Charge Registered Nurse - RN

Fresenius Medical Care•CA043 East County - Clinic, CA

1d•$25 - $69

About The Position

The Charge Registered Nurse functions as the hemodialysis team leader, providing chronic hemodialysis care and treatment and 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 delivers safe, effective care in accordance with facility procedures and applicable company, state, and federal requirements. The Charge RN oversees shift operations and patient care, guides and trains staff, supports staffing and personnel processes, and monitors compliance, documentation, and workplace safety. The role assesses patient needs and responses to dialysis, communicates concerns to the rounding physician, administers medications as ordered, and responds to emergencies. It also oversees care planning, patient admissions and education, and safe use and operation of dialysis and emergency equipment. The position involves desk and computer work and interaction with patients, facility staff, and physicians. Travel between assigned facilities and other community locations is required; travel to regional, Business Unit, and Corporate meetings may also be required. A comprehensive benefits package is offered. Pay depends on work location and qualifications.

Requirements

Bachelor’s degree; an advanced degree from an accredited school of nursing is desirable, or an equivalent combination of education and experience.
Current appropriate state licensure as a Registered Nurse.
At least 9 months of nursing experience and an additional 3 months of clinical dialysis experience.
Charge RNs who assume responsibility for nursing and patient services in the Clinical Manager’s absence 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.
Meet applicable state requirements, if any.
Take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation may be considered.

Nice To Haves

Advanced degree from an accredited school of nursing.
Supervisory or management experience.

Responsibilities

Provide day-to-day guidance, support, and direction to direct patient care staff, including ongoing feedback and input for annual performance evaluations.
Participate in department staffing and appropriate hiring, firing, and disciplinary actions; recommend and initiate disciplinary action as appropriate.
Ensure compliance with company and facility policies and procedures and applicable state and federal regulations.
Approve or disapprove staff time or schedule changes in the Clinical Manager’s absence, ensuring compliant documentation of work hours.
Participate in patient care plan meetings and supervise and participate in completion of short- and long-term care plans.
Maintain current knowledge of dialysis practices through scheduled in-services; train and orient staff as needed.
Observe and guide direct patient care staff to promote appropriate techniques and adherence to facility policies and procedures.
Promote compliance with OSHA programs and maintain a safe, clean, efficient, and effective shift operation.
Conduct staff meetings with the Clinical Manager at least monthly or as needed, and meet routinely with the Clinical Manager about personnel, patient-care status, issues, and information.
Supervise documentation of patient information and coordinate Charge Nurse duties with Staff RNs providing relief charge coverage.
Assess daily patient-care needs and distribute assignments; assess patient needs and treatment responses, communicate concerns to the rounding physician, and implement directed care or treatment changes.
Assume primary responsibility during emergencies; monitor and supervise dialysis patient care and assist as needed.
Collaborate with the direct patient care team and continuously monitor patients for problems or potential dialysis complications.
Administer medications according to physician orders and serve as a subject matter expert and resource for staff.
Admit new patients according to facility procedure and ensure that patients’ educational needs are met, including education for patients and families about ESRD, dialysis therapy, diet, and medication.
Supervise the safe and effective use of patient-care equipment and operate dialysis-related and emergency equipment as needed.
Perform required testing and verification and initial checklists for start-up and shut-down procedures as outlined in the Technical Services Manual.
Complete the Nurse’s Technical Training Program and Water Quality Facility Training.
Assist with special projects, other duties assigned by the Clinical Manager, and interviews of potential direct patient care staff as requested.
Promote efficient use of medical supplies and attend and participate in monthly Quality Assurance meetings.
Perform other related duties as assigned.