Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care•Lewiston, ME

About The Position

The Clinical Coordinator - Charge Registered Nurse supports Fresenius Medical Care North America’s mission, vision, core values, and customer service philosophy while following its Compliance Program and applicable regulatory and facility policies. The role manages daily clinical decisions to ensure continuity of care, patient and staff safety, and cost-effective clinical operations, while overseeing safe, effective, high-quality patient outcomes. The Charge Nurse guides and supports direct patient care staff, helps coordinate staffing and personnel matters, maintains compliance, and oversees daily shift operations. The role also participates in patient care planning, staff training, quality assurance, patient education, treatment monitoring, emergency response, and the safe use of dialysis and emergency equipment. Additional duties may involve specific departments or locations.

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 and 6 months of specialized clinical nursing experience providing dialysis care 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 will 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; give ongoing informal feedback and provide input for annual performance evaluations.
Participate in department staffing and appropriate hiring, firing, and disciplinary actions; recommend discipline to the Facility Administrator and initiate it as 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 compliance with applicable requirements for documenting staff work hours.
Participate in patient care plan meetings.
Maintain knowledge of current dialysis practices and techniques by attending scheduled in-services.
Train and orient staff as necessary.
Observe and guide direct patient care staff to ensure 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 to communicate changes in patient care needs or operations.
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 a relief charge capacity.
Assess daily patient care needs and develop and distribute patient care assignments.
Assume primary responsibility during emergency situations.
Assess patient needs and responses 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 and assist as necessary.
Collaborate with the direct patient care team on decisions that benefit patient care.
Continuously monitor patients’ conditions for problems and potential dialysis-related complications.
Administer medications according to physician orders.
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 procedures.
Ensure patient educational needs are met and 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.
Operate dialysis-related and emergency equipment safely and efficiently when 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/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.
Travel between assigned facilities and locations in the community; travel to regional, Business Unit, and Corporate meetings may be required.