Registered Nurse - RN - Dialysis

Fresenius Medical Care•Lanai City, HI

14d•$42 - $60

About The Position

The Registered Nurse functions as part of the hemodialysis health care team, providing quality daily patient care in accordance with Fresenius Medical Care North America (FMCNA) and Fresenius Medical Services (FMS) policies, procedures, training, and applicable regulations. The role supports the organization’s mission, vision, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. The RN directs and supports patient care staff, assesses patient needs, and provides safe and effective hemodialysis care to people with end-stage renal disease. The role includes implementing and evaluating prescribed treatments, educating patients and families, monitoring patient responses, coordinating with physicians and other healthcare team members, administering medications, and ensuring accurate clinical documentation and laboratory processes. The RN helps maintain safe facility operations and staff competency, supports emergency readiness, and participates in quality improvement and patient care planning. The position involves direct patient care and may require coverage at area facilities as directed by management. The work takes place in a healthcare facility and may involve exposure to infectious or contagious diseases and materials. Physical demands include frequent, prolonged standing, bending, lifting and moving patients, and occasionally moving equipment with assistance.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with the practice requirements of the state of employment.
Successfully complete a training course in the theory and practice of hemodialysis.
Successfully complete CPR certification.
Meet applicable state requirements, if any.
Complete the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation may be considered.
Ability to perform direct patient care involving frequent, prolonged standing and bending; heavy lifting and moving of patients; and, occasionally with assistance, moving equipment up to 200 pounds and lifting chemical and water solutions up to 30 pounds to a height of five feet.
Ability to work in a healthcare facility and potentially encounter infectious or contagious diseases and materials.

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 Technicians and delegate tasks to direct patient care staff, including LVNs/LPNs, Patient Care Technicians, and Dialysis Assistants.
Assess daily patient care needs, develop assignments, and monitor staff techniques and compliance with facility policies and procedures.
Participate in staff training, new employee orientation, and required staff meetings.
Educate patients and families about end-stage renal disease, renal disease management, vascular access, dialysis therapy, related conditions, diet and fluid management, medication compliance, adequacy measures, laboratory values, transplant and modality options, and treatment adherence.
Provide safe and effective care to patients with end-stage renal disease and implement prescribed hemodialysis treatments, including sodium and ultrafiltration modeling when appropriate.
Assess patient responses to treatment, adjust or modify care plans as indicated by the prescribing physician, and communicate patient issues to the Team Leader or physician.
Complete initial, annual, and ongoing nursing assessments and document patient care needs according to company procedures.
Participate in pre-evaluation, treatment initiation and monitoring, termination, access homeostasis, and post-evaluation of hemodialysis patients.
Intervene when patient adequacy status changes and troubleshoot access flow issues identified through OLC or AMP.
Provide, supervise when applicable, and monitor hemodialysis access care.
Implement and monitor prescribed interdialytic transfusions, document patient responses, and notify the physician and blood supplier of adverse reactions as appropriate.
Ensure accurate and complete patient care documentation, including Hemodialysis Treatment Sheets and records in the Medical Information System.
Review, transcribe, and enter physician orders and laboratory orders into the Medical Information System in a timely and accurate manner.
Prepare laboratory requisitions; ensure correct tubes, appropriate collection and processing, follow-through on missing or insufficient specimens, proper packaging, and delivery to the appropriate laboratories.
Report alert, panic, and abnormal laboratory results to the appropriate physician and forward results as requested.
Enforce company policies and procedures and applicable state and federal regulations, and maintain safe, efficient, and effective shift operations.
Serve as a resource for 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 in accordance with company policies.
Maintain the facility drug list and administer prescribed or algorithm-authorized medications, including PRN medications; document administration, assessments, and medical justification as applicable, and maintain controlled-substance records as required by law.
Maintain competency in emergency procedures, initiate CPR and other emergency measures when necessary, and verify the availability of emergency equipment.
Ensure appropriate vaccinations, immunizations, and annual tuberculosis testing are provided.
Coordinate patient transportation when necessary.
Maintain a clean, safe, and sanitary dialysis treatment area; ensure stations, machines, and chairs are clean and properly placed, and address blood spills according to bloodborne pathogen policies.
Ensure safe and effective operation of dialysis equipment and appropriate documentation and entry of patient data, orders, laboratory results, vital signs, treatment parameters, and patient status.
Implement patient admission, transfer, and discharge policies and verify the accuracy and completion of patient care staff documentation and daily treatment sheets.
Ensure appropriate opening and closing procedures, including confirmation that 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, initial and annual nursing histories and physical assessments, and annual standing-order reviews with physicians as required.
Review patient transplant status and follow established procedures for appropriate action.
Perform additional duties as assigned and provide coverage at area facilities as required by management.