Charge Registered Nurse - RN

Fresenius Medical Care•Henderson, NV

12d•Onsite

About The Position

Functions as the hemodialysis team leader in providing chronic hemodialysis care and treatment. Provides day-to-day direction and supervision to assigned direct patient care staff, and communicates with physicians and other healthcare team members to interpret, adjust, and complete patient care plans. Delivers safe, effective patient care in accordance with facility procedures, company requirements, and applicable state and federal regulations. Supports Fresenius Medical Care North America's mission, vision, core values, and customer service philosophy, and adheres to its Compliance Program and policy requirements. The Charge Registered Nurse guides and supports staff, participates in staffing and hiring-related activities, trains and orients employees, and helps ensure compliance with policies and regulations. The role oversees shift operations, patient-care assignments, documentation, staff technique, and patient condition during dialysis. It also administers ordered medications, supports patient and family education, and supervises the safe use of dialysis and emergency equipment. The position involves work in a healthcare facility and day-to-day interaction with patients, staff, and physicians. Travel between assigned facilities and locations in the community is required; travel to regional, Business Unit, and Corporate meetings may also be required. The work environment has 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 experience in dialysis.
For charge nurses assuming responsibility for nursing and patient services in the Clinical Manager's absence: 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.
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.

Nice To Haves

Supervisory or management experience preferred.

Responsibilities

Provide day-to-day guidance, support, and direction to direct patient care staff, including ongoing informal feedback and input for annual performance evaluations.
Participate in department staffing and appropriate hiring, firing, and disciplinary actions; recommend discipline to the Clinical Manager and initiate it when appropriate.
Ensure compliance with company and facility procedures and policies and applicable state and federal regulations.
In the Clinical Manager's absence, approve or disapprove time or personnel schedule changes while ensuring applicable timekeeping requirements are followed.
Participate in patient care plan meetings and maintain current dialysis knowledge through scheduled in-services.
Train and orient staff as needed, and observe and guide staff regarding appropriate technique and adherence to facility procedures.
Promote and assist with OSHA program compliance to maintain a safe and clean work environment.
Maintain safe, 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 issues.
Supervise documentation of patient information and coordinate Charge Nurse duties with Staff RNs acting in a relief charge capacity.
Assess daily patient-care needs and distribute patient-care assignments appropriately.
Assume primary responsibility during emergency situations.
Assess patient needs and responses to dialysis treatment, communicate concerns to the rounding physician, and implement directed changes in care or treatment.
Monitor and supervise patient care during dialysis, assist as necessary, collaborate with the care team, and continuously monitor for problems or potential complications.
Administer medications according to physician orders and serve as a subject matter expert and resource for staff.
Supervise and participate in completing short- and long-term care plans, admit new patients according to facility procedure, and ensure patient and family education needs are met.
Educate patients and families about End Stage Renal Disease, dialysis therapy, diet, and medication.
Supervise 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 start-up and shut-down checklists in accordance with the Technical Services Manual.
Complete the Nurse's Technical Training Program and Water Quality Facility Training.
Assist with special projects or other duties assigned by the Clinical Manager and help interview potential direct patient care staff when requested.
Promote efficient use of medical supplies and attend and participate in monthly Quality Assurance meetings.