Outpatient Registered Nurse - RN - Dialysis

Staff Registered Nurse

Functions as part of the hemodialysis health care team 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 include:

• Directing patient care technicians 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.
• Delegating tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
• Assessing daily patient care needs and developing appropriate patient care assignments.
• Routinely monitoring patient care staff for appropriate techniques and adherence to facility policy and procedures.
• Participating in staff training and orientation of new staff as assigned.
• Participating in all required staff meetings as scheduled.
• Ensuring educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
• Providing ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
• Discussing with patient, and recording education related to diet/fluid and medication compliance.
• Providing patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
• Ensuring transplant awareness, modality awareness, and drive catheter reduction.
• Educating patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
• Providing safe and effective delivery of care to patients with ESRD.
• Accurately implementing treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
• Assessing patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicating problems or concerns to the Team Leader or physician.
• Identifying and communicating patient related issues to Team Leader or physician.
• Initiating Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
• Actively participating in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
• Taking appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
• Providing, supervising (if applicable), and monitoring hemodialysis access care according to established procedures.
• Implementing, administering, monitoring, and documenting patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
• Ensuring accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
• Reviewing, transcribing, and entering physician lab orders accurately into the Medical Information System.
• Ensuring appropriate preparation of lab requisitions for Spectra or alternate lab.
• Ensuring correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
• Identifying and…