Registered Nurse (RN)
Company: Fresenius Medical Care
Location: Mineola
Posted on: April 16, 2024
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Job Description:
DescriptionLend direction as well as a caring attitude. Bring a
smile and your vital knowledge to everyone every day. Brighten
prospects for patients and your career. -Connect with your goals
and change liveswith Fresenius Medical Care North America.Here is
your opportunity to make profound connections that make all the
difference. As the global leader in dialysis healthcare we know
what it takes to create strong bonds among patients their families
and our team members-and why it matters. Within this positive
environment those in our care can achieve better outcomes-and
professionals can achieve their most important objectives. -Why
Join the Fresenius Team?Passion. Dedication. Knowledge. Motivation.
Experience. These are the impressive qualities you'll find in the
Fresenius Leadership Team. Our strength in the North American
market and extensive global network provide our employees with the
best of both worlds-the friendliness of a local organization and
the stability of a worldwide organization-for diverse experiences
and challenging career opportunities. When you join the Fresenius
Medical Care team you'll be welcomed into a company that is built
on the philosophy that our employees are our most important asset.
Our career advantages include the following: -Fresenius Medical
Care is the nation's largest provider of renal care meeting the
needs of more than 135 000 patients at 1 800 clinics throughout the
country. Our well-established trusted organization fosters a spirit
of camaraderie emphasizing friendly collaboration professional
support and career development. Superior training UltraCare -
quality control and certification procedures ensure your potential
to succeed and advance as a professional. Competitive compensation
and exceptional benefits. Outstanding tuition reimbursement
program. Recognized among Fortune's World's Most Admired Companies
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. -Staff Registered
NurseThis is an exceptional opportunity to succeed with a premier
healthcare organization. As a key member of our hemodialysis team
this professional will manage our Patient Care Technicians in
providing safe effective delivery of chronic hemodialysis therapy.
Delegating tasks training and monitoring all direct-patient staff
including LVNs/LPNs and Dialysis Assistants this individual will
assess care needs and develop assignments. -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. -DUTIES / ACTIVITIES:
-CUSTOMER SERVICE:Responsible for driving the FMS culture though
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 DUTIESSTAFF
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.PATIENT
RELATED:Education: 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. 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.Laboratory-related: 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.General duties: 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.MAINTENANCE/TECHNICAL: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.MEDICAL RECORDS & DOCUMENTATION:GeneralEnsures 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.DailyReviews 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.MonthlyInitiates 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. AnnuallyCompletes initial and
annual Nursing History and Assessment physical. - Ensures
completion of Annual Standing Order Review with each physician as
required.OTHER: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.Employees are required to take the Ishihara's Color
Blindness test as a condition of employment. Note that: Failing the
Ishihara Test Blindness does not preclude employment. The Company
will consider whether reasonable accommodations can be made.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. -EDUCATION: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 REQUIRED 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.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).EO/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. -Hourly Rate:
- $36.00 - $60.00"
Keywords: Fresenius Medical Care, New York , Registered Nurse (RN), Healthcare , Mineola, New York
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