New Graduate Registered Nurse - RN
Company: Fresenius Medical Care
Location: Fishkill
Posted on: October 22, 2024
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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 assigned Participates 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: General 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 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. Daily Reviews 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. Monthly
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 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. Annually Completes 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 the Ishihara Test for Color Blindness does not preclude
employment. The Company will consider whether reasonable
accommodation can be made. SUPERVISION: None EDUCATION: 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. ---The rate of pay
for this position will depend on the successful candidate---s work
location and qualifications, including relevant education, work
experience, skills, and competencies. Hourly Rate: $29 - $48"
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
Identity Fresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state laws.
Keywords: Fresenius Medical Care, Danbury , New Graduate Registered Nurse - RN, Healthcare , Fishkill, Connecticut
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