Resident Nurse (PLN)
Company: Fresenius Medical Care North America
Location: Chula Vista
Posted on: August 4, 2022
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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 time frame
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...... click apply for full job details
Keywords: Fresenius Medical Care North America, Chula Vista , Resident Nurse (PLN), Healthcare , Chula Vista, California
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