Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care•Charlotte, NC

26d

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 complying with company, facility, legal, and regulatory requirements. The role manages daily clinical decisions to maintain continuity of care and patient and staff safety, and oversees delivery of safe, effective, quality care while supporting 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 practices, and oversees patient care and documentation during dialysis. The role assesses patient needs, coordinates assignments and care plans, responds to emergencies, administers medications as ordered, and educates patients and families about end-stage renal disease, dialysis, diet, and medication. The position also oversees safe equipment use, supports quality assurance, and works with the Facility Administrator, physicians, and care team to address patient and operational needs. The work includes desk and personal computer tasks, interaction with patients, facility staff, and physicians, and travel between assigned facilities and community locations. The environment is that of a healthcare facility with controlled air temperature and moderate noise, with possible exposure to infectious or contagious diseases and materials. Travel to regional, Business Unit, and Corporate meetings may be required. Direct supervision includes direct patient care staff and a Ward Clerk as assigned.

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.
Ability to perform desk and personal computer work and interact with patients, facility staff, and physicians.
Ability to travel between assigned facilities and locations in the community; travel to regional, Business Unit, and Corporate meetings may be required.
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 preferred.
Supervisory or management experience preferred.

Responsibilities

Provide day-to-day guidance, support, and direction to direct patient care staff; offer 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 or personnel schedule changes in the Facility Administrator’s absence, ensuring proper documentation of staff work hours and compliance with applicable requirements.
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 proper techniques and adherence to facility policies and procedures.
Promote and assist with OSHA program compliance to maintain a safe and clean work 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 appropriate 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 to patient care or treatment.
Monitor and supervise patient care during dialysis and assist as needed.
Collaborate with the direct patient care team on 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.
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 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 requirements.
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 specified in the applicable addendum.