Outpatient Registered Nurse, RN-Area Float
Company: Fresenius Medical Care
Location: Hayward
Posted on: April 24, 2024
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Job Description:
POSITION FEATURES: 2 years of Dialysis Nursing Experience
required Area Float-Float Differential Paid PURPOSE AND SCOPE: The
professional registered nurse Outpatient RN CAP 2 may be an entry
level designation into the Clinical Advancement Program (CAP) for
new employees who meet the RN CAP 2 criteria or attained through
advancement from RN CAP 1. This position is accountable and
responsible for the provision and coordination of clinically
competent care including assessment, planning, intervention, and
evaluation for an assigned group of patients. This may include
delegation of appropriate tasks to direct patient care staff
including but not limited to RNs, LVN/LPNs, and Patient Care
Technicians. As a member of the End Stage Kidney Disease (ESKD)
health care team, this position participates in decision-making,
teaching, leadership functions, and quality improvement activities
that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and
responsibilities are expected to be performed in accordance with
Fresenius Kidney Care policy, procedures, standards of nursing
practice, state, and federal regulations. Performs all essential
functions under the direction of the Supervisor and with guidance
from the Clinical Educator, Preceptor or in collaboration with
other Registered Nurses. Performs ongoing, systematic collection
and analysis of patient data pre - during - post hemodialysis
treatment for assigned patients and documents in the patient
medical record, makes adjustments or modifications to treatment
plan as indicated and notifies Team Leader, Charge Nurse,
Supervisor or Physician as needed. Assesses, collaborates, and
documents patient/family's basic learning needs to provide initial
and ongoing education to patients and family. Directs and provides,
in collaboration with direct and ancillary patient care staff, all
aspects of the daily provision of safe and effective delivery of
hemodialysis therapy to assigned patients. Administers medications
as prescribed or in accordance with approved algorithm(s), and
documents appropriate medical justification and effectiveness.
Initiates or assists with emergency response measures. Serves as a
resource, leader, coach, mentor and role model for new and
incumbent employees by setting examples of appropriate behavior,
work habits and attitudes towards patients, co-workers, supervisors
and the company at the facility, and area level. Ensures correct
laboratory collection, processing and shipping procedures are
performed and reschedules missed or insufficient laboratory
collections. Identifies expected outcomes, documents, and updates
the nursing assessment and plan of care for assigned patients
through collaboration with the Interdisciplinary Team. Ensures
patient awareness related to transplant and treatment modality
options. Participates in education and quality improvement projects
at the facility and area level as directed by Supervisor. May serve
as a Preceptor to new employees. Required to complete CAP
requirements to maintain or advance. Performs all other duties as
assigned by Supervisor. 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, 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. 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. Day to day
work includes desk work, computer work and interaction with
patients, facility/hospital staff and physicians. The position may
require travel to training sites or other facilities. May be asked
to provide essential functions of this position in other locations
with the same physical demands and working conditions as described
above. SUPERVISION: Assigned oversight of Patient Care
Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in
Charge, after meeting all the following: Successful completion of
all FKC education and training requirements for new employees. Must
have a minimum of 3 months experience in chronic/acute hemodialysis
as a RN. EDUCATION and LICENSURE: Graduate of an accredited School
of Nursing. Current appropriate state licensure. Current or
successful completion of CPR BLS Certification Must meet the
practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with minimum of
2 years of Nephrology Nursing 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. Employee Name
(Please Print): Employee Signature: Date: ADDENDUM(S): Clinical
Advancement Program (CAP) Quality Competency demonstrated through
fostering a Culture of Patient Safety and quality as evidenced by
Improved Patient Health Outcomes Promotes, facilitates, and
collaborates with all members of the interdisciplinary team (IDT)
and patient care team on the application of quality improvement
principles, activities in the delivery of care, identification of
risk areas and opportunities for improvement, and root cause
analysis (RCA) Promotes, advances, and assists with implementation
of FKC clinical, educational, and quality initiatives. Mentors and
trains team members to monitor the effectiveness of their daily
processes. Ensures documentation in eQUIP and utilization of data,
benchmarking, and graphical representations in performance
improvement activities.Analyzes, manages, and reports data as
needed to identify improvement opportunities and measure the
progress of improvement projects. Use quality improvement tools to
ensure adherence to QAI activities. Facilitates program and annual
regulatory review audits Collaborates with Regulatory to identify
and recommend systems and practices that would improve outcomes
Employee Name (Please Print): Employee Signature: Date: Clinical
Advancement Program (CAP) Preceptor Maintains direct supervision of
the new nurse until graduated from new employee training
Collaborates with team members to identify learning opportunities
Communicates and collaborates with supervisor and Education
Department regarding progress of new nurse Continues to mentor and
support new nurses once released to work independently Mentors new
RN Preceptors Employee Name (Please Print): Employee Signature:
Date: Clinical Advancement Program (CAP) Multi-modality Cross
Trained Cross trained to deliver patient care across multiple
modalities Responsible for maintaining skill set in each
cross-trained modality for the delivery of safe and effective
patient careCommunicates and collaborates with operational and
clinical leaders to support maintenance of skills Ensures the
provision of safe and comprehensive care of patients within the
chosen modalities in accordance with all company policies and
procedures Embraces a commitment to patient satisfaction and
actively seeks opportunities to improve the overall patient
experience in alignment with established quality and regulatory
standards Employee Name (Please Print): Employee Signature: Date:
Transitional Care In some designated programs, RNs who have
achieved a CAP 2 status may participate in our Transitional Care
Program. That program entails the following: Following all newly
admitted patients through their first 4 weeks of dialysis and
coordinating their transitional dialysis care Coordinating all
education and care related matters as it relates to the new
patient; liaisons with appropriate FKC staff members to provide the
best patient experience and education to include making sure all
disciplines are scheduled to see patient according to plan
Demonstrating and education on home dialysis products to ensure
patient understands the benefits of home and how home dialysis can
work for them Ability to set and perform a treatment on all
machines used in the transitional care unit. This includes being
able to demonstrate peritoneal dialysis set up Coordinate
transition to patient's permanent modality choice Employee Name
(Please Print): Employee Signature: Date: 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.
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Keywords: Fresenius Medical Care, Hayward , Outpatient Registered Nurse, RN-Area Float, Healthcare , Hayward, California
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