Outpatient Registered Nurse - RN

Fresenius Medical Care•Saint Petersburg, FL

19h•Onsite

About The Position

Functions as part of the hemodialysis health care team to provide quality daily patient care in accordance with Fresenius Medical Care North America (FMCNA) and Fresenius Medical Services (FMS) policies, procedures, and training. Supports the organization’s mission, vision, values, customer service philosophy, Quality Enhancement Program (QEP), and continuous quality improvement activities. Follows the FMCNA Compliance Program and applicable patient care and administrative policies. The nurse provides and coordinates safe, effective hemodialysis care for patients with end-stage renal disease (ESRD), monitors patient responses, implements prescribed treatment plans, educates patients and families, oversees documentation and laboratory workflows, and supports staff training and facility operations. The role includes maintaining a safe treatment environment, responding to emergencies, collaborating with physicians and the healthcare team, and completing ongoing quality and patient-care documentation.

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.
Complete the Ishihara Color Blindness test as a condition of employment; a failed test does not preclude employment, and reasonable accommodation may be considered.
Ability to perform the physical demands of the role, including frequent prolonged standing and bending, assisting with patient ambulation, and lifting or moving patients and equipment with assistance.

Nice To Haves

At least one year of medical-surgical nursing experience is preferred.
Hemodialysis experience is preferred.
ICU experience is preferred.
ICD-9 coding training.
Nurses technical training.

Responsibilities

Direct patient care staff in the safe and effective delivery of chronic hemodialysis therapy; delegate tasks and develop patient care assignments based on daily needs.
Monitor staff techniques and compliance with facility policies and procedures, assist with staff training and orientation, attend required meetings, and act as a resource to staff.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluids, medications, laboratory values, treatment adequacy, transplant and modality options, and related health conditions.
Provide hemodialysis care, implement treatment prescriptions, assess patient responses, adjust or modify care as indicated by the prescribing physician, and communicate patient concerns to the Team Leader or physician.
Complete initial, annual, and ongoing nursing assessments and evaluations; participate in all stages of hemodialysis treatment, including pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation.
Troubleshoot adequacy and access-flow issues, provide and monitor hemodialysis access care, and administer and document prescribed transfusions and medications, including patient responses and adverse reactions.
Review and enter physician orders and laboratory orders into the Medical Information System; oversee specimen collection, processing, packaging, delivery, follow-up, and reporting of abnormal or alert results.
Enforce company policies and applicable regulations, maintain safe and efficient shift operations, and collaborate with physicians and other healthcare team members to coordinate patient care.
Oversee accurate and complete patient-care documentation, including treatment sheets, medical records, vital signs, treatment parameters, orders, laboratory results, and patient status.
Maintain facility drug lists and controlled-substance records; ensure emergency equipment is available and maintain competency in emergency procedures, including CPR.
Ensure vaccinations, immunizations, and annual tuberculosis testing are provided as required; assist with patient transportation when necessary.
Maintain a clean, safe, and sanitary dialysis treatment area; ensure equipment and patient stations are clean and correctly positioned, and address blood spills according to policy.
Implement patient admission, transfer, and discharge procedures; follow opening and closing procedures and verify staff and patients have safely left the premises.
Initiate, document, and complete continuous quality improvement activities and monthly reports; complete nurses’ progress notes, care plans, long-term programs, nursing histories and assessments, and annual standing-order reviews.
Perform additional duties as assigned and provide coverage at area facilities as required by management.