Charge Registered Nurse - RN

Fresenius Medical Care•Henderson, NV

1d•Onsite

About The Position

The Charge Registered Nurse functions as the hemodialysis team leader and provides day-to-day direction and supervision to assigned direct patient care staff. The role coordinates with physicians and other healthcare team members to interpret, adjust, and complete patient care plans, and ensures safe, effective care consistent with facility procedures, company policies, and applicable state and federal regulations. The position also supports Fresenius Medical Care’s mission, vision, core values, customer service philosophy, and compliance requirements. The Charge RN oversees daily staffing and patient care operations, guides and trains staff, monitors adherence to procedures, and supervises patient documentation. The role assesses patient needs, coordinates care assignments, responds to emergencies and treatment concerns, administers prescribed medications, and educates patients and families about end-stage renal disease, dialysis, diet, and medications. The nurse also supervises the safe operation of dialysis and emergency equipment and completes applicable testing, verification, and training. The work includes desk and personal computer tasks and interaction with patients, facility staff, and physicians. Travel between assigned facilities and community locations is required; travel to regional, Business Unit, and Corporate meetings may also be required. The work environment is a healthcare facility with controlled air temperature and moderate noise, with possible exposure to infectious and contagious diseases or materials. Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations will be considered.

Requirements

Graduate of an accredited school of nursing (R.N.).
Current appropriate state licensure and compliance with any applicable state requirements.
At least 9 months of nursing experience and an additional 3 months of clinical dialysis experience.
Charge nurses who assume responsibility for nursing and patient services in the absence of the Clinical Manager must have one year of clinical experience and six months of dialysis experience.
Successfully complete a training course in the theory and practice of hemodialysis.
Good verbal and written communication skills.
Take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Nice To Haves

Supervisory or management experience.

Responsibilities

Provide day-to-day guidance, support, and direction to direct patient care staff, including ongoing informal feedback and input to annual performance evaluations.
Participate in department staffing and appropriate hiring, firing, and disciplinary actions; recommend disciplinary action to the Clinical Manager and initiate it as appropriate.
Ensure compliance with company and facility policies and procedures and applicable state and federal regulations.
In the Clinical Manager’s absence, approve or disapprove time and personnel schedule changes for the assigned shift in accordance with applicable requirements.
Participate in patient care plan meetings and maintain current dialysis knowledge through scheduled in-services.
Train and orient staff, observe their work, and guide them on appropriate techniques and adherence to facility procedures.
Promote compliance with OSHA programs and maintain safe, clean, efficient, and effective shift operations.
Conduct staff meetings with the Clinical Manager at least monthly or as needed, and meet routinely with the Clinical Manager about personnel and patient care matters.
Supervise documentation of patient information and coordinate Charge Nurse duties with Staff RNs serving in relief charge capacity.
Assess daily patient care needs and develop and distribute patient care assignments.
Assume primary responsibility in emergencies; assess patient needs and treatment responses, communicate concerns to the rounding physician, and implement directed care or treatment changes.
Monitor and supervise patient care during dialysis, assist as needed, collaborate with the care team, and monitor for dialysis-related problems and complications.
Administer medications according to physician orders and serve as a subject matter expert and resource for staff.
Supervise and participate in short- and long-term care planning and admit new patients according to facility procedures.
Ensure patients’ educational needs are met and educate patients and families about end-stage renal disease, dialysis therapy, diet, and medication.
Supervise the safe and effective use of equipment involved in direct patient care and operate dialysis-related and emergency equipment when needed.
Perform required testing and verification and initial startup and shutdown checklists in accordance with the Technical Services Manual.
Complete the Nurse’s Technical Training Program and Water Quality Facility Training.
Assist with special projects and other duties assigned by the Clinical Manager; assist with interviewing potential direct patient care staff as requested.
Promote efficient use of medical supplies and attend and participate in monthly Quality Assurance meetings.