New Graduate Nurse- Inpatient Services- Western Group- 2023
Company: Fresenius Medical Care
Location: Reno
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 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.PRINCIPAL DUTIES AND
RESPONSIBILITIES: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, and Patient Care TechniciansAssesses 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.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 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.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: As a condition of continued
employment, you are required to obtain and maintain any required
credentials or certifications necessary for your position in an
active and valid status (including renewal of such credentials or
certifications prior to any expiration date). 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.Maintain regular and punctual attendance.Perform other
related duties as assigned.Additional responsibilities may include
focus on one or more departments or locations. - See applicable
addendum for department or location specific functions.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.SUPERVISION:NoneEDUCATION:Current appropriate
state Temporary Permit.Must meet the practice requirements in the
state employed. EXPERIENCE AND REQUIRED SKILLS: -0 - 1 year's
related experience.
Keywords: Fresenius Medical Care, Carson City , New Graduate Nurse- Inpatient Services- Western Group- 2023, Healthcare , Reno, Nevada
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