Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care•Amherst, OH

About The Position

The Clinical Coordinator - Charge Registered Nurse supports FMCNA’s mission, values, and customer service philosophy while following its compliance program and applicable regulations and policies. The role manages daily shift decisions to ensure continuity of care, patient and staff safety, and safe, effective, quality outcomes, while maintaining cost-effective clinical operations. The Charge Nurse guides and supports direct patient care staff, contributes to staffing and personnel decisions, trains and orients staff, monitors clinical practice, and oversees shift operations and patient-care documentation. The position assesses patient needs, coordinates care assignments and treatment, administers medications as ordered, responds to emergencies, and collaborates with physicians and the care team. It also supports patient and family education, care planning, equipment safety, quality assurance, and efficient use of medical supplies. The work includes desk and 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 setting is a healthcare 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; failure does not preclude employment, and reasonable accommodation will be considered.

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 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.
  • Take the Ishihara Color Blindness test as a condition of employment; failure 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 applicable state and federal regulations.
  • Approve or disapprove time and personnel schedule changes in the Facility Administrator’s absence, ensuring compliance with requirements for documenting staff work hours.
  • Participate in patient care plan meetings.
  • 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 ensure appropriate 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 to communicate changes 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 in care or treatment.
  • Monitor and supervise patient-care activity during dialysis and assist as necessary.
  • Collaborate with the direct patient-care team on decisions that benefit patient care.
  • Continuously monitor patient condition 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.
  • Perform additional responsibilities that may focus on one or more departments or locations, as detailed in the applicable addendum.
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