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About The Position

The Clinical Coordinator - Charge Registered Nurse supports FMCNA’s mission, vision, core values, and customer service philosophy while adhering to its Compliance Program and applicable regulatory and facility requirements. The Charge Nurse manages daily decisions to maintain continuity of care, patient and staff safety, and effective, high-quality clinical outcomes while supporting cost-effective operations. The role provides direction and guidance to direct patient care staff, helps coordinate staffing and personnel matters, supports training and staff development, and ensures compliance with facility procedures and applicable regulations. It oversees shift operations, patient documentation, care planning, dialysis treatments, medication administration, patient and family education, and the safe operation of patient-care and emergency equipment. The position reports patient-care concerns to the rounding physician and collaborates with the care team to address patient needs and treatment changes. The work includes desk and personal computer tasks and interaction with patients, facility staff, and physicians. Travel between assigned facilities and community locations is required; travel to regional, Business Unit, and Corporate meetings may also be required. The environment is characteristic of a healthcare facility, with controlled air temperature and moderate noise, and may involve exposure to infectious or contagious diseases and materials. Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered. The position supervises Direct Patient Care Staff and a Ward Clerk as assigned.

Requirements

  • Graduate of an accredited school of Nursing (R.N.).
  • Registered and licensed to practice in the applicable state.
  • At least 12 months of nursing experience and 6 months of specialized clinical nursing experience caring for dialysis patients in a chronic or acute setting.
  • Certified in CPR or successfully complete a CPR certification course.
  • Good verbal and written communication skills.
  • Ability to meet the position’s physical and work-environment demands, including travel between assigned facilities and community locations.
  • Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Nice To Haves

  • Medical/surgical nursing experience preferred.
  • Supervisory or management experience preferred.

Responsibilities

  • Provide day-to-day guidance, support, and direction to direct patient care staff; provide ongoing informal feedback and input for annual performance evaluations.
  • Participate in department staffing and appropriate hiring, firing, and disciplinary actions; recommend disciplinary action to the Facility Administrator and initiate it as appropriate.
  • Ensure compliance with company and facility procedures and policies and state and federal regulations.
  • Approve or disapprove time or personnel schedule changes in the Facility Administrator’s absence, ensuring compliance with applicable rules for documenting staff work hours.
  • Participate in patient care plan meetings.
  • Maintain knowledge of current dialysis practices and techniques by participating in scheduled in-services.
  • Train and orient staff as necessary.
  • Observe and guide direct patient care staff to promote appropriate techniques and adherence to facility policies and procedures.
  • Promote and assist with OSHA program compliance to maintain a safe and clean working environment.
  • Maintain safe, efficient, and effective shift operations.
  • Conduct staff meetings with the Facility Administrator at least monthly or as needed to communicate changes and improve care delivery.
  • Meet routinely with the Facility Administrator to discuss personnel and patient-care status, issues, and information.
  • Supervise documentation of patient information.
  • Coordinate Charge Nurse duties with Staff RNs serving in relief charge capacity.
  • Assess daily patient-care needs and develop and distribute patient-care assignments.
  • Assume primary responsibility in emergency situations.
  • Assess patient needs, respond to dialysis treatments, communicate concerns to the rounding physician, and implement directed patient-care or treatment changes.
  • Monitor and supervise patient-care activity during dialysis and assist as necessary.
  • Collaborate with the direct patient-care team on decisions that benefit patient care.
  • Continuously monitor patients for problems and potential complications associated with dialysis.
  • Administer medications according to physician orders.
  • Serve as a subject matter expert and resource for staff.
  • Supervise and participate in completing short- and long-term care plans.
  • Admit new patients according to facility procedure.
  • Ensure patient educational needs are met and educate patients and families about End Stage Renal Disease, dialysis therapy, diet, and medication.
  • Supervise safe and effective use of equipment involved in direct patient care.
  • Operate dialysis-related and emergency equipment safely and efficiently when needed.
  • Perform required testing and verification and initial the checklist for start-up and shut-down procedures in the Technical Services Manual.
  • Complete the Nurse’s Technical Training Program/Water Quality Facility.
  • Assist with special projects or other duties assigned by the Facility Administrator.
  • Assist with interviewing potential direct patient-care staff.
  • Promote efficient use of medical supplies.
  • Attend and participate in monthly Quality Assurance meetings.
  • Perform additional responsibilities that may focus on one or more departments or locations, as specified in the applicable addendum.

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