Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care•Graham, TX

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 facility policies. Ensures quality patient care and cost-effective clinical operations. As Charge Nurse, manages daily decisions to maintain continuity of care and patient and staff safety, and oversees safe, effective, quality outcomes. Provides day-to-day guidance and direction to direct patient care staff, contributes to feedback and performance evaluations, and participates in staffing, hiring, and disciplinary processes. Ensures compliance with company, facility, state, and federal requirements; oversees shift operations, schedules, documentation, patient assignments, and staff training. Works with the Facility Administrator on staff meetings and operational and patient-care matters. Assesses patient needs and monitors treatment and patient condition during dialysis, communicates concerns to the rounding physician, implements directed treatment changes, administers medications as ordered, and assists with emergencies. Participates in care planning, admissions, patient and family education, and quality assurance. Supervises the safe use of patient-care and emergency equipment and completes required testing, checklists, and technical training. 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 work environment is a healthcare facility with temperature control and moderate noise, with possible exposure to infectious or contagious diseases and materials. An Ishihara Color Blindness test is required 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.).
Must be registered and licensed to practice in the applicable state.
At least 12 months of nursing experience, plus 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.
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 informal feedback and 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 procedures and policies 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 and supervise completion of short- and long-term care plans.
Maintain current knowledge of dialysis practices and techniques by participating in scheduled in-services; train and orient staff as needed.
Observe and guide direct patient care staff on appropriate techniques and adherence to facility policies and procedures.
Promote compliance with OSHA programs and maintain a safe, 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 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 and responses to dialysis treatments, communicate concerns to the rounding physician, and implement changes in care or treatment as directed.
Monitor and supervise patient-care activity during dialysis and assist as necessary; collaborate with the care team on patient-care decisions.
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.
Admit new patients according to facility procedure.
Ensure patient education 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 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 applicable.
Travel between assigned facilities and community locations, and attend regional, Business Unit, or Corporate meetings when required.