Registered Nurse Per Diem

Fresenius Medical Care•CA344 Orange County Vascular Access - Clinic, CA

3d•$41 - $68

About The Position

Supports the Organization’s mission, vision, core values, and customer service philosophy while complying with its Compliance Program and applicable regulatory and policy requirements. Provides direct nursing care before, during, and after procedures under the direction of the Facility Manager, Director of Nursing, and/or Charge Registered Nurse, using standard nursing techniques and facility procedures to support optimal patient outcomes. Supports quality standards and continuous quality improvement, assists with facility quality plans, and helps ensure safe, high-quality patient care. Performs patient assessments, obtains medical histories, explains procedures, monitors patients for complications, provides education, administers prescribed medications and IV moderate sedation, and documents care from admission through discharge. May assist physicians during procedures as a scrub technologist, perform IV insertion and point-of-care testing, and transport patients. Communicates with physicians and facility management, participates in CQI activities, and assists with required adverse-event reporting. Operates and inspects facility equipment and systems, helps maintain a clean and safe environment, and supports medication and supply inventory, records, audits, and regulatory activities. Participates in meetings, training, and other assigned projects and duties. The role involves desk and computer work and interaction with patients, staff, and physicians. Direct patient care regularly involves heavy lifting and moving patients and assisting with ambulation. The position requires frequent prolonged standing and bending; with assistance, the employee may occasionally move patients and equipment weighing up to 200 pounds. The healthcare-facility environment has controlled air temperature and moderate noise, with possible exposure to infectious materials and radiation. Protective gear may be required in procedure rooms for extended periods.

Requirements

Graduate of an accredited School of Nursing (R.N.).
Current appropriate state licensure.
Current ACLS certification; BLS and ACLS course certifications successfully completed.
Proficient in IV insertion.
Proficient in cardiac rhythm recognition.
Proficient in computers and related software such as Microsoft Office.
Experience with medical database software.
Able to perform the physical demands of the role, including frequent prolonged standing and bending, and patient-moving tasks with assistance as described.
High school diploma required.

Nice To Haves

Associate’s degree desirable; bachelor’s degree strongly preferred.
Four to six years of related experience preferred.
Experience in an Office Based Surgical Center, Ambulatory Surgical Center, Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology, and ICU/CCU or emergency department settings preferred.

Responsibilities

Support organizational quality standards, regulatory and accrediting requirements, and Continuous Quality Improvement activities.
Assist with implementation of organization quality goals and facility-specific action plans.
Provide direct nursing care before, during, and after procedures in accordance with physician direction and facility policies.
Obtain patient medical histories, perform day-of-procedure nursing assessments, explain procedures, and answer patient questions.
Educate patients and their families about post-procedure vascular access care.
Monitor patients before, during, and after procedures for complications or reactions, particularly during moderate sedation and contrast-media injections.
Address patient concerns and communicate patient-related issues to facility management as needed.
Accurately complete patient documentation from admission through discharge, confirm orders, consents, and lab work, and handle lab requisitions and results as required.
Maintain competency in emergency procedures and initiate CPR and emergency measures as needed.
Administer medications and IV moderate sedation as ordered and in compliance with applicable regulations.
Assist physicians during procedures as a scrub technologist while maintaining sterile technique.
Transport patients as needed to support patient workflow.
Perform point-of-care laboratory testing and IV insertion as ordered, and perform other physician-designated tasks within state regulations.
Communicate with physicians, participate in CQI meetings, and assist with required adverse-event reporting.
Help verify that necessary instruments and equipment are available.
Operate facility equipment and technology safely; inspect equipment and operating systems and report malfunctions or maintenance needs.
Maintain a clean, safe, and sanitary facility, including handling blood spills under applicable policies.
Assist with efficient use and inventory of medications, laboratory resources, supplies, and equipment.
Support policy and procedure development or revision and participate in CQI reports and meetings.
Maintain medication supplies, check expiration dates, record controlled substances, document medication usage and disposal, and restock facility supplies.
Inspect and stock emergency equipment and supplies, including the crash cart.
Complete and audit medical records, maintain required records for implanted devices, and assist with regulatory and accreditation surveys and action plans.
Participate in staff meetings, training, and orientation; comply with patient-information and medical-record privacy standards.
Assist with projects assigned by the direct supervisor and perform other duties as assigned.