Registered Nurse RN Medical Care Unit
Company: Fresenius Medical Care
Location: Safford
Posted on: May 18, 2024
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Job Description:
Functions as part of the hemodialysis health care team as a
Registered Nurse Applicant, under the direction or supervision of 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. Employees hired into
this position will be required to obtain their nursing license and
registration within the timeframe outlined in state specific
regulations, or within 90 days from hire date, whichever comes
sooner. STAFF RELATED: 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
assigned Participates in all required staff meetings as scheduled.
Provides ongoing education to patients regarding their renal
disease, vascular access and dialysis therapy, and other related
health conditions. Provides patient specific detailed education
regarding adequacy measures where applicable - Online Clearance
Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic
Modeling (UKM). 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.
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. 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. 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 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. 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. 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. 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 that all blood spills are immediately addressed according
to FMCNA Bloodborne Pathogen Control Policies. MEDICAL RECORDS &
DOCUMENTATION: General 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. Daily 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. Monthly
Initiates, documents, and completes ongoing Continuous Quality
Improvement (CQI) activities including monthly reports. Ensures
patient medical records are complete with appropriate information,
documentation, and identification on each page (Addressograph label
is on all chart forms). Completes patient care plans for new
patients within the initial 30 days or any patients deemed unstable
requiring monthly patient care plans. Annually Completes initial
and annual Nursing History and Assessment physical. In the event
that your credential or certified status changes, you must notify
your supervisor immediately. Capable of working in a challenging
environment which requires the ability to handle demanding
situations, multitasking, and remaining flexible to changing needs.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions. Equipmen t aid s
and/o r cow o rkers may provide assistance. The employee may
occasionally be required to move, with assistance, machine s an d
equipmen t o f u p t o 20 0 lbs. , an d ma y lif t chemica l an d
water solutions of up to 30 lbs. The work environment is
characteristic of a healt h car e facilit y wit h ai r temperatu r
e control and moderate noise levels. May b e exposed to infectious
and contagious diseases/materials. SUPERVISION: None EDUCATION :
Graduate of an accredited School of Nursing. Current appropriate
state Temporary Permit. 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. 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.
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.
Keywords: Fresenius Medical Care, Gilbert , Registered Nurse RN Medical Care Unit, Healthcare , Safford, Arizona
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