• Full-time, paid training to ensure you’re set up for success from day one.• Earn More Where It Counts – Enjoy an acute care differential on top of your competitive base rate• Grow Your Nursing Career – Take advantage of our RN Cap Program for professional development, advancement, and leadership opportunities.• Opportunities to work across multiple hospitals within our network for greater flexibility and experience.• Comprehensive full-time benefits, including 401(k), medical, vision, and tuition reimbursement.PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations.· Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.· Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated.· Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.· Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.· Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.· Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.· Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.· Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.· Administers medications as prescribed and documents appropriate medical justification and effectiveness.· Initiates and assists with emergency response measures.· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.· May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.· May be assigned to assist in an Outpatient facility on an as needed basis.· Required to complete CAP requirements to 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.· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.· Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians.· The position requires travel to training/meeting sites and between assigned facilities.· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.SUPERVISION:Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following:· Successful completion of all FKC education and modality specific training requirements for new employees.· Must have a minimum of 9 months experience as a RN.· 6 months experience in acute dialysis 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 all states in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS:· Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN· Minimum 9 months experience as a Registered Nurse, 12 months (preferred).· 6 months acute dialysis experience (preferred)· Hemodialysis and/or ICU experience (preferred).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 representativeEO/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.EOE, disability/veterans

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PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.  As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES:Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.Participate in patient care plan meetings.Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.Train and orient staff as necessary.Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.Maintain overall shift operation in a safe, efficient, and effective matter.With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.Supervise all documentation of patient information.Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.Assess daily patient care needs and develop and distribute patient care assignments appropriately.Assume primary responsibility in an emergency situation.Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.Monitor and supervise all patient care activity during dialysis and assist as necessary.Collaborate with direct patient care team in making decisions to benefit patient care.Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.Administer medications to patients per physician’s orders.Act as the subject matter expert and as a resource for staff members.Supervise and participate in completion of short and long term care plans.Admit new patients according to facility procedure.Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.Supervise the safe and effective use of all equipment involved in direct patient care.Operate all dialysis related and emergency equipment safely and efficiently when needed.Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.Complete Nurse’s Technical Training Program/Water Quality FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote efficient use of medical supplies.Attend and participate in monthly Quality Assurance meetings.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.Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.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.Travel to regional, Business Unit and Corporate meetings may be required.SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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.EOE, disability/veterans

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PURPOSE AND SCOPE:The professional registered nurse Inpatient 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 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations.Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse.Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as indicated.Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility/primary Nurse.Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.Administers medications as prescribed and documents medical justification and effectiveness.Initiates and 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. May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually.May be assigned to assist in an Outpatient facility on an as needed basis.  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.May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.The position requires travel to training/meeting sites and between assigned facilities.Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.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: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a designated Nurse in Charge, after meeting all the following:Successful completion of all FKC education and modality specific training requirements.6 months experience in acute dialysis as a RN.EDUCATION AND LICENSURE:Current appropriate state licensure.Current or successful completion of CPR BLS CertificationMust meet the practice requirements in all states employed.EXPERIENCE AND REQUIRED SKILLS:Entry level for RNs with minimum 2 years or more of Nephrology Nursing experience in the last 2 years as a RN.Acute dialysis experience (preferred).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: $39 - $65Non-Bonus Eligible Positions: include language below.Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.Bonus Eligible Positions – include language below.Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.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.EOE, disability/veterans

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PURPOSE AND SCOPE:The Inpatient Services Charge Nurse is an additional “responsibility” assigned to the Inpatient Services RN, for a limited period of time, and for specific additional duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within assigned hospitals/facilities by coordinating, scheduling, and directing Acute Patient Care staff and by performing Acute treatments as needed or directed by Program manager. Assumes the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy, as well as regulations set forth by the company, state and federal agencies.PRINCIPAL DUTIES AND RESPONSIBILITIES:Under limited supervision, applies considerable complex knowledge to perform a broad range of tasks which include but are not limited to the following: Acts as a subject matter expert and resource for staff members on assigned Inpatient Center treatment floor.Normally receives no instruction on routine daily work, and general instructions on newly introduced assignment, but may escalate issues to Program Manager for resolution, as deemed necessary.Coordinate and schedule direct patient care staff to provide coverage of Acute Dialysis treatments in contracted hospitals/facilities and ensure efficient patient scheduling and staff utilization in accordance with the TAP scheduling tool.Maintain and review the daily TAP tool for all hospitals/facilities under their direct supervision and submit results to the Program Manager for review. Ensure all Acute treatments are performed in contracted hospitals/facilities according to the established policies and procedures, and in compliance, with all applicable regulatory requirement. Ensure accurate documentation of information related to patient treatment is entered into ACES during the time of treatment.Monitor on a daily basis ACES compliance. Perform Quality Assessment and Improvement (QAI) Program audits as directed to ensure the provision of quality patient care and compliance with all Joint Commission requirements. Participate in QAI meetings as requested by the Program Manager to assure proper reporting of QAI activitiesAssess daily patient care needs and communicate concerns to attending physician. Implement changes in patient care/treatment as directed and in collaboration with prescribing physicians.Perform Acute treatments according to current Charge Nurse Guidance recommendations and oversee all dialysis related medical and emergency functions.Communicates with the physician and other members of the healthcare team to interpret, adjust, triage and complete patient care plans in the most efficient and safe manner.Coordinate with appropriate technical staff to ensure preventative maintenance program for routine machine maintenance, to ensure the timely repair of disabled machines, to coordinate infection control measures, routine water culturing, water testing, logging of results, transportation of equipment and supplies, and communicate technical information to the staff.Serve as liaison between the administrative staff of each hospital/facility and the Program Manager. Practice cost containment strategies in all areas including medical supply inventory and personnel.Reviews and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.Assist with various projects as assigned by the Program Manager.Other duties as assigned.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 these essential functions.Day-to-day work includes desk and personal computer work, interaction with patients, facility staff and physicians.The position requires travel between assigned facilities and various locations within the community. (Travel to meetings may be required).  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. 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. There is a two-person assist program and “material assist” devices for the heavier items.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: Inpatient Services RN’s, Inpatient Services PCT’s  at assigned facilities EDUCATION:Current appropriate state licensure.Current or successful completion of CPR BLS CertificationMust meet the practice requirements in all states employedEXPERIENCE AND REQUIRED SKILLS:    Minimum of 9 months nursing experience; plus 3 months of specialized experience providing clinical nursing care to dialysis patients in an Acute or Chronic setting required.6 months dialysis experience in an Acute setting preferredDemonstrated leadership competencies and skills for the position, including continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making.Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients..Excellent communication (written and verbal) interpersonal and customer service skills.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.EOE, disability/veterans

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PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.  As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES:Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.Participate in patient care plan meetings.Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.Train and orient staff as necessary.Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.Maintain overall shift operation in a safe, efficient, and effective matter.With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.Supervise all documentation of patient information.Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.Assess daily patient care needs and develop and distribute patient care assignments appropriately.Assume primary responsibility in an emergency situation.Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.Monitor and supervise all patient care activity during dialysis and assist as necessary.Collaborate with direct patient care team in making decisions to benefit patient care.Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.Administer medications to patients per physician’s orders.Act as the subject matter expert and as a resource for staff members.Supervise and participate in completion of short and long term care plans.Admit new patients according to facility procedure.Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.Supervise the safe and effective use of all equipment involved in direct patient care.Operate all dialysis related and emergency equipment safely and efficiently when needed.Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.Complete Nurse’s Technical Training Program/Water Quality FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote efficient use of medical supplies.Attend and participate in monthly Quality Assurance meetings.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.Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.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.Travel to regional, Business Unit and Corporate meetings may be required.SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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.EOE, disability/veterans

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PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment.  Provides day to day direction and supervision to assigned direct patient care staff.  Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans.  Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. Supports FMCNA's mission, vision, core values and customer service philosophy.  Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.   PRINCIPAL DUTIES AND RESPONSIBILITIES:  General and Staff Related:Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation.  Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate.Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients. Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings.  Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.  Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.  Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.  Maintain overall shift operation in a safe, efficient, and effective matter.  With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.  Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information.Supervise all documentation of patient information.Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.  Patient Care:Assess daily patient care needs and develop and distribute patient care assignments appropriately.  Assume primary responsibility in an emergency situation.  Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician.  Implement changes in patient care/treatment as directed.  Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.  Administer medications to patients per physician's orders.  Act as the subject matter expert and as a resource for staff members.  Supervise and participate in completion of short- and long-term care plans.  Admit new patients according to facility procedure.Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.  Technical:Supervise the safe and effective use of all equipment involved in direct patient care.  Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.  Complete Nurse's Technical Training Program/Water Quality Facility Training. Other:Assist with special projects or other duties as assigned by the Clinical ManagerAssist with the interviewing of potential direct patient care staff as requested. Promote efficient use of medical supplies.  Attend and participate in monthly Quality Assurance meetings.  Other duties as assigned.Relationships:Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP)External Contacts: Physicians, Back-up Hospitals Additional responsibilities may include focus on one or more departments or locations.  See applicable addendum for department or location specific functions. The duties 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.  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.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 accommodations can be made.Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.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.                                                                                                       SUPERVISION:Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.)Current appropriate state licensure. EXPERIENCE AND REQUIRED SKILLS:Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysisRN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience.Supervisory or management experience preferred.  Successfully completea training course in the theory and practice of hemodialysis.Good communication skills - verbal and written.  Must meet appropriate state requirements (if any).Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.EOE, disability/veterans

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PURPOSE AND SCOPE:Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with organization policies, procedures and training.  Provides nursing support to patients and staff.  Assist with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance.  PRINCIPAL DUTIES AND RESPONSIBILITIES:Responsible for supporting and driving Organization quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of Organization CQI tools.Accountable for outstanding quality of patient care, as defined by the organization quality goals, by working with the Vice President of Quality and other organization management to ensure that organization/ASC policies and procedures are followed.Responsible for aggressively addressing and acting on adverse events and action thresholds.Complies with all data collections and auditing activities and maintains integrity of medical records and other organization administrative and operational records.Supervises and directs facility staff in providing safe and effective vascular access procedures to patients in compliance with standards outlined in the facility policy and procedures manuals, as well as regulations set forth by the company, federal and state agencies.Assigns and delegates tasks to all direct patient care staff, including Staff RNs, Radiology Technologists, Front Desk Coordinator.Ensures adequate staffing through daily management of staff's schedule, including breaks.Assess daily patient needs and develop/distribute patient care assignments appropriately.Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures and assist as necessary.Recommends and initiates disciplinary action in conjunction with the Facility Manager.Assists Facility Manager with staff performance evaluations.Participates in selection, orientation and training of staff as assigned.Performs and sets-up in-services regarding equipment, supplies and clinical for all staff.Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge.Ensures patients and patient's families are educated regarding pre and post procedure care of vascular access. Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently.As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure.Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge.Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician.Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed.Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with company, federal, state and local regulations.Attends and participates in Governing Body and CQI meetings with physicians, assisting with meeting agenda and gathering of data/material for meetings and reporting on assigned topics.Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers.Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times through regular inspection of facility equipment and operation systems, reporting any malfunctions or maintenance issues.Ensures all blood spills are immediately addressed according to the organization Bloodborne Pathogen Control Policies.Participates in cost control initiatives.  Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies.Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement.Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required.Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law.Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal.Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law.  Ensures medical records are accurate, complete and in compliance with organization policies and procedures prior to discharge of the patient.   Performs chart audits on a regular basis.Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified.Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines.Acts as the Facility Manager in the absence of the manager or at the direction of organization management.Appointed Governing Body positions, takes on primary role of certain position or oversees staff delegated to positions.Complies with HIPPA policies and standards regarding patient information and medical records.Maintain CLIA license with Facility Administrator.Other duties as assigned, within the scope of practice and state regulations.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.Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.  The position requires travel between assigned facilities and various locations within the community.  Travel to regional, Business Unit and Corporate meetings may be required.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.SUPERVISION:Facility direct patient care staff (Staff RNs, LPNs, Radiology Technologist, Surgical , Front Desk Coordinator)  EDUCATION:Graduate of an accredited School of Nursing (R.N.)Current appropriate state licensure and ACLS certification.ASC certification preferredEXPERIENCE AND REQUIRED SKILLS:Minimum of three years' experience preferred in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience.Minimum of three years of Interventional Radiology, scrub experience preferred.Supervisory or management experience within a medical or vascular access environment preferred. Proficiency with the Microsoft office suite is necessary.  Experience with Medical database software.Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.Good communication skills - verbal and written.Certified in BLS & ACLS successfully completed course certifications.              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.EOE, disability/veterans

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PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.  As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES:Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.Participate in patient care plan meetings.Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.Train and orient staff as necessary.Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.Maintain overall shift operation in a safe, efficient, and effective matter.With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.Supervise all documentation of patient information.Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.Assess daily patient care needs and develop and distribute patient care assignments appropriately.Assume primary responsibility in an emergency situation.Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.Monitor and supervise all patient care activity during dialysis and assist as necessary.Collaborate with direct patient care team in making decisions to benefit patient care.Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.Administer medications to patients per physician’s orders.Act as the subject matter expert and as a resource for staff members.Supervise and participate in completion of short and long term care plans.Admit new patients according to facility procedure.Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.Supervise the safe and effective use of all equipment involved in direct patient care.Operate all dialysis related and emergency equipment safely and efficiently when needed.Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.Complete Nurse’s Technical Training Program/Water Quality FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote efficient use of medical supplies.Attend and participate in monthly Quality Assurance meetings.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.Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.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.Travel to regional, Business Unit and Corporate meetings may be required.SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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.EOE, disability/veterans

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On-Site - You will be required to be physically present at the office or workplace during your working hours.Home Therapies Charge RNPaid one on one training and education provided ​Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment​Primarily works in the clinic setting and conducts initial home visits with another staff member present​Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours​PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training.  Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance.   PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY:Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools.Assists with implementing quality goals and develops facility specific action plans to achieve quality standards.Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed.Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives.Responsible for aggressively addressing and acting on adverse events and action thresholds.Ensures all Quality policies and procedures are communicated to and implemented by the facility staff.Maintains integrity of medical records and other administrative and operational records.Complies with all data collections and auditing activities.Maintains facility environmental integrity, including safety.PATIENT RELATED:Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge.May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure.Ensures patients and patient's families are educated regarding post procedure care of vascular access.Acts as a resource for the staff to address patient concerns and questions.Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently.As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure.Identifies and communicates patient related issues to the Facility Manager.Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge.Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician.Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed.Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations.PHYSICIANS:Ensures regular and effective communication with all physicians on an as needed basis.Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings.Attends and participates in CQI meetings with physicians, reporting on assigned topics.Works with the physicians and staff to ensure possession of all necessary instruments and equipment.MAINTENANCE/TECHNICALEnsures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers.Ensures the inspection of all facility equipment on a regular basis.  Report any malfunctions or maintenance issues immediately.Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility.Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times.Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies.ADMINISTRATIVE:Participates in cost control initiatives.  Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies.Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement.Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required.Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law.Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal.  Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient.   Performs chart audits on a regular basis.Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff.Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified.Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines.Coordinates the collection and forwarding of all vendor invoices to the accounting department.Acts as the Facility Manager in the absence of the manager or at the direction of management.Ensure nurses' progress notes are accurate and complete.Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills.Complies with HIPPA policies and standards regarding patient information and medical records.Other 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.  Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.  The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.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.SUPERVISION: May be responsible for the direct supervision of various levels of direct patient care staff.    EDUCATION: Bachelor's Degree preferred; Advanced Degree desirableGraduate of an accredited School of Nursing (R.N.).Current appropriate state licensure and ACLS certification.        EXPERIENCE AND REQUIRED SKILLS:           6 - 8 years' related experience.3+ years' supervisory or project/program management experience preferred.Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience.Minimum of three years of Interventional Radiology, scrub experience preferred.Supervisory or management experience within a medical or vascular access environment preferred. Proficiency with the Microsoft office suite is necessary.  Experience with Medical database software.Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.Good communication skills - verbal and written.Certified in CPR or successfully complete course in CPR certification                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.EOE, disability/veterans

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PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations.· Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.· Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated.· Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.· Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.· Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.· Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.· Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.· Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.· Administers medications as prescribed and documents appropriate medical justification and effectiveness.· Initiates and assists with emergency response measures.· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.· May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.· May be assigned to assist in an Outpatient facility on an as needed basis.· Required to complete CAP requirements to 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.· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.· Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians.· The position requires travel to training/meeting sites and between assigned facilities.· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.SUPERVISION:Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following:· Successful completion of all FKC education and modality specific training requirements for new employees.· Must have a minimum of 9 months experience as a RN.· 6 months experience in acute dialysis 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 all states in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS:· Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN· Minimum 9 months experience as a Registered Nurse, 12 months (preferred).· 6 months acute dialysis experience (preferred)· Hemodialysis and/or ICU experience (preferred).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 representativeEO/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.EOE, disability/veterans

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This position will mainly cover a hospital in Green Bay, but may occasionally need to float to the Fox Valley areaShifts are normally 5:30am-2pm, or until whenever treatments are completedRotating on callPURPOSE AND SCOPE: The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1. The CAP RN 2 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. As a member of the Kidney Disease health care team, the Inpatient Services CAP RN 2 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 and applicable contractual service policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Program Manager (PM) and with the guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2,3, 4 or 5 for the first 3 months of employment.Required to complete CAP program requirements to either maintain the CAP RN 2 level or advance to CAP RN 3. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to manager, appropriate physician, and acute primary nurse.Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care.  Administers medications as prescribed and in accordance with contractual agreement. Ensures nephrology physician orders for assigned patients are received and entered and in the Medical Record. Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures.Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.Promotes infection control, equipment and environmental safety.Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Serves as a 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.  May serve as a Preceptor to new employees.As a Preceptor fulfills the following:Demonstrates, reinforces, and encourages attitudes and actions which are consistent with FKC Mission and Core Values.Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting.Seeks opportunities for new employees and communicates progress to Program Manager.  Provides feedback about new employee's progress to the PM and the Education Department using evaluation tools and direct communication.Completes all documentation in a timely manner.Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and PM.Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills.Performs essential functions of a Supervising Nurse as assigned by the Manager or Charge Nurse.Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies.Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients. Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.Participates in all required staff meetings as scheduled.May be assigned to assist in an Outpatient facility on an as needed basis.        Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. Provides education to staff members regarding updates to policy and procedures as directed by Manager.Participates in education and quality improvement projects at the facility and area level as directed by Manager.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.Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis.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. 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.May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required. Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs).SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs as a designated Supervising Nurse, after the following: Successful completion of all FKC education and modality specific training requirements for new employees plus Must have a minimum of 9 months experience as an RN plus6 months experience in dialysisAchieve and maintain all CAP RN 2 level criteria.EDUCATION: Graduate of an accredited School of Nursing.Current appropriate state licensure.Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS:Entry level for RNs with 2 years or more of nephrology nursing experience within the last two years or BSN plus 1 year of nephrology nursing experience within the last two years.Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN.6 months dialysis experience required to be on-call. Inpatient specific experience (preferred).Successful completion of FKC Education and Training requirements for new employees.Successful completion and maintenance of CPR BLS Certification.Meet all conditions of employment including Ishihara's Color Blindness Test.Successful completion of all annual required education/training/competencies.Successful completion of on-going training and education as assigned or required.Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.EOE, disability/veterans

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PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses.  The CAP RN 1 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.  As a member of the Kidney Disease health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations.   PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care and applicable contractual service policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Program Manager (PM) and with guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2, 3, 4 or 5 for the first 6 months of employment. Expected to complete requirements to advance to the next Inpatient CAP level, for which they qualify, within 24 months from date of hire. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient's primary nurse and others as may be indicated. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to manager, appropriate physician, and acute primary nurse.Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care.  Administers medications as prescribed and in accordance with contractual agreement. Ensures nephrology physician orders for assigned patients are received and entered in the Medical Record. Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner.Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures.Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.Promotes infection control, equipment and environmental safety.Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies.Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients.  Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.Participates in all required staff meetings as scheduled.May be assigned to assist in an Outpatient facility on an as needed basis.    Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. Performs all other duties as assigned by manager within state, federal and contractual standards.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.Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis.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. 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.May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required. Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs). SUPERVISION:  Assigned oversight of Patient Care Technicians/LPNs as a designated Nurse in charge, after the following: Successful completion of all FKC education and modality specific training requirements for new employees plus Must have a minimum of 9 months experience as an RN plus 6 months experience in dialysisEDUCATION: Graduate of an accredited School of Nursing.Current appropriate state licensure.Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS:Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years.Minimum of 9 months experience as a Registered Nurse (preferred).Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN6 months dialysis experience required to be on-call. Hemodialysis and/or ICU experience (preferred).Successful completion of FKC Education and Training requirements for new employees.Successful completion and maintenance of CPR BLS Certification. Meet all conditions of employment including Ishihara's Color Blindness Test. Successful completion of all annual required education/training/competencies.Successful completion of on-going training and education as assigned or requiredFresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.EOE, disability/veterans

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PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.  As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes.     PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.Participate in patient care plan meetings.Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.Train and orient staff as necessary.Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.Maintain overall shift operation in a safe, efficient, and effective matter.With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.Supervise all documentation of patient information.Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately.Assume primary responsibility in an emergency situation.Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.Monitor and supervise all patient care activity during dialysis and assist as necessary.Collaborate with direct patient care team in making decisions to benefit patient care.Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.Administer medications to patients per physician's orders.Act as the subject matter expert and as a resource for staff members.Supervise and participate in completion of short and long term care plans.Admit new patients according to facility procedure.Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.Supervise the safe and effective use of all equipment involved in direct patient care.Operate all dialysis related and emergency equipment safely and efficiently when needed.Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies.Attend and participate in monthly Quality Assurance meetings.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 CONDITIONSThe 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.Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. 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.Travel to regional, Business Unit and Corporate meetings may be required.SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION: Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills - verbal and written.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: $24.00 - $75.00Non-Bonus Eligible Positions: include language below.Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.Bonus Eligible Positions – include language below.Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.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.EOE, disability/veterans

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PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations.· Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.· Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated.· Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.· Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.· Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.· Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.· Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.· Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.· Administers medications as prescribed and documents appropriate medical justification and effectiveness.· Initiates and assists with emergency response measures.· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.· May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.· Required to complete CAP requirements to 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.· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.· Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians.· The position requires travel to training/meeting sites and between assigned facilities.· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.SUPERVISION:Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following:· Successful completion of all FKC education and modality specific training requirements for new employees.· Must have a minimum of 9 months experience as a RN.· 6 months experience in acute dialysis 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 all states in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS:· Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN· Minimum 9 months experience as a Registered Nurse, 12 months (preferred).· 6 months acute dialysis experience (preferred)· Hemodialysis and/or ICU experience (preferred).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 representativeFresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.EOE, disability/veterans

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About this role: As an Acute Dialysis Registered Nurse (RN) with Fresenius Medical Care, you will support patients in a hospital setting within a network of local hospitals. You will use your leadership skills and independence in administering and assessing each patient’s unique treatment plan in a fast-paced environment, working autonomously alongside the inpatient staff in ICU, CCU, and ED units.How you grow or advance: As an Acute Dialysis RN, you will enter our Clinical Advancement Program (CAP) which will allow you to develop clinical leadership skills, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education.Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.PRINCIPAL DUTIES AND RESPONSIBILITIES:As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes in the inpatient environment.Provides safe effective patient care and perform all essential functions of Acute RN under supervision.Documents and enters patient data –before, during and after dialysis treatment.Monitors and recognizes aspects and implications of patient status that vary from normal and modify the treatment plan in collaboration with appropriate healthcare team members.Communicates with dialysis providers and appropriate hospital personnel to provide continuity of patient care.Administers medications as prescribed and in accordance with contractual agreement.Ensures nephrology physician orders for assigned patients are received and entered in the medical record.Be familiar with both Fresenius Medical Care and hospital emergency policies and initiate or assist with emergency response measures.Delegates appropriate tasks to direct patient care staff.Monitors patient care staff for appropriate techniques and adherence to Fresenius Medical Care policy and procedures.Promotes infection control, equipment, and environmental safety.Provides initial and ongoing education to patients and family.Coaches hospital staff on specialized care related to renal replacement and apheresis therapies (as needed).Collaborates with the interdisciplinary team to update the care plan for assigned patients.Completes and document ongoing participation in Continuous Quality Improvement (CQI) activities.Serves as a resource for healthcare team and participates in staff training and orientation of new staff as assigned.Assists in an outpatient facility on an as needed basis.All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care and applicable contractual service policy, procedures, standards of nursing practice, state, and federal regulations.Complete CAP requirements to either maintain or advance within the program.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:Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable, flexible, independent.Minimum of 9 months experience as a Registered Nurse (bonus but not required).Hemodialysis and/or ICU experience (bonus but not required).Minimum 6 months nephrology experience required before working independently and/or be on-call.Successfully pass a Ishihara’s Color Blindness Test.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.Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis.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. 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.May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.Day-to-day work includes desk work, computer work, and interaction with patients, facility/hospital staff, and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required.Position requires participation in on-call rotation. (Nights, weekends, or as defined by individual program needsEO/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.EOE, disability/veterans

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PURPOSE AND SCOPE:The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals’ policies and procedures.  Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience. PRINCIPAL DUTIES AND RESPONSIBILITIES:Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT.Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined – hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis.Assesses patients’ responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician.  Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. Delivers safe, effective care in a timely an efficient manner.Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment.Responsible for the implementation, administration, monitoring, and documentation of patient’s response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed.Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed.Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.Performs all required pre-treatment dialysis machine alarm testing.If applicable, initiates Solution Delivery System.Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies.Completes and documents ongoing participation in QAI activities.Participates in staff meetings as scheduled.Participates in staff training and orientation as assigned.Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basisReview and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.Assist with various projects as assigned by direct supervisor.Other duties as assigned.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.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 accommodations can be made.Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians.  The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events.Position requires on call rotation including night, day, weekend, and holidays.There is potential for exposure to potentially infectious material and contagious diseases/material.  200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet. SUPERVISION: Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT.EDUCATION:Current appropriate state licensure.Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services).Must meet the practice requirements in the state in which employed.Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.EXPERIENCE AND REQUIRED SKILLS: One year RN experience required and required nursing skills.Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services.Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services.Demonstrated strong assessment skills related to the critically ill patient.ICU experience preferred but not required.Successful completion of training course in the theory and practice of care of the ESRD patient – Progressive Renal Education Preparation.BLS CPR Recognition.ACLS CPR Recognition preferred, but not required.Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff).Successful completion of Nurses Technical Training.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.EOE, disability/veterans

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PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.  As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES:Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.Participate in patient care plan meetings.Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.Train and orient staff as necessary.Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.Maintain overall shift operation in a safe, efficient, and effective matter.With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.Supervise all documentation of patient information.Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.Assess daily patient care needs and develop and distribute patient care assignments appropriately.Assume primary responsibility in an emergency situation.Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.Monitor and supervise all patient care activity during dialysis and assist as necessary.Collaborate with direct patient care team in making decisions to benefit patient care.Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.Administer medications to patients per physician’s orders.Act as the subject matter expert and as a resource for staff members.Supervise and participate in completion of short and long term care plans.Admit new patients according to facility procedure.Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.Supervise the safe and effective use of all equipment involved in direct patient care.Operate all dialysis related and emergency equipment safely and efficiently when needed.Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.Complete Nurse’s Technical Training Program/Water Quality FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote efficient use of medical supplies.Attend and participate in monthly Quality Assurance meetings.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.Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.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.Travel to regional, Business Unit and Corporate meetings may be required.SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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.EOE, disability/veterans

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On-Site - You will be required to be physically present at the office or workplace during your working hours.Home Therapies Charge RNPaid one on one training and education provided ​Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment​Primarily works in the clinic setting and conducts initial home visits with another staff member present​Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours​PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training.  Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance.   PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY:Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools.Assists with implementing quality goals and develops facility specific action plans to achieve quality standards.Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed.Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives.Responsible for aggressively addressing and acting on adverse events and action thresholds.Ensures all Quality policies and procedures are communicated to and implemented by the facility staff.Maintains integrity of medical records and other administrative and operational records.Complies with all data collections and auditing activities.Maintains facility environmental integrity, including safety.PATIENT RELATED:Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge.May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure.Ensures patients and patient's families are educated regarding post procedure care of vascular access.Acts as a resource for the staff to address patient concerns and questions.Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently.As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure.Identifies and communicates patient related issues to the Facility Manager.Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge.Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician.Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed.Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations.PHYSICIANS:Ensures regular and effective communication with all physicians on an as needed basis.Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings.Attends and participates in CQI meetings with physicians, reporting on assigned topics.Works with the physicians and staff to ensure possession of all necessary instruments and equipment.MAINTENANCE/TECHNICALEnsures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers.Ensures the inspection of all facility equipment on a regular basis.  Report any malfunctions or maintenance issues immediately.Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility.Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times.Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies.ADMINISTRATIVE:Participates in cost control initiatives.  Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies.Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement.Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required.Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law.Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal.  Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient.   Performs chart audits on a regular basis.Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff.Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified.Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines.Coordinates the collection and forwarding of all vendor invoices to the accounting department.Acts as the Facility Manager in the absence of the manager or at the direction of management.Ensure nurses' progress notes are accurate and complete.Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills.Complies with HIPPA policies and standards regarding patient information and medical records.Other 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.  Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.  The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.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.SUPERVISION: May be responsible for the direct supervision of various levels of direct patient care staff.    EDUCATION: Bachelor's Degree preferred; Advanced Degree desirableGraduate of an accredited School of Nursing (R.N.).Current appropriate state licensure and ACLS certification.        EXPERIENCE AND REQUIRED SKILLS:           6 - 8 years' related experience.3+ years' supervisory or project/program management experience preferred.Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience.Minimum of three years of Interventional Radiology, scrub experience preferred.Supervisory or management experience within a medical or vascular access environment preferred. Proficiency with the Microsoft office suite is necessary.  Experience with Medical database software.Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.Good communication skills - verbal and written.Certified in CPR or successfully complete course in CPR certification                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.EOE, disability/veterans

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PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations.· Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.· Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated.· Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.· Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.· Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.· Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.· Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.· Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.· Administers medications as prescribed and documents appropriate medical justification and effectiveness.· Initiates and assists with emergency response measures.· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.· May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.· May be assigned to assist in an Outpatient facility on an as needed basis.· Required to complete CAP requirements to 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.· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.· Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians.· The position requires travel to training/meeting sites and between assigned facilities.· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.SUPERVISION:Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following:· Successful completion of all FKC education and modality specific training requirements for new employees.· Must have a minimum of 9 months experience as a RN.· 6 months experience in acute dialysis 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 all states in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS:· Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN· Minimum 9 months experience as a Registered Nurse, 12 months (preferred).· 6 months acute dialysis experience (preferred)· Hemodialysis and/or ICU experience (preferred).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 representativeEO/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.EOE, disability/veterans

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This position will mainly cover a hospital in Green Bay, but may occasionally need to float to the Fox Valley areaShifts are normally 5:30am-2pm, or until whenever treatments are completedRotating on callPURPOSE AND SCOPE: The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1. The CAP RN 2 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. As a member of the Kidney Disease health care team, the Inpatient Services CAP RN 2 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 and applicable contractual service policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Program Manager (PM) and with the guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2,3, 4 or 5 for the first 3 months of employment.Required to complete CAP program requirements to either maintain the CAP RN 2 level or advance to CAP RN 3. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to manager, appropriate physician, and acute primary nurse.Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care.  Administers medications as prescribed and in accordance with contractual agreement. Ensures nephrology physician orders for assigned patients are received and entered and in the Medical Record. Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures.Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.Promotes infection control, equipment and environmental safety.Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Serves as a 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.  May serve as a Preceptor to new employees.As a Preceptor fulfills the following:Demonstrates, reinforces, and encourages attitudes and actions which are consistent with FKC Mission and Core Values.Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting.Seeks opportunities for new employees and communicates progress to Program Manager.  Provides feedback about new employee's progress to the PM and the Education Department using evaluation tools and direct communication.Completes all documentation in a timely manner.Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and PM.Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills.Performs essential functions of a Supervising Nurse as assigned by the Manager or Charge Nurse.Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies.Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients. Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.Participates in all required staff meetings as scheduled.May be assigned to assist in an Outpatient facility on an as needed basis.        Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. Provides education to staff members regarding updates to policy and procedures as directed by Manager.Participates in education and quality improvement projects at the facility and area level as directed by Manager.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.Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis.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. 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.May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required. Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs).SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs as a designated Supervising Nurse, after the following: Successful completion of all FKC education and modality specific training requirements for new employees plus Must have a minimum of 9 months experience as an RN plus6 months experience in dialysisAchieve and maintain all CAP RN 2 level criteria.EDUCATION: Graduate of an accredited School of Nursing.Current appropriate state licensure.Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS:Entry level for RNs with 2 years or more of nephrology nursing experience within the last two years or BSN plus 1 year of nephrology nursing experience within the last two years.Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN.6 months dialysis experience required to be on-call. Inpatient specific experience (preferred).Successful completion of FKC Education and Training requirements for new employees.Successful completion and maintenance of CPR BLS Certification.Meet all conditions of employment including Ishihara's Color Blindness Test.Successful completion of all annual required education/training/competencies.Successful completion of on-going training and education as assigned or required.Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.EOE, disability/veterans

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