Clinical Coordinator - Charge Registered Nurse – Dialysis

Fresenius Medical Care•Huntsville, AL

About The Position

The Clinical Coordinator - Charge Registered Nurse supports FMCNA’s mission, vision, core values, and customer service philosophy and follows its Compliance Program, regulatory requirements, and facility policies. The role manages daily clinical decisions to ensure continuity of care, patient and staff safety, and safe, effective, high-quality outcomes while maintaining cost-effective clinical operations. The Charge Nurse provides day-to-day direction and support to direct patient care staff, contributes to staffing and hiring decisions, trains and orients staff, monitors their clinical techniques, and oversees shift operations. The role coordinates patient assignments and care planning, supervises documentation and treatment activities, responds to emergencies, administers prescribed medications, and communicates patient concerns to the rounding physician. It also educates patients and families about end-stage renal disease, dialysis, diet, and medication; oversees the safe use of equipment; and participates in quality assurance and facility operations. The position involves desk and computer work, interaction with patients and clinical staff, and travel between assigned facilities and community locations. The work environment is 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. Employees must take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation may 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 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.
  • Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may 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 when appropriate.
  • Ensure compliance with company and facility policies and procedures and applicable state and federal regulations.
  • In the Facility Administrator’s absence, approve or disapprove time and personnel schedule changes while ensuring compliant timekeeping documentation.
  • Participate in patient care plan meetings and supervise completion of short- and long-term care plans.
  • Maintain current knowledge of dialysis practices by participating in scheduled in-services.
  • Train and orient staff as needed, and observe and guide direct patient care staff on proper technique and adherence to 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 regarding 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 during emergency situations.
  • Assess patient needs and responses to dialysis treatments, communicate concerns to the rounding physician, and implement directed changes in care or treatment.
  • Monitor and supervise patient care during dialysis, assisting as necessary, and collaborate with the direct patient care team on care decisions.
  • Continuously monitor patients 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 procedures.
  • Ensure patients’ 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 and operate dialysis-related and emergency equipment when needed.
  • Perform required testing and verification and initial checklists for start-up and shut-down procedures according to 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.
  • Supervise direct patient care staff and Ward Clerk as assigned.
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