Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Lawrenceville, GA

8d•Onsite

About The Position

The Outpatient Registered Nurse works as part of the hemodialysis health care team to provide daily quality patient care in accordance with Fresenius Medical Care policies, procedures, training, and applicable regulations. The nurse supports the company's mission, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. The role provides and coordinates safe hemodialysis care for patients with end-stage renal disease. It includes assessing patient needs and responses to treatment, implementing prescribed treatment plans, educating patients and families, coordinating with physicians and other healthcare professionals, and ensuring complete and accurate clinical documentation. The nurse also helps maintain safe facility operations, staff competency, emergency readiness, and compliance with company and regulatory requirements. This position provides direct patient care in a healthcare facility. Work may involve exposure to infectious or contagious diseases and materials, moderate noise, and controlled air temperatures. Physical demands include frequent prolonged standing, bending, heavy lifting and moving of patients, and occasionally moving equipment with assistance.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and ability to meet practice requirements in the state of employment.
Successfully complete a training course in the theory and practice of hemodialysis.
Successfully complete CPR certification.
Meet applicable state requirements.
Meet the necessary requirements of the Ishihara Color Blindness test as a condition of employment; a failing result does not automatically preclude employment, and reasonable accommodation may be considered.
Provide coverage at any or all area facilities as required by management.
Complete ICD-9 coding training and Nurses Technical Training.

Nice To Haves

Minimum of one year of medical-surgical nursing experience preferred.
Hemodialysis experience preferred.
ICU experience preferred.

Responsibilities

Direct and oversee patient care staff in the safe and effective delivery of chronic hemodialysis therapy, and delegate tasks to direct care staff.
Assess daily patient care needs, develop appropriate assignments, and monitor staff techniques and compliance with facility procedures.
Participate in staff training, new staff orientation as assigned, and required staff meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluids, medications, laboratory values, treatment compliance, adequacy measures, transplant and modality awareness, and related health conditions.
Provide safe and effective care to patients with ESRD and implement prescribed treatment plans, including applicable sodium and ultrafiltration modeling.
Assess patient responses to hemodialysis, adjust or modify treatment plans as indicated by the prescribing physician, and communicate concerns or issues to the Team Leader or physician.
Complete initial and annual nursing assessments and ongoing evaluation and documentation of patient care needs.
Participate in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation of hemodialysis treatment.
Intervene in changes to patient adequacy status and troubleshoot access flow issues; provide, supervise when applicable, and monitor hemodialysis access care.
Administer and monitor prescribed interdialytic transfusions and medications, document patient responses and medication effectiveness, report adverse reactions, and maintain controlled-substance records as required.
Review, transcribe, and enter physician orders and laboratory orders into the Medical Information System in a timely and accurate manner.
Ensure laboratory requisitions, specimen collection, processing, packaging, delivery, and follow-up meet company procedures and applicable Department of Transportation requirements; report abnormal or alert laboratory results to physicians.
Enforce company policies and applicable state and federal regulations, and maintain safe, efficient, and effective shift operations.
Serve as a resource to staff and meet with the Clinical Manager regarding personnel and patient care matters.
Collaborate and communicate with physicians and other healthcare team members to interpret, adjust, and coordinate patient care.
Assist patients with prescription refills and coordinate transportation when necessary.
Maintain emergency procedure competency, initiate CPR and emergency measures when needed, and ensure emergency equipment is available.
Ensure appropriate vaccinations, immunizations, and annual tuberculosis testing.
Maintain a clean, safe, and sanitary treatment area; ensure dialysis equipment and patient stations are clean and properly arranged; and address blood spills according to company policy.
Ensure competency in the safe and effective operation of dialysis-related equipment.
Oversee accurate and complete patient, treatment, and staff documentation in the Medical Information System and on Hemodialysis Treatment Sheets.
Implement patient admission, transfer, and discharge procedures and follow opening and closing procedures, including confirming staff and patients have safely left the premises.
Initiate, document, and complete ongoing Continuous Quality Improvement activities, including monthly reports.
Complete monthly nurses' progress notes, patient care plans, long-term programs when due, and initial and annual Nursing History and Assessment physicals.
Ensure patient medical records are complete and appropriately identified, review transplant status, and complete annual standing order reviews with physicians.
Perform additional duties as assigned and provide coverage at area facilities as required by management.