Note: This position will work in the Anderson and Noblesville area and is
eligible for $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.