Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care•Tarboro, NC

About The Position

The Clinical Coordinator - Charge Registered Nurse supports FMCNA’s mission, vision, core values, and customer service philosophy while adhering to the FMCNA Compliance Program and applicable regulatory and facility policies. The role ensures quality patient care and cost-effective clinical operations, and manages daily decisions that maintain continuity of care, patient and staff safety, and effective clinical outcomes. The Charge Nurse provides guidance and support to direct patient care staff; helps coordinate staffing, training, scheduling, and performance feedback; and oversees patient care, documentation, care plans, and safe use of equipment. The position assesses patient needs, monitors dialysis treatments and potential complications, administers medications as ordered, responds to emergencies, and communicates patient concerns to the rounding physician. It also educates patients and families about end-stage renal disease, dialysis therapy, diet, and medication. The role maintains compliance with company, facility, state, federal, and OSHA requirements; participates in quality assurance and staff meetings; and works with the Facility Administrator and care team to improve care delivery. Work includes desk and computer duties and interaction with patients, facility staff, and physicians. Travel between assigned facilities and community locations is required, and travel to regional, Business Unit, or Corporate meetings may be required. The work environment is that of a healthcare facility with controlled air temperature and moderate noise, with possible exposure to infectious or contagious diseases and materials.

Requirements

  • Graduate of an accredited school of nursing (R.N.).
  • Registered and licensed to practice in the applicable state.
  • At least 12 months of nursing experience.
  • At least 6 months of specialized experience providing clinical nursing care to dialysis patients in a chronic or acute setting.
  • CPR certification or successful completion of a CPR certification course.
  • 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 accommodation may be considered.

Nice To Haves

  • Medical/surgical nursing experience.
  • Supervisory or management experience.

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 when appropriate.
  • Ensure compliance with company and facility policies and procedures and applicable state and federal regulations.
  • Approve or disapprove time or personnel schedule changes in the Facility Administrator’s absence, ensuring proper documentation of staff work hours.
  • Participate in patient care plan meetings and supervise completion of short- and long-term care plans.
  • Maintain knowledge of current dialysis practices by participating in scheduled in-services; train and orient staff as necessary.
  • Observe and guide direct patient care staff to support 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 shift operations.
  • Conduct staff meetings with the Facility Administrator at least monthly or as needed, and meet routinely with the Facility Administrator regarding personnel and patient-care matters.
  • Supervise documentation of patient information.
  • Coordinate Charge Nurse duties with Staff RNs serving in a 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 in patient care or treatment.
  • Monitor and supervise patient-care activity during dialysis and assist as necessary.
  • Collaborate with the direct patient-care team to make 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.
  • Admit new patients according to facility procedure.
  • 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; operate dialysis-related and emergency equipment when needed.
  • Perform required testing and verification and initial the checklist for start-up and shut-down procedures as described 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 applicable.
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