Registered Nurse - RN - Dialysis

Fresenius Medical Care · Kailua-Kona, HI · 3 wk ago

Healthcare$42–$60/hrFull-time

PURPOSE AND SCOPE

Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP).

Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.

PRINCIPAL DUTIES AND RESPONSIBILITIES

Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
Participates in staff training and orientation of new staff as assigned.
Participates in all required staff meetings as scheduled.
Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
Discusses with patient, and records education related to diet/fluid and medication compliance.
Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
Ensures transplant awareness, modality awareness, and drive catheter reduction.
Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
Maintains overall shift operation in a safe, efficient, and effective manner.
Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
Maintains facility drug list for all required stock medications.
Maintains appropriate recording of controlled substances as required by law.
Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
Ensures competency in the operation of all dialysis-related equipment safely and effectively.
Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
Ensures and verify accuracy of Patient Care Technician documentation.
Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
Completes monthly nurses' progress note.
Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
Reviews and follows established procedure regarding appropriate action to be taken regarding transplant status.
Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
Completes any long-term programs that are due.
Completes initial and annual Nursing History and Assessment physical.
Completes Annual Standing Order Review with each physician as required.

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.
The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment.

SUPERVISION

None

EDUCATION AND REQUIRED CREDENTIALS

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Minimum of one-year medical-surgical nursing experience preferred.
Minimum of one-year nursing experience.
Hemodialysis experience preferred.
ICU experience preferred.
Successfully complete a training course in the theory and practice of hemodialysis.
Successfully complete CPR Certification.
Provide coverage at any or all area facilities as required by management.
Icd-9 coding Training.
Nurses Technical Training.
Must meet appropriate state requirements (if any).

COMPENSATION

Hourly Rate: $42.00 - $60.00