Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care•Clearwater, FL

About The Position

The Clinical Coordinator - Charge Registered Nurse supports FMCNA’s mission, vision, core values, and customer service philosophy while complying with the FMCNA Compliance Program, applicable regulations, and FMS policies. The role manages daily clinical decisions to ensure continuity of care, patient and staff safety, and effective, high-quality outcomes while maintaining cost-effective operations. The Charge Nurse guides and supports direct patient care staff, contributes to staffing and personnel decisions, trains and orients staff, and monitors adherence to clinical practices and facility procedures. The position assesses patient needs, coordinates and supervises dialysis care, administers physician-ordered medications, responds to emergencies, and educates patients and families. It also supervises patient documentation, care planning, equipment use, and dialysis start-up and shut-down procedures, and participates in quality assurance activities. The role works in a healthcare facility with controlled air temperature and moderate noise. Duties include 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. Exposure to infectious and contagious diseases or materials may occur. The employee 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.).
  • Must be registered and licensed to practice in the applicable state.
  • Minimum of 12 months of nursing experience, plus 6 months of specialized clinical nursing experience caring for 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 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 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 or participate in completion of short- and long-term care plans.
  • Maintain knowledge of current dialysis practices by participating in scheduled in-services.
  • Train and orient staff as needed, routinely observe and guide direct patient care staff, and promote appropriate techniques and adherence to facility 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 to discuss personnel and patient care matters.
  • 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, and communicate concerns to the rounding physician.
  • Implement changes in patient care or treatment as directed; monitor and supervise dialysis care and assist as necessary.
  • Collaborate with the direct patient care team and continuously monitor patients for problems and potential dialysis complications.
  • Administer medications according to physician orders.
  • Serve as a subject matter expert and resource for staff.
  • Admit new patients according to facility procedures and ensure patient and family education about End Stage Renal Disease, dialysis therapy, diet, and medication.
  • Supervise safe and effective use of equipment involved in direct patient care and operate dialysis-related and emergency equipment when needed.
  • Perform required testing and verification and initial the checklist for start-up and shut-down procedures 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.
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