Registered Nurse

Fresenius Medical Care•Florissant, MO

15h

About The Position

The Registered Nurse supports the Organization’s mission, vision, core values, and customer service philosophy while complying with regulatory requirements and organizational policies. Under the direction of the Facility Manager, Director of Nursing, and/or Charge Registered Nurse, the RN provides direct nursing care before, during, and after procedures, using standard nursing techniques and facility policies to support optimal patient outcomes. The position supports quality improvement and regulatory compliance, maintains accurate medical and administrative records, and helps ensure a safe facility environment. The RN assesses and monitors patients, provides patient and family education, administers medications and IV moderate sedation as ordered, performs IV insertion and point-of-care testing, and assists physicians during procedures, including serving as a scrub technologist when needed. The RN also contributes to clinical communication, equipment and supply readiness, inventory and medication control, documentation, audits, meetings, and facility improvement activities. The role involves direct patient care in a healthcare facility, as well as desk and computer work and interaction with patients, staff, and physicians. It includes frequent prolonged standing, bending, and regularly lifting or moving patients; assistance and lifting devices are available. The employee may occasionally move patients or equipment weighing up to 200 pounds with assistance. Exposure to infectious or contagious materials and radiation is possible, and 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; the posting also specifies successful completion of BLS and ACLS course certifications.
Proficiency with IV insertion.
Proficiency in cardiac rhythm recognition.
Proficiency using computers and related software, such as Microsoft Office.
Ability to perform the physical functions described, including frequent prolonged standing and bending, and patient lifting and movement with assistance or material-assist devices as needed.

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.
Experience with medical database software.

Responsibilities

Support organizational quality standards, regulatory and accrediting requirements, Continuous Quality Improvement (CQI), and facility-specific quality action plans.
Provide high-quality patient care and follow organizational and facility policies and procedures.
Address adverse events and action thresholds in collaboration with facility management.
Maintain the integrity of medical, administrative, and operational records; comply with data collection and auditing activities.
Maintain facility environmental integrity, safety, and a clean, safe, and sanitary environment.
Obtain medical histories, discuss procedures, answer questions, and perform nursing assessments on procedure days.
Educate patients and families about post-procedure vascular access care and respond to patient concerns and questions.
Monitor patients before, during, and after procedures, including for complications or reactions associated with moderate sedation and contrast media.
Communicate patient-related issues to facility management as needed.
Complete accurate patient documentation from admission through discharge and confirm that written orders, consents, and lab work are completed and documented.
Prepare lab requisitions, deliver them to appropriate laboratories, and report and forward results to the appropriate physician.
Maintain competency in emergency procedures and initiate CPR or other emergency measures as needed.
Administer medications and IV moderate sedation according to physician orders and applicable regulations.
Assist physicians during procedures as a scrub technologist when needed, maintaining sterile technique.
Transport patients as needed to support patient workflow.
Perform point-of-care laboratory testing and IV insertion as ordered.
Perform additional physician-designated tasks in compliance with state regulations.
Communicate regularly and effectively with physicians and participate in CQI meetings, including reporting on assigned topics.
Assist facility management in verifying needed instruments and equipment and help physicians complete and report adverse events as required.
Operate facility equipment and technology safely and efficiently, including patient monitors, defibrillators, medical recording devices, sterilizers, and computers.
Inspect facility equipment and operating systems, report malfunctions and maintenance needs, and check temperature and physical facility conditions as appropriate.
Address blood spills promptly in accordance with bloodborne pathogen control policies.
Use medications, laboratory resources, inventory, supplies, and equipment efficiently and in accordance with established formularies and guidelines.
Assist with developing or revising facility policies and procedures and with CQI activities, monthly reports, and required meetings.
Maintain medication inventory, check expiration dates, document controlled substances, complete medication usage logs, and record drug disposal in accordance with law.
Maintain facility supply inventory, including ordering and restocking supplies as needed.
Inspect and restock emergency equipment and supplies, including the crash cart.
Complete medical records accurately and in compliance with policies before patient discharge; perform regular chart audits.
Participate in regulatory and accreditation surveys and help address deficiencies through action plans.
Complete state-required records for implanted devices accurately and on time in accordance with records management guidelines.
Participate in staff meetings, training, and orientation as assigned; comply with HIPPA policies and standards regarding patient information and medical records.
Assist with projects assigned by the direct supervisor and perform other duties as assigned.