LVN 3 Preceptor

Fresenius Medical Care•Dayton, TX

About The Position

The LVN 3 Preceptor is a member of the hemodialysis health care team who provides safe and effective dialysis therapy under the direct supervision of a registered nurse, following Fresenius Kidney Care (FKC) policies, procedures, training, and applicable regulations. The role assists with clinical orientation, precepting, and ongoing training of direct patient care personnel and other facility staff. It contributes to patient care implementation and evaluation, a safe and clean work environment, and FKC quality programs and process improvement activities. The position provides direct patient care throughout hemodialysis treatment, including patient assessment, vascular access evaluation and cannulation, machine setup and operation, treatment monitoring, medication administration as permitted, documentation, and response to patient or treatment changes. It also supports patient and family education, infection-control practices, quality audits, facility readiness, and accurate clinical and laboratory records. The preceptor helps recruit, orient, coach, train, and evaluate clinical staff; works with clinical and education leaders to promote quality and regulatory standards; and supports facility education and communication initiatives. Work includes desk and computer tasks, patient and staff interaction, and travel between assigned facilities and other locations. The healthcare environment has controlled air temperature and moderate noise and may involve exposure to infectious or contagious materials. Direct care involves frequent, prolonged standing, bending, heavy lifting and moving of patients, and occasionally moving equipment with assistance.

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, measured by no lower than a commendable performance evaluation rating and no recent corrective actions.
  • Meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
  • Successfully complete the FKC dialysis training program and CPR certification to continue employment.
  • Obtain intravenous certification if required by the State Nurse Practice Act.
  • Excellent verbal and written communication skills.
  • Ability to perform direct patient care involving frequent, prolonged standing, bending, patient lifting and moving, and occasional assisted movement of equipment up to 200 pounds and lifting chemical or water solutions up to 30 pounds to a height of five feet.

Nice To Haves

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

Responsibilities

  • Participate in recruitment of new clinical staff and assist with staff orientation and ongoing training.
  • Precept direct patient care personnel according to FKC clinical training manuals, policies, procedures, and training standards.
  • Conduct and maintain competency evaluations and audits for LPNs and PCTs; provide coaching and developmental support.
  • Collaborate with clinical and education leaders to promote quality standards, regulatory and legal requirements, and continuous quality improvement.
  • Educate appropriate staff about facility water-system integrity and safety, environmental integrity, and patient and staff safety.
  • Support communication and educational programs for direct patient care and facility staff, and monitor patient-care processes through QAI activities.
  • Incorporate FKC business policies, procedures, systems, and ethical business practices into training.
  • Assist with patient-specific education about adequacy measures, kidney disease, vascular access, dialysis therapy, diet, and medications.
  • Welcome patients; assess their well-being, vascular access, vital signs, weight, and condition before, during, and after treatment.
  • Set up and operate hemodialysis machines; initiate, monitor, and discontinue treatment according to prescribed orders and established procedures.
  • Perform vascular access cannulation and administer medications, including heparin and intravenous medications, as delegated, ordered, or permitted by state law.
  • Monitor patient response and treatment parameters, evaluate and intervene in intradialytic problems, and promptly report significant changes or unusual findings to the nurse supervisor.
  • Document treatment, assessments, vital signs, machine programming, interventions, and other required patient information accurately and promptly.
  • Obtain prescribed laboratory tests; prepare, label, store, and arrange collection of specimens according to laboratory requirements.
  • Assist with emergency procedures, including initiating basic CPR measures in the event of cardiac or pulmonary arrest.
  • Support infection-control audits, reinforce infection-control practices with staff, patients, and families, and participate in related education and survey responses.
  • Maintain a safe, clean, and orderly environment; clean and disinfect machines and equipment between treatments and promptly clean blood spills.
  • Prepare treatment areas, test machine alarms, initiate the Solution Delivery System, and organize supplies and equipment to prevent waste.
  • Complete QAI participation records, enter treatment data, review treatment sheets, prepare patient charts, and complete related laboratory paperwork.
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