Registered Nurse - RN - Dialysis

Fresenius Medical Care•Ewa Beach, HI

14d•$42 - $61•Onsite

About The Position

Functions as part of the hemodialysis health care team as a Staff Registered Nurse, providing quality daily patient care in accordance with Fresenius Medical Care policies, procedures, training, regulations, and its mission, vision, values, and customer service philosophy. Supports the Quality Enhancement Program and continuous quality improvement activities, including initiatives related to patient satisfaction, and complies with the company’s compliance program and patient-care and administrative policies. This is a full-time role requiring 40 hours per week. Travel off island is required, and the employee must be able to travel to all Hawaii Region clinics, including Guam. Travel assignments are made for at least one month at a time. The employee may be asked to float when patient census or clinic needs are reduced, to ensure scheduled hours are fully utilized. Shifts rotate according to the assigned clinic’s schedule. The role provides and coordinates hemodialysis care, oversees and delegates work to patient-care staff, assesses patient needs and responses to treatment, and provides patient and family education. It also involves medication administration, clinical documentation, laboratory coordination, emergency readiness, equipment and facility safety, and participation in quality improvement and required nursing assessments. The position involves direct patient care, including regular heavy lifting and moving of patients and assistance with ambulation. Work requires frequent, prolonged standing and bending. With assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to heights of up to five feet. The work environment is a healthcare facility with controlled air temperature and moderate noise, with possible exposure to infectious and contagious diseases or materials. An Ishihara Color Blindness test is required as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

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 the necessary requirements of the Ishihara Color Blindness test as a condition of employment; the posting states that failing the test does not preclude employment and reasonable accommodation may be considered.
Able to travel off island to all Hawaii Region clinics, including Guam, and provide coverage at area facilities as required by management.
Able to perform the described physical duties, including frequent prolonged standing, bending, patient lifting and movement, and occasional assisted movement of equipment up to 200 pounds and lifting solutions up to 30 pounds to a height of five feet.
Complete ICD-9 coding training.
Complete Nurses Technical Training.
Meet any additional applicable state requirements.

Nice To Haves

Minimum of one year of medical-surgical nursing experience preferred.
Hemodialysis experience preferred.
ICU experience preferred.

Responsibilities

Direct and oversee Patient Care Technicians’ safe and effective delivery of chronic hemodialysis therapy, and delegate tasks to direct patient-care staff, including LVN/LPNs, technicians, and dialysis assistants.
Assess daily patient-care needs, develop appropriate assignments, monitor staff techniques and policy compliance, and participate in staff training, new-employee orientation, and required meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medication and treatment compliance, laboratory values, adequacy measures, transplant and modality options, and catheter reduction.
Provide safe hemodialysis care; implement prescribed treatment parameters, assess patient responses, modify treatment plans as indicated by the prescribing physician, and communicate concerns to the Team Leader or physician.
Conduct initial and annual nursing assessments and ongoing evaluation and documentation; participate in pre-evaluation, treatment initiation and monitoring, termination, access homeostasis, and post-evaluation.
Intervene when patient adequacy status changes or access-flow problems are identified, and provide, supervise when applicable, and monitor hemodialysis access care.
Administer and monitor prescribed interdialytic transfusions, notify the physician and blood supplier of adverse reactions, and document patient responses.
Review and enter physician orders and laboratory orders into the Medical Information System; prepare requisitions, ensure correct specimen collection, processing, packaging and delivery, follow up on missing or insufficient specimens, and report abnormal or critical results to physicians.
Enforce company policies and applicable regulations; maintain safe, efficient, and effective shift operations and act as a resource for staff.
Meet with the Clinical Manager about personnel and patient-care matters; collaborate and communicate with physicians and other healthcare team members to coordinate care.
Assist patients with prescription refills as needed and coordinate patient transportation when necessary.
Maintain emergency-procedure competency, initiate CPR and emergency measures when needed, verify emergency equipment availability, and ensure required vaccinations, immunizations, and annual TB testing.
Administer prescribed or protocol-approved medications, document clinical justification and effectiveness as appropriate, and maintain required controlled-substance records.
Maintain a clean, safe, and sanitary treatment area; operate dialysis equipment safely; ensure stations, machines, and chairs are clean and properly placed; and address blood spills under company policy.
Ensure accurate and complete patient, treatment, order, laboratory, vital-sign, and staff documentation in the Medical Information System and patient records; verify Patient Care Technician documentation and completion of treatment sheets.
Implement patient admission, transfer, and discharge procedures and follow opening and closing procedures, including confirming staff and patients have safely left the premises.
Initiate, document, and complete continuous quality improvement activities, including monthly reports; complete monthly nurses’ progress notes, patient care plans, long-term programs, nursing histories and assessments, and annual standing-order reviews with physicians.
Review transplant status and follow established procedures for appropriate action.
Provide coverage at area facilities as required by management and perform additional duties as assigned.