Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care•Tarboro, NC

About The Position

Supports FMCNA’s mission, vision, core values, and customer service philosophy while adhering to the FMCNA Compliance Program and applicable regulatory and FMS policy requirements. The Charge Nurse manages daily decisions to ensure continuity of care, patient and staff safety, and the delivery of safe, effective, quality outcomes while maintaining cost-effective clinical operations. The role provides day-to-day guidance and direction to direct patient care staff, contributes to staffing and personnel actions, ensures policy and regulatory compliance, and oversees patient care activities during dialysis. It also includes patient assessment and education, care planning, medication administration, emergency response, staff training, documentation oversight, equipment safety, and participation in quality assurance activities. The position supervises direct patient care staff and, as assigned, the Ward Clerk. 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 that of a health care 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 accommodation will be considered.

Requirements

Graduate of an accredited school of Nursing (R.N.).
Must be registered and licensed to practice in the applicable state.
At least 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients in a chronic or acute setting.
Certified in CPR or successfully complete a CPR certification course.
Good verbal and written communication skills.
Ability to perform desk and personal computer work and interact with patients, facility staff, and physicians.
Ability to travel between assigned facilities and various community locations.
Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.

Nice To Haves

Medical/surgical nursing experience preferred.
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 disciplinary action to the Facility Administrator and initiate it as appropriate.
Ensure compliance with company and facility procedures and policies and state and federal regulations.
Approve or disapprove time or personnel schedule changes in the Facility Administrator’s absence, ensuring required documentation of staff work hours complies with regulations, policies, and procedures.
Participate in patient care plan meetings.
Maintain knowledge of current dialysis practices and techniques by participating in scheduled in-services.
Train and orient staff as necessary.
Observe and guide direct patient care staff to promote appropriate techniques and adherence to facility policies and procedures.
Promote and assist with OSHA program compliance to maintain a safe and clean working environment.
Maintain safe, efficient, and effective overall shift operations.
Conduct staff meetings with the Facility Administrator at least monthly or as needed to communicate changes in patient care needs or operations and improve care delivery.
Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
Supervise documentation of patient information.
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 emergency situations.
Assess patient needs, respond to dialysis treatments, communicate concerns to the rounding physician, and implement directed changes to patient care or treatment.
Monitor and supervise patient care during dialysis and assist as needed.
Collaborate with the direct patient care team on decisions that benefit patient care.
Continuously monitor patients for problems and potential complications associated with dialysis.
Administer medications according to physician orders.
Serve as a subject matter expert and resource for staff members.
Supervise and participate in completing short- and long-term care plans.
Admit new patients according to facility procedures.
Ensure patient 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.
Operate dialysis-related and emergency equipment safely and efficiently when needed.
Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
Complete the Nurse’s Technical Training Program/Water Quality Facility.
Assist with special projects or other duties assigned by the Facility Administrator.
Assist with interviewing potential direct patient care staff.
Promote efficient use of medical supplies.
Attend and participate in monthly Quality Assurance meetings.
Perform additional responsibilities that may focus on one or more departments or locations, as specified in the applicable addendum.