NEW GRADUATE NURSE RESIDENT
Company: Fresenius Medical Care North America
Location: Hendersonville
Posted on: October 16, 2024
|
|
Job Description:
PURPOSE AND SCOPE:Functions as part of the hemodialysis health
care team as a Registered Nurse Applicant, under the direction or
supervision of 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. Employees hired into this position will be required to
obtain their nursing license and registration within the timeframe
outlined in state specific regulations, or within 90 days from hire
date, whichever comes sooner.PRINCIPAL DUTIES AND
RESPONSIBILITIES:STAFF RELATED: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.Assesses daily patient care needs and develops
appropriate patient care assignments.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 assignedParticipates in all required
staff meetings as scheduled.PATIENT RELATED:Education: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.Educates patients regarding laboratory values
and the relationship to adequate dialysis therapy, compliance with
treatment schedule, medications, and fluid.Dialysis
Treatment:Provides safe and effective delivery of care to patients
with ESRD.Accurately implements treatment prescriptions including
Sodium (Na) modeling prescription, and Ultrafiltration modeling
(where appropriate) to ensure stable treatment therapy as
indicated.Assesses patients' response to hemodialysis treatment
therapy, making appropriate adjustments and modifications to the
treatment plan as indicated by the prescribing physician.
Communicates problems or concerns to the Team Leader or
physician.Identifies and communicates patient related issues to
Team Leader or physician.Initiates Initial and Annual Nursing
Assessment, and ongoing evaluation and documentation of patient
care needs according to FMC Policies and Procedures.Actively
participates in the pre evaluation, initiation, monitoring,
termination, access homeostasis, and post evaluation of patients
receiving hemodialysis treatment therapy according to established
FMC procedures.Takes appropriate intervention for changes in
patient adequacy status and troubleshooting access flow issues as
identified by OLC/AMP yellow lights.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.Ensures
accurate and complete documentation by Patient Care Technician on
the Hemodialysis Treatment Sheet.Laboratory-related:Reviews,
transcribes, and enters physician lab orders accurately into the
Medical Information System.Ensures appropriate preparation of lab
requisitions for Spectra or alternate lab.Ensures correct labs
tubes are utilized for prescribed lab specimens and that lab draw
and processing procedures are performed appropriately for all lab
samples.Identifies and ensures appropriate follow-through regarding
missed labs and specimens reported to be insufficient according to
company policies and procedures.Ensures all specimens are
appropriately packaged according to Department of Transportation
(DOT) policies and procedures relating to shipment of blood or body
fluid specimens and potentially hazardous material.Ensures that all
labs are directed and delivered to appropriate labs.Reports
alert/panic and abnormal labs results to appropriate
physician.Ensures lab results are forwarded to physicians as
requested.General duties:Enforces all company approved policies and
procedures, as well as regulations set forth by state and federal
agencies and departments.Maintains overall shift operation in a
safe, efficient, and effective manner.Act as a resource for other
staff members.Routinely meets with the Clinical Manager to discuss
personnel and patient care status, issues, and
information.Collaborate and communicate with physicians and other
members of the healthcare team to interpret, adjust, and coordinate
care provided to the patient.Provides assistance as needed to
patients regarding prescription refills according to FMCNA
Policies.Ensures all physician orders are transcribed and entered
into the Medical Information system in a timely manner.Oversees all
documentation of patient information.Maintains facility drug list
for all required stock medications.Maintains competency with all
emergency operational procedures, and initiates CPR and emergency
measures in the event of a cardiac and/or respiratory
arrest.Ensures verification and availability of adequate emergency
equipment.Ensures provision of appropriate vaccinations,
immunizations, and annual Tuberculosis (TB) testing.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.Maintains
appropriate recording of controlled substances as required by
law.Assists with the coordination of patient transportation if
necessary.MAINTENANCE/TECHNICAL: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.MEDICAL RECORDS & DOCUMENTATION:GeneralEnsures 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 appropriate patient related treatment data is entered into the
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.DailyReviews and ensures appropriate daily completion
of Hemodialysis Treatment Sheets by all patient care staff.Ensures
that all appropriate procedures are followed regarding opening and
closing procedures, inclusive of monitoring that all staff and
patients have safely left the premises.MonthlyInitiates, 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 transplant
status and follows established procedure regarding appropriate
action to be taken.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. AnnuallyCompletes initial and annual Nursing
History and Assessment physical.Ensures completion of Annual
Standing Order Review with each physician as required.OTHER:As a
condition of continued employment, you are required to obtain and
maintain any required credentials or certifications necessary for
your position in an active and valid status (including renewal of
such credentials or certifications prior to any expiration date).
In the event that your credential or certified status changes, you
must notify your supervisor immediately.Capable of working in a
challenging environment which requires the ability to handle
demanding situations, multitasking, and remaining flexible to
changing needs.Maintain regular and punctual attendance.Perform
other related duties as assigned.Additional responsibilities may
include focus on one or more departments or locations. See
applicable addendum for department or location specific
functions.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. Note that: Failing theIshihara Test for Color Blindness
does not preclude employment. The Company will consider whether
reasonable accommodation can be
made.SUPERVISION:NoneEDUCATION:Graduate of an accredited School of
Nursing.Current appropriate state Temporary Permit.Must meet the
practice requirements in the state in which he or she is
employed.EXPERIENCE AND REQUIRED SKILLS:0 - 1 year's related
experience.ACKNOWLEDGEMENT:I acknowledge that I have read and
accepted this job description. I understand what is expected of me
in this position, and I am able to perform the essential functions
as outlined with or without reasonable accommodation. Furthermore,
I understand that the duties and responsibilities listed in this
job description are intended only as illustrations of the various
types of work that may be performed. The omission of specific
statements of duties does not exclude them from the position if the
work is similar, related, or a logical assignment to the position.
If I have any questions about duties and responsibilities not
specified in this job description that I am asked to perform, I
should discuss them with my immediate supervisor or my Human
Resources representative.ADDENDUM:Managers in each state must
determine if their state regulations permit employees to operate in
this capacity, as well as the allowable duties and practice
restrictions if permitted. Managers should consult their
state-specific regulations at:
https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed-Nurse-50-State-Review-Training-TracksFinal-5-19.pdf
. For additional information please contact your Regional Education
Coordinator.EO/AA Employer:
Minorities/Females/Veterans/Disability/Sexual Orientation/Gender
IdentityFresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state laws.
Keywords: Fresenius Medical Care North America, Smyrna , NEW GRADUATE NURSE RESIDENT, Healthcare , Hendersonville, Tennessee
Click
here to apply!
|