Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Lawrenceville, GA

6d•Onsite

About The Position

The Outpatient Registered Nurse functions as part of a hemodialysis health care team, providing and coordinating safe, effective, high-quality daily care for patients with end-stage renal disease (ESRD). The nurse follows company policies, procedures, training, and applicable state and federal regulations, and supports quality improvement, patient satisfaction, and the company’s compliance program. The role includes assessing patients and developing care assignments; directing and monitoring patient-care staff; implementing and evaluating dialysis treatment; providing patient and family education; coordinating with physicians and other health care team members; and maintaining accurate clinical documentation, laboratory workflows, and medical records. The nurse also helps maintain safe facility operations, equipment readiness, emergency preparedness, and a clean treatment environment, and may provide coverage at area facilities as required by management.

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; the posting states that failing the test does not preclude employment and that reasonable accommodation may be considered.
Ability to perform the stated physical demands, including frequent prolonged standing, bending, heavy lifting and moving of patients, and occasionally moving equipment with assistance.
Provide coverage at any or all area facilities as required by management.

Nice To Haves

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

Responsibilities

Direct and delegate the work of patient-care staff, including LVN/LPNs, Patient Care Technicians, and Dialysis Assistants; assess daily care needs and create appropriate assignments.
Monitor staff techniques and compliance with facility policies and procedures; participate in staff training, new-staff orientation, and required meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid restrictions, medications, laboratory values, treatment adherence, adequacy measures, transplantation, and treatment modalities.
Provide, supervise, and monitor safe hemodialysis care, including treatment initiation, monitoring, termination, access homeostasis, and post-treatment evaluation.
Implement prescribed treatment parameters, including sodium and ultrafiltration modeling where appropriate; assess patient responses and adjust care as indicated by the prescribing physician.
Identify and communicate patient issues, treatment concerns, changes in adequacy status, and access-flow problems to the Team Leader or physician; collaborate with the health care team to coordinate care.
Complete initial and annual nursing assessments and ongoing evaluations, care plans, progress notes, nursing histories, and other required patient-care documentation.
Implement and document prescribed transfusions, medications, vaccinations, immunizations, and annual tuberculosis testing; respond appropriately to adverse reactions and document medication effectiveness and controlled substances as required.
Review, transcribe, and enter physician orders and laboratory orders accurately and promptly into the Medical Information System.
Coordinate laboratory requisitions, specimen collection and processing, follow-up on missing or insufficient samples, packaging and shipment under DOT procedures, delivery to appropriate laboratories, and communication of abnormal results to physicians.
Ensure complete and accurate patient and Patient Care Technician documentation, including treatment sheets, physician orders, laboratory results, vital signs, treatment parameters, and patient status.
Maintain safe and effective shift operations, act as a resource for staff, and meet with the Clinical Manager regarding personnel and patient-care matters.
Maintain competency in emergency procedures, initiate CPR and emergency measures when needed, and verify the availability of emergency equipment.
Maintain a clean, safe, and sanitary treatment area; ensure patient stations, machines, and chairs are clean and properly placed, and address blood spills under company policy.
Ensure competency in operating dialysis-related equipment and follow facility opening, closing, admission, transfer, and discharge procedures.
Initiate, document, and complete ongoing Continuous Quality Improvement activities, including monthly reports; complete long-term programs and required annual standing-order reviews.
Review transplant status and follow established procedures; assist patients with prescription refills and coordinate transportation when necessary.
Provide coverage at area facilities as required by management and perform additional duties as assigned.