Outpatient Registered Nurse - RN

Fresenius Medical Care•Orlando, FL

5d•Onsite

About The Position

Functions as a Staff Registered Nurse on a hemodialysis health care team, providing quality patient care in accordance with Fresenius Medical Care North America (FMCNA) policies, procedures, training, and applicable regulations. Supports the organization’s mission, vision, values, customer service philosophy, Compliance Program, and Quality Enhancement Program (QEP), and participates in continuous quality improvement activities. The nurse oversees and coordinates daily care provided by patient care staff, assesses patient needs, delegates tasks, monitors staff practices, and supports training and orientation. The role provides and evaluates hemodialysis care for patients with end-stage renal disease (ESRD), including treatment implementation, access care, medication administration, patient assessment and education, and coordination with physicians and other healthcare professionals. The nurse also oversees accurate clinical documentation, laboratory processes, emergency readiness, facility safety, and required quality and patient-care records. This position involves direct patient care in a healthcare facility. Work regularly includes heavy lifting and moving patients, assisting with ambulation, frequent and prolonged standing, and bending. With assistance, the employee may occasionally move equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. The environment has controlled air temperature and moderate noise, with possible exposure to infectious or contagious diseases and materials. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Successfully complete a training course in the theory and practice of hemodialysis.
Successfully complete CPR certification.
Meet any applicable state requirements.
Meet the requirements of the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.
Able to perform the stated physical demands, including regular heavy lifting and moving of patients, assisting with ambulation, prolonged standing, bending, and occasional assisted movement of equipment up to 200 pounds and lifting of solutions up to 30 pounds.

Nice To Haves

Minimum of one year of medical-surgical nursing experience preferred.
Hemodialysis experience preferred.
ICU experience preferred.
ICD-9 coding training.
Nurses Technical Training.

Responsibilities

Direct patient care staff, delegate tasks, assess daily care needs, assign patient care responsibilities, and monitor staff techniques and compliance with facility procedures.
Participate in staff training, new-staff orientation, and required staff meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluids, medications, laboratory values, treatment compliance, transplant and modality awareness, and other related health conditions.
Provide safe hemodialysis care, implement prescribed treatments and modeling, assess patient responses, adjust care as indicated by the prescribing physician, and communicate patient concerns to the Team Leader or physician.
Initiate and document initial, annual, and ongoing nursing assessments and evaluations of patient care needs.
Participate in pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation of hemodialysis treatment; intervene when adequacy or access-flow issues arise.
Provide, supervise when applicable, and monitor hemodialysis access care.
Administer and document prescribed medications, PRN medications, and interdialytic transfusions; monitor patient responses and report adverse reactions as appropriate.
Review, transcribe, and enter physician orders, laboratory orders, treatment information, and other patient data into the Medical Information System accurately and promptly.
Oversee laboratory requisitions, specimen collection and processing, missed or insufficient specimens, packaging and shipment, delivery to laboratories, and reporting and forwarding of results as required.
Enforce company policies and applicable state and federal regulations, and maintain safe, efficient, and effective shift operations.
Serve as a resource for staff; meet with the Clinical Manager regarding personnel and patient-care matters; and collaborate with physicians and other healthcare team members to coordinate care.
Assist patients with prescription refills according to company policy and coordinate patient transportation when necessary.
Maintain emergency-procedure competency, initiate CPR and emergency measures when required, and ensure emergency equipment is available and verified.
Ensure vaccinations, immunizations, and annual tuberculosis testing are provided as required; maintain the facility drug list and controlled-substance records.
Maintain a clean, safe, and sanitary dialysis treatment area; ensure equipment competency and clean, properly positioned patient stations; and address blood spills according to policy.
Ensure complete and accurate patient documentation, including Hemodialysis Treatment Sheets, treatment data, medical records, and admission, transfer, and discharge procedures.
Ensure appropriate opening and closing procedures, including confirming staff and patients have safely left the premises.
Initiate, document, and complete ongoing CQI activities, including monthly reports, nurses' progress notes, patient care plans, long-term programs, nursing histories and assessments, and annual standing-order reviews.
Review transplant status and take appropriate action according to established procedures.
Provide coverage at area facilities as required by management.
Perform additional duties as assigned.