LVN 3 Preceptor

Fresenius Medical Care•Dayton, TX

About The Position

The LVN 3 Preceptor works as a member of the hemodialysis care team to provide safe, effective dialysis therapy under the direct supervision of a registered nurse and in accordance with Fresenius Kidney Care (FKC) policies, procedures, training standards, and applicable regulations. The role supports clinical orientation, precepting, competency evaluation, and ongoing training for direct patient care personnel, as well as orientation of facility staff. It also participates in implementing and evaluating patient care, maintaining a safe and clean environment, and advancing FKC quality-improvement goals and activities. The position provides direct hemodialysis care, including patient assessment, vascular-access evaluation and cannulation, dialysis-machine setup and operation, treatment monitoring, medication administration within applicable orders and laws, documentation, specimen collection, and response to patient or treatment concerns and emergencies. The preceptor also reinforces infection-control practices, supports staff and patient education, and completes related quality assurance, maintenance, and recordkeeping activities. Work takes place in a healthcare-facility environment with controlled air temperature and moderate noise. The role involves interaction with patients, staff, and physicians; travel between assigned facilities and community locations; potential exposure to infectious or contagious materials; frequent, prolonged standing and bending; and regular heavy lifting and moving of patients, sometimes with assistance. The employee may occasionally move equipment weighing up to 200 pounds with assistance and lift chemical or water solutions weighing up to 30 pounds.

Requirements

  • Graduate of an accredited School of Practical Nursing (LPN or LVN).
  • Current appropriate state licensure.
  • Attend and actively participate in applicable preceptor training programs established by the Regional Education Manager.
  • Attend FKC and publicly offered skill-based training as assigned by the Clinical Manager.
  • History of high performance, demonstrated by no lower than a commendable performance evaluation rating and no recent corrective actions.
  • Meet the requirements of Ishihara's Color Blindness test as a condition of employment.
  • Successfully complete the FKC dialysis training program and CPR certification; continued employment is dependent on successful completion.
  • Obtain intravenous certification if required by the state Nurse Practice Act.
  • Excellent verbal and written communication skills.
  • Ability to perform the position's physical duties, including frequent prolonged standing, bending, patient assistance and lifting, and occasional equipment or solution handling; assistance or material-assist devices may be used.

Nice To Haves

  • At least five years of patient-care experience in a hospital setting or related facility.
  • Participation in Leading with Values and Patient Experience workshops.

Responsibilities

  • Participate in recruiting clinical staff and provide clinical orientation, precepting, ongoing training, and coaching for appropriate direct patient care and facility personnel.
  • Conduct ongoing competency evaluations and audits for LPNs and PCTs, and collaborate with the Clinical Manager and Education Coordinator on quality standards, regulatory requirements, and continuous quality improvement.
  • Educate staff, in partnership with RN and interdisciplinary team personnel, on facility water-system safety and environmental integrity, including patient and staff safety.
  • Support communication about training and organizational development programs and participate in implementing or designing educational programs for direct patient care staff.
  • Monitor patient-care processes through Quality Assurance Indicator activities and incorporate FKC business policies, procedures, systems, and ethical practices into training.
  • Provide or assist with patient-specific education on adequacy measures, kidney disease, vascular access, dialysis therapy, diet, and medications.
  • Welcome assigned patients, assess their well-being, obtain and document treatment-related assessments, vital signs, and weights, and evaluate vascular access.
  • Set up and operate hemodialysis machines; initiate, monitor, and discontinue prescribed dialysis treatments; perform cannulation; and respond to intradialytic problems as directed or prescribed.
  • Administer Heparin and other medications, including intravenous medications, as delegated or permitted by physician orders and state nurse practice laws.
  • Monitor patient condition and machine safety, document treatment parameters and interventions, and promptly report significant changes, unusual findings, incidents, complaints, or problems to the nurse supervisor.
  • Obtain prescribed laboratory tests; prepare, label, store, and arrange collection of specimens according to laboratory requirements.
  • Assist with emergency procedures, including initiating basic CPR in the event of cardiac or pulmonary arrest.
  • Assist with infection-control audits and reinforce infection-control practices and policies among staff, patients, and families under the direction of the Clinical Manager or designee.
  • Participate in infection-control education and in education responses to internal and external facility surveys.
  • Maintain a safe, clean environment; disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments; perform treatment-preparation tasks and required machine alarm testing; and clean blood spills according to policy.
  • Prepare and organize supplies and equipment efficiently to prevent wastage.
  • Complete and document participation in quality assurance activities; enter treatment data accurately and promptly; review treatment sheets for completeness; and prepare patient charts and laboratory requisitions.
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