Registered Nurse

Fresenius Medical Care•Philadelphia, PA

1d•Onsite

About The Position

The Registered Nurse supports the organization’s mission, vision, core values, customer service philosophy, and compliance requirements. Under the direction of the Facility Manager, Director of Nursing, and/or Charge Registered Nurse, the nurse provides direct pre-, intra-, and post-procedure nursing care using standard nursing techniques and facility policies and procedures to support optimal patient outcomes. The role supports quality and continuous quality improvement activities, maintains accurate patient and administrative records, and helps ensure a safe, clean, and sanitary facility. The nurse assesses and monitors patients, provides education, administers medications and IV moderate sedation as ordered, assists physicians during procedures, and responds to emergencies. The position also involves equipment and supply oversight, participation in meetings and training, and other assigned duties. The facility is open Monday through Saturday, and the schedule requires one Saturday every six weeks. The work environment is a healthcare facility with controlled air temperature and moderate noise. Work includes desk and computer tasks as well as direct patient care, which can involve lifting and moving patients, prolonged standing, bending, and 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 are required.
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 functions described, including frequent prolonged standing, bending, and patient-care work that regularly involves lifting and moving patients and assisting with ambulation. Patients or equipment weighing up to 200 lbs. may occasionally need to be moved with assistance; a two-person assist program and material-assist devices are available.
4–6 years of related experience preferred.

Nice To Haves

Associate’s Degree desirable; Bachelor’s Degree strongly 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 organization quality standards, regulatory and accrediting requirements, and Continuous Quality Improvement activities, including use of CQI tools.
Help implement organization quality goals and facility action plans, and support outstanding patient care in accordance with policies and procedures.
Address adverse events and action thresholds in collaboration with facility management.
Maintain the integrity of medical and administrative records, comply with data collection and auditing activities, and maintain facility environmental integrity and safety.
Obtain medical histories, discuss procedures, answer questions, and perform nursing assessments on procedure days.
Educate patients and families about post-procedure care of vascular access and serve as a resource for 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 and accurately document patient information from admission through discharge.
Confirm that written orders, consents, and laboratory work are completed and documented; prepare lab requisitions, deliver them to laboratories, and report and forward results to physicians.
Maintain competency in emergency procedures and initiate CPR and other emergency measures as needed.
Administer medications and IV moderate sedation as directed by physician orders and applicable policies, laws, and regulations.
Assist physicians during procedures as a scrub technologist when needed while maintaining sterile technique.
Assist patient workflow, including transporting patients as needed.
Perform point-of-care laboratory testing and IV insertion as ordered, and complete other physician-designated tasks in compliance with state regulations.
Communicate regularly and effectively with physicians, attend and participate in CQI meetings, and report on assigned topics.
May help facility management verify that necessary instruments and equipment are available, and assist physicians with required adverse-event reporting.
Safely operate facility equipment and technology, including patient monitors, defibrillators, medical recording devices, sterilizers, and computers.
Inspect facility equipment and operating systems, including relevant temperature checks and facility structure; report malfunctions, maintenance needs, or other issues.
Maintain a clean, safe, and sanitary vascular access facility and address blood spills according to applicable bloodborne pathogen policies.
Help use medications, laboratory resources, inventory, supplies, and equipment efficiently and in accordance with formularies and guidelines.
May help develop and revise facility policies and procedures and participate in regulatory and accreditation surveys and related action plans.
Assist with CQI activities, including monthly reports and required meetings.
Maintain medication supplies and inventory, check for expired medications, and record controlled substances as required by law.
Complete medication usage logs and document drug disposal in accordance with local, state, and federal law.
Maintain facility supply inventory, including ordering and restocking as needed.
Regularly inspect emergency equipment and supplies, including stocking the crash cart.
Complete accurate medical records before patient discharge and conduct chart audits regularly.
Complete required state records for implanted devices accurately and on time, following records-management guidelines.
Participate in staff meetings, training, and orientation as assigned; comply with HIPAA policies and standards.
Assist with projects assigned by the direct supervisor and perform other duties as assigned.