About The Position

Supports FMCNA’s mission, vision, core values, and customer service philosophy while adhering to its Compliance Program and applicable regulatory and facility policies. The Charge Nurse manages daily decisions to ensure continuity of care, patient and staff safety, and safe, effective, quality outcomes while maintaining cost-effective clinical operations. The role provides day-to-day direction and support to direct patient care staff, helps coordinate staffing and personnel actions, maintains compliance, and oversees patient care and documentation. It also guides dialysis treatment, responds to patient needs and emergencies, supports staff training, and helps ensure safe operation of clinical equipment. The position may include responsibilities focused on additional departments or locations. The work includes desk and computer work 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 environment is characteristic of a healthcare facility, with temperature control and moderate noise, and may involve exposure to infectious or contagious diseases and materials. Employees must take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation may 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.
  • 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.
  • Ability to perform the described essential functions, with reasonable accommodations where applicable.
  • The role requires travel between assigned facilities and various locations within the community; travel to regional, Business Unit, and Corporate meetings may be required.

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; give 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 applicable state and federal regulations.
  • In the Facility Administrator’s absence, approve or disapprove time or personnel schedule changes and ensure compliance with requirements for documenting staff work hours.
  • Participate in patient care plan meetings and keep current with dialysis practices by attending scheduled in-services.
  • Train and orient staff as necessary; routinely observe and guide direct patient care staff on technique 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 about personnel and patient-care status, issues, and information.
  • 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 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 during dialysis, assisting as necessary, and collaborate with the direct patient care team on care decisions.
  • Continuously monitor patients for problems and potential dialysis-related complications.
  • Administer medications according to physician orders.
  • Serve as a subject matter expert and resource for staff members.
  • Supervise and participate in completion of 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 as 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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