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Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Rehoboth Beach, DE
•$30 - $51

About The Position

The Outpatient Registered Nurse works as part of the hemodialysis health care team to provide quality daily patient care in accordance with Fresenius Medical Care policies, procedures, training, regulatory requirements, and its mission, vision, values, and customer service philosophy. The nurse supports quality enhancement and continuous quality improvement activities, including efforts related to patient satisfaction, and complies with the company’s patient-care, administrative, and compliance requirements. The role provides and coordinates chronic hemodialysis care for patients with end-stage renal disease (ESRD). Responsibilities include assessing patient needs and responses to treatment, implementing prescribed therapies, educating patients and families, delegating and monitoring staff activities, coordinating with physicians and other health care professionals, and maintaining accurate clinical and administrative records. The nurse also helps maintain safe, effective facility operations and may provide coverage at area facilities as required by management. This is a PRN position. The work takes place in a health care facility with controlled air temperature and moderate noise. The role may involve exposure to infectious or contagious diseases and materials. Direct patient care regularly involves heavy lifting and moving patients, assisting with ambulation, and 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 a height of five feet. Ishihara color-vision testing is a condition of employment; failure to pass does not preclude employment, and reasonable accommodation may be considered. The hourly pay range is $30.00–$51.00, depending on work location and qualifications. The benefits package includes medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state nursing licensure and compliance with practice requirements in the state of employment.
  • At least two years of dialysis RN experience, as stated in the position listing.
  • Successfully complete a training course in the theory and practice of hemodialysis.
  • Successfully complete CPR certification.
  • Meet applicable state requirements, if any.
  • Complete Ishihara color-vision testing as a condition of employment; failure to pass does not automatically preclude employment, and reasonable accommodation may be considered.
  • Provide coverage at any or all area facilities as required by management.
  • Complete ICD-9 coding training and Nurses Technical Training.

Nice To Haves

  • Minimum of one year of medical-surgical nursing experience preferred.
  • Hemodialysis experience preferred in the qualifications section.
  • ICU experience preferred.

Responsibilities

  • Direct and delegate patient-care tasks to Patient Care Technicians, LVN/LPNs, Dialysis Assistants, and other direct-care staff; assess daily patient needs and make appropriate assignments.
  • Monitor staff techniques and compliance with facility policies, procedures, and applicable regulations; participate in staff training, orientation, and required meetings.
  • Provide safe and effective chronic hemodialysis care, accurately implement treatment prescriptions, assess patient responses, and adjust treatment plans as indicated by the prescribing physician.
  • Communicate patient issues, treatment concerns, and changes in patient status to the Team Leader or physician; collaborate with physicians and other health care team members to coordinate care.
  • Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, laboratory values, treatment adequacy, transplant and modality options, and catheter reduction.
  • Initiate and complete nursing assessments, ongoing evaluations, care plans, progress notes, nursing histories, physical assessments, and other required patient-care documentation.
  • Participate in all phases of hemodialysis treatment, including pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation; provide and monitor access care and troubleshoot access-flow or adequacy concerns.
  • Implement and document prescribed medications and transfusions, monitor patient responses, report adverse reactions, and maintain controlled-substance records as required.
  • Review, transcribe, and enter physician orders and laboratory orders into the Medical Information System; ensure appropriate specimen collection, handling, packaging, delivery, follow-up, and reporting of abnormal results.
  • Oversee and verify accurate, complete documentation by patient-care staff, including Hemodialysis Treatment Sheets and treatment data in the Medical Information System.
  • Maintain safe and effective shift operations, act as a resource for staff, meet with the Clinical Manager regarding personnel and patient-care matters, and coordinate patient transportation when needed.
  • Maintain competency in emergency procedures and dialysis equipment; verify emergency equipment availability, initiate CPR and emergency measures when needed, and ensure appropriate vaccinations and annual TB testing.
  • Maintain a clean, safe, and sanitary treatment area; ensure patient stations, machines, and chairs are clean and properly positioned, and address blood spills according to policy.
  • Implement patient admission, transfer, and discharge procedures; follow opening and closing procedures and ensure staff and patients leave the premises safely.
  • Initiate, document, and complete ongoing Continuous Quality Improvement activities, including monthly reports; complete monthly progress notes, long-term programs, and required standing-order reviews.
  • Perform additional duties as assigned and provide coverage at area facilities as required by management.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave

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