Note: This opening is offering a $3K Sign On Bonus. Description Lead, inspire,
motivate and develop a team of strong, versatile performers. Brighten
prospects for patients as well as your career. Help others, and enhance your
potential for success with a premier healthcare organization. Connect with
your goals and change lives with Fresenius Medical Care North America. Use
your passion for excellence to drive positive change—one patient at a time.
Empower and encourage your team to learn and develop new skills. Established
as the global leader in dialysis healthcare, we form powerful bonds among
patients, their families, and our team members. Through this unique approach,
we have built an atmosphere of clinical excellence and professional
achievement. Offering vast training and development opportunities, we advance
careers and the health of countless individuals. Why Join the Fresenius Team?
Passion. Dedication. Knowledge. Motivation. Experience. These are the
impressive qualities you’ll find in the Fresenius Leadership Team. Our
strength in the North American market and extensive global network provide our
employees with the best of both worlds—the friendliness of a local
organization and the stability of a worldwide organization—for diverse
experiences and challenging career opportunities. When you join the Fresenius
Medical Care team, you’ll be welcomed into a company that is built on the
philosophy that our employees are our most important asset. Our career
advantages include the following: Fresenius Medical Care is the nation’s
largest provider of renal care, meeting the needs of more than 135,000
patients at 1,800 clinics throughout the country. Our well-established,
trusted organization fosters a spirit of camaraderie, emphasizing friendly
collaboration, professional support, and career development. Superior
training, UltraCare ® quality control, and certification procedures ensure
your potential to succeed and advance as a professional. Competitive
compensation and exceptional benefits. Outstanding tuition reimbursement
program. Recognized among Fortune’s World’s Most Admired Companies” in 2011.
National Safety Award from CNA insurance companies for 11 consecutive years.
Opportunities to give back by participating in philanthropy and community
outreach programs. Acute RN Make the most of this exceptional opportunity to
become part of a premier healthcare organization. The professional we select
will provide efficient coordination and supervision of acute care staff. In
addition, this individual will provide dialysis services to hospitalized
patients as prescribed by physicians. PURPOSE AND SCOPE: The Inpatient
Services RN functions as part of the Inpatient Services health care team to
ensure provision of quality patient care in accordance with FMS policies,
procedures, and training. Supports FMCNA’s commitment to the Quality
Enhancement Program (QEP) and Quality Assurance Initiative (QAI) Activities,
including those related to patient satisfaction, through the delivery of care
in a specialized care environment. Areas of practice are diverse, including,
but not limited to, the fields of hemodialysis, peritoneal dialysis,
continuous renal replacement therapies, and apheresis. Actively participates
in process improvement activities that enhance the likelihood that patients
will achieve the FMCNA Quality Enhancement Goals. Supports FMCNA’s mission,
vision, values, and customer service philosophy. Adheres to all requirements
of the FMCNA Compliance Program, and FMS patient care and administrative
policies, in addition to contracted hospital’s policies and procedures. DUTIES
/ ACTIVITIES : CUSTOMER SERVICE: Responsible for driving the FMS culture
through values and customer service standards. Accountable for outstanding
customer service to all external and internal customers. Develops and
maintains effective relationships through effective and timely communication.
Takes initiative and action to respond, resolve and follow up regarding
customer service issues with all customers in a timely manner. PRINCIPAL
RESPONSIBILITIES AND DUTIES: General: Delivers safe and effective patient care
in compliance with established company standards; hospital contracted policies
and procedures, inpatient renal services policies and procedures, as well as
regulations set forth by the corporation, state, and federal agencies.
Responsible for reporting all new or unusual incidents, information,
complaints, or problems to the pertinent inpatient program manager and other
parties to notify per the Adverse Event Report requirements. Collaborates with
diverse healthcare team. Provides and requests information from other team
members as they receive and discharge patients from care according to policy.
Initiates, documents, and completes ongoing QAI activities including monthly
reports as directed by the relevant inpatient program manager Responsible for
the compliance, support and delivery of all relevant company and contracted
facility policies and procedures. Patient Care: Responsible for direct patient
care of assigned patients in the Inpatient Renal Replacement and Apheresis
Services setting and providing the appropriate treatment technique for
assigned patients as prescribed in all modality procedures, as appropriately
defined - hemodialysis, peritoneal dialysis, continuous renal replacement
therapies, and apheresis. Responsible for assessing patient and family
understanding of therapy regimen and conducting ongoing education for patients
and their families regarding any assessed misunderstandings of therapy
requirements facing the inpatient. Assesses patients’ responses to treatment
therapy making appropriate adjustments and modifications to the treatment plan
as indicated by the appropriately credentialed physician. Communicates
problems or concerns to the inpatient program manager, appropriately
credentialed physician, patient hospital primary nurse and others as
indicated. Provides, supervises (if applicable), and monitors
vascular/peritoneal access care according to established procedures.
Responsible for the implementation, administration, monitoring, and
documentation of patient's response to prescribed intradialytic transfusions,
including appropriate notification of adverse reactions to physician and
appropriate blood supplier. Collaborates and communicates with physicians and
other members of the healthcare team to interpret, adjust, and coordinate
daily patient care plan to ensure continuity of care. Initiates and
coordinates communication to FMS facility nursing staff and appropriate
hospital personnel as needed. Ensures all physician orders are transcribed and
entered into the medical record in a timely manner. Accurately documents all
treatment information in the individual patient record. Reports any
significant patient information to the correct health care team member(s)
including the physician etc. May be assigned in-center patients on an as
needed basis. Instructs hospital/facility staff on aspects of specialized care
related to renal replacement and apheresis therapies. Appropriately completes
any required documentation and contacts the inpatients chronic facility before
hospital discharge to discuss the events of the hospitalization.
Maintenance/Technical: Promotes and assists in the maintenance of a safe and
clean working environment maintaining environmental integrity and aesthetics.
Cleans and disinfects dialysis machine surface, chair, equipment, and
surrounding areas between treatments according to inpatient renal services
policies and procedures. Conducts all tasks necessary for preparation for
dialysis treatment and documents where appropriate. Performs all required pre-
treatment dialysis machine alarm testing, including Pressure Holding Test
(PHT). If applicable, initiates solution delivery system (SDS). Prepares,
organizes, and efficiently utilizes supplies and equipment to prevent waste.
Operates all related equipment appropriately and safely and provides minor
trouble-shooting when necessary Ensures familiarity with company, inpatient
renal services program and contracted hospital emergency procedures.
Understands, conducts and documents appropriately dialysis/apheresis machine
safety tests/alarm tests, equipment calibration, dialysate testing, machine
safety tests, functional testing, and internal and external disinfection on
all water machines, and complies with documentation/notification standards per
FMS policies. Clerical & Administrative Completes and documents ongoing
participation in QAI activities. Enters all treatment data into the designated
medical record thoroughly, accurately and in a timely manner. Reviews
treatment documentation for completeness, ensure nursing signatures are
documented, and ensures omitted entries are completed or corrected where
appropriate. Staff Related: Provides supervisory delegation of patient care to
Inpatient Renal Services Patient Care Technicians as appropriate providing
expertise and informal feedback as needed. May provide input to the PCT’s
annual performance evaluation. Participates in staff meetings as scheduled.
Participates in the patient’s daily plan of care. Acts as a resource for all
staff members as needed. Collaborates with FMS employees in a collegial manner
to improve patient outcomes. Participates in staff training and orientation as
assigned. Other: Other duties as assigned within state, federal and
contractual standards >PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical
demands and work environment characteristics described here are representative
of those an employee encounters while performing the essential functions of
this job. Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions. Day to day work includes desk
work, computer work and interaction with patients, facility/hospital staff and
physicians. The position requires travel between assigned facilities and
various locations within the community and travel to regional meetings may be
required. Position requires on-call rotation. (Night, Weekend or as defined by
individual program needs).The work environment is characteristic of a health
care facility with air temperature control and moderate noise levels. There is
potential exposure to potentially infectious material and contagious
diseases/material. Position provides direct patient care which regularly
involves heavy lifting, moving of patients, and assisting with
ambulation(equipment aids and coworkers may provide assistance). It requires
prolonged periods of standing, the ability to bend (provisions to reduce
bending, i.e. stool can be made available), to move machines and equipment >200 lbs., and may lift chemical and water solutions of up to 30 lbs up as high
as 5 feet. There is a two-person assist program and material assist” devices
for the heavier items. EDUCATION Graduate of an accredited School of Nursing.
Current appropriate state licensure. Maintains acquired knowledge and remains
current in advancements in nephrology - in particular, relative to inpatient
care Must meet the practice requirements in the state in which he or she is
employed. Certification in Nephrology Nursing, Apheresis Nursing or both is
highly encouraged EXPERIENCE AND REQUIRED SKILLS One year RN experience
required and required nursing skills. Minimum 6 months nephrology experience
required before working independently with no other Dialysis RNs. 6 months
dialysis preferred if working alongside another Dialysis RN. 6 months dialysis
experience required to be on-call. Demonstrated strong assessment skills
related to the critically ill patient. Demonstrated ability to use critical
thinking skills independently as identified by International Profile. ICU
experience preferred but not required. Successful completion of a training
course in the theory and practice of care of the ESRD patient. Basic Dialysis
Education program BLS CPR recognition. Satisfactorily completes the Inpatient
Renal Replacement and Apheresis Education program as described by their
position. Demonstrates ability to complete self directed learning, ability to
delegate patient care appropriately, ability to communicate with MD’s, RN’s,
and Hospital Personnel and ability to intervene and treat complications and
emergencies independently. Demonstrates organizational and time management
skills, and a competency toward completing continuing and ongoing
renal/nephrology education. Displays leadership skills and ability to direct
others. Successful completion of all required competency testing and skills
validation Employees must meet the necessary requirements of Ishihara's Color
Blindness test as a condition of employment. Familiarity with all emergency
operational procedures. Successful completion of Nurses Technical Training.