Registered Nurse (RN)
Company: Fresenius Medical Care
Location: Tacoma
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 and may fall
outside of the range shown. -Hourly Rate: - $32.00 - $54.00"
Keywords: Fresenius Medical Care, Tacoma , Registered Nurse (RN), Healthcare , Tacoma, Washington
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