provides safe and
effective delivery of care to patients with ESRD.Accurately
implements 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.Actively participates in the pre-evaluation, initiation,
monitoring, termination, access homeostasis, and post evaluation of
patients receiving hemodialysis treatment therapy according to
established FMC procedures.Takes 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 interdialytic
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 policies 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.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 all FMCNA
policies regarding patient admission, transfer, and discharge are
appropriately implemented.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.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.The position provides direct patient care that
regularly involves heavy lifting and moving of patients, and
assisting with ambulation. Equipment aids and/or coworkers may
provide assistance. This position requires frequent, prolonged
periods of standing and the employee must be able to bend over. The
employee may occasionally be required to move, with assistance,
machines and equipment of up to 200 lbs., and may lift chemical and
water solutions of up to 30 lbs. up as high as 5 feet.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. Note that: Failing theIshihara Test for Color Blindness
does not preclude employment. The Company will consider whether
reasonable accommodation can be made.SUPERVISION: NoneEDUCATION AND
REQUIRED CREDENTIALS: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.EXPERIENCE
AND SKILLS: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).ACKNOWLEDGEMENT:I acknowledge that I have read and accepted
this job description. I understand what is expected of me in this
position, and I am able to perform the essential functions as
outlined with or without reasonable accommodation. Furthermore, I
understand that the duties and responsibilities listed in this job
description are intended only as illustrations of the various types
of work that may be performed. The omission of specific statements
of duties does not exclude them from the position if the work is
similar, related, or a logical assignment to the position. If I
have any questions about duties and responsibilities not specified
in this job description that I am asked to perform, I should
discuss them with my immediate supervisor or my Human Resources
representative.ADDENDUM:Infusion Nurse CoordinatorCoordinates and
provides the delivery of patient services and the management of the
POIC by performing the following duties personally or through
subordinates.Standards of PracticeUnderstands and conforms to the
rules and regulations affecting the RN's current area of practice
including federal, state and local laws.Know the rationale for and
the effects of medications and treatments and shall correctly
administer the same. Accurately and completely report and
document.The client's status including signs, symptoms and
responses.Care rendered.Physician orders.Administration of
medications and treatments.Client response(s).Contacts other health
care team members concerning significant events regarding client's
status.Respect the client's right to privacy by protecting
confidential information unless obligated or allowed by law to
disclose the information. Obtain instruction and supervision as
necessary when implementing procedures or practices. Notify the
appropriate supervisor when leaving an assignment. Know, recognize
and maintain professional boundaries of the clinician-client
relationship. Report unsafe nursing practice which a clinician has
reasonable cause to suspect has exposed or is likely to expose a
client unnecessarily to risk of harm as a result of failing to
provide client care that conforms to the minimum standards of
acceptable and prevailing professional practice. Be responsible for
one's own continuing competence in clinical practice and individual
professional growth.Ensures quality and safe delivery of OIC care
service.Practice is guided by policies, procedures and standards of
clinical practice.Understands and implements current standards of
practice for infusion therapy.Adheres to policies related to
medication safety, including documentation of orders, correct
administration, double check procedures and other established
policies and practices.Understands use of products and
equipment.Observes and monitors OSHA, infection control and safety
policies.Adopts practices to improve work processes, enhance
customer/patient satisfaction and ensure excellence.Contributes to
a safe and secure environment for patients, visitors and staff by
following established procedures and protocols.Accurately
documents, implements and evaluates Physician orders in a timely
manner.Initiates teaching using patient teaching protocols and
patient care standards.Identifies expected outcomes and nursing
interventions to meet identified diagnosis.Implements nursing
interventions to meet patient needs and changing conditions.
Monitors patients for compliance with therapy.Completes all
documentation accurately and timely.Maintains client/family rights
and maintains confidentiality.Recognizes the nurse/patient/family
relationship impacts the patient experience. Understands and
respects nursing boundaries.Shows kindness and care with
patient/family. Displays sensitivity to the needs and concerns of
others.Drug Preparation and ManagementEnsures that drugs are
ordered, received and stored properly.Maintains optimal drug and
supply inventory and reports are submitted in a timely
manner.Ensures that proper technique is used in the preparation of
sterile products.Ensures that the mixing area is clean, neat and
orderly at all times.Responsible for the accuracy of information
recorded for proper patient billing.Ensures that all purchasing
invoices and inventory records are completed and submitted in a
timely manner.Participates in ongoing training and
education.Referral ManagementSubmits referral timely and
accurately.Notifies appropriate person of referral concerns.Roster
is reviewed, updated and current.General Site
ManagementCommunicates recommendations and requirements for
additional services to appropriate individuals in a timely
manner.Consistently addresses and communicates patient concerns to
the Physician and OIC staff.Completes job tasks on time by planning
and organizing the schedule of activities.Effectively communicates
with Pharmacy for collaboration of protocols, patient care and
Physician communication.Communicates with OIC staff, Division
Managers, Physicians and Corporate clinical as necessary.Nursing
calendar/ patient schedules reflects planned visits 2 weeks in
advance.Delegates responsibilities appropriately.Performs nursing
functions in staffing situations.Uses equipment and supplies
effectively and efficiently. Monitors supplies to maintain
appropriate inventory.Accurately performs drug and supply
inventory.Nursing billing is accurate and timely.Ensures a RN is
available at all times during OIC office hours.Ensures a RN is on
call for emergencies involving patients 24 hours, if site not
utilizing Healix Call CenterProfessional GrowthMonitors and
maintains professional licensure and qualification of staff
nursing.Participates in case conferences and staff
meetings.Promotes importance of team collaboration and
communications.Maintains professional competence, particularly in
the areas of clinical knowledge.LeadershipPresents a positive image
of the OIC at all times, and at professional functions, with
patients, physicians, OIC staff, etc.Recognizes the impact of one's
behavior of others.Deals with others in a pleasant and respectful
manner.Assumes responsibility for improving care/services.Performs
as a preceptor to other nurses.Monitors staff completion of
assignments.Clearly defines work assignments.Resourceful in
handling assignments and solving problems; flexible in adjusting to
a new or changing work environment/requirement.Communicates with
staff regarding assignments, as necessary.Performs Additional
Assigned Responsibilities as necessaryFulfills additional
responsibilities accurately and completely in a timely
manner.Submits written reports in a timely manner.Cooperates with
staff members according to OIC philosophy and objectives.Maintains
consistent and concise lines of authority and
responsibility.Participates in the development of patient education
programs.Participates in establishing (written and instructing
other staff) protocols for the initiation of new therapies or new
care related programs.Participates in committee meetings.Actively
participates in the CQI program through meetings and gathering of
information.CORE DUTIES AND RESPONBILITIESInclude the following
basic performance factors all Healix, Inc. employees are expected
to meet.Communicates with clients and fellow employees through
written and verbal forms, clearly and timely.Interacts
professionally with clients and fellow employees.Cooperates with
team members to accomplish departmental goals.Accepts and
incorporates changes or new ideas into daily work.Provides service
in a responsive, timely and accurate manner to both clients and
fellow employees.Understands and adheres to policies and
procedures.Arrives at work as scheduled and notifies supervisors in
a timely manner of any absences.Recognizes priorities and takes
action; makes productive use of time.Strives to resolve problems
and conflicts on his/her own initiative.Attempts to create new
ideas or new procedures working as part of a group or
individually.As a part of your job, you will receive protected
health information. It is your responsibility to comply with HIPAA
in using and disclosing health information.QUALIFICATIONSTo perform
this job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are
representative of the knowledge, skill and/or ability required.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.EDUCATION AND
REQUIRED CREDENTIALS:BSN or AND or College or university program
certificate; 2 - 4 years related experience and/or training; or
equivalent combination of education and experienceApplicable State
LicenseCPR certificationOTHER SKILLS AND ABILITIES To perform this
job successfully, an individual must have a minimum of two years
recent clinical experience to include excellent IV skillsOne-year
experience in Home Health Care or Home IV TherapyManagement
experiencePHYSICAL DEMANDS AND WORKING CONDITIONSThe physical
demands described here are representative of those that must be met
by an employee to successfully perform the essential functions of
this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
functions.While performing the duties of this job, the employee is
required to:Regularly use hands to finger, handle, or feel and talk
or hearFrequently stand, walk, sit, reach with hands and arms, and
stoop, kneel, crouch, or crawlFrequently lift and/or move up to 25
pound and occasionally lift and/or move up to 50 poundsSpecific
vision abilities required by this job include close visionWORK
ENVIRONMENTThe 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.While performing the duties of this job, the
employee is:Frequently exposed to blood borne pathogensOccasionally
exposed to outside weather conditionsThe noise level in the work
environment is usually moderateEO/AA Employer:
Minorities/Females/Veterans/Disability/Sexual Orientation/Gender
Identity Fresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state laws."The
rate of pay for this position will depend on the successful
candidate's work location and qualifications, including relevant
education, work experience, skills and competencies and may fall
outside of the range shown. -Hourly Rate: - $34.00 - $57.00"
Keywords: Fresenius Medical Care, Santa Monica , Dialysis Outpatient Registered Nurse - RN, Healthcare , Inglewood, California
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