Dialysis Transitional Care Registered Nurse – RN

apartment Fresenius Medical Care location_onIndianapolis, IN, US

PURPOSE AND SCOPE:

The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.
Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.
Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapies to assigned patients.
Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility and area level.
Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
Ensures patient awareness related to transplant and treatment modality options.
Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.
Performs assessment and identifies barriers of the Home Dialysis candidate’s home environment and partner/ family readiness and ability to perform dialysis treatments in the home.
Trains home dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through a formal standardized Home Dialysis Training Program.
Participates in education and quality improvement projects at the facility and area level as directed by Supervisor.
May serve as a Preceptor to new employees.
Required to complete CAP requirements to either 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.
Rotates coverage with other licensed home therapy staff as assigned to ensure reliable and adequate coverage.
Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.
The position may require travel to training sites, other facilities and patient homes.
May be asked to provide essential functions of this position in other locations including patient’s home 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.

SUPERVISION:

Assigned oversight of RNs, LPNs/LVNs, Patient Care Technicians and Home Therapies Care Team Assistants as a Team Leader or designated Nurse in Charge, after meeting all the following:

Successful completion of all FKC education and training requirements for new employees.
Must have a minimum of 3 months experience home dialysis therapies as a RN.

EDUCATION and LICENSURE:

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification
Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

Entry level for RNs with a minimum of 2 years or more of Nephrology Nursing experience within the last 2 years as a RN.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

Share this job

Related Jobs

Full-time

Patient Clinical Navigator RN

apartment Riverview Health location_onNoblesville, IN

Job Summary The Patient Navigator is a Registered Nurse who monitors the interdisciplinary components of inpatient programs to ensure consistency with the overall strategic plan of the hospital. This position serves as the primary resource for patients and their health care partners in the navigation of the health care experience for medical health issues. Job Responsibilities Assist medical and support staff with communications and education of patients and their families. Provide case management services for all physicians as necessary. Collaborate with and serve as a resource for multi-disciplinary departments and provide expertise and guidance as needed for patients. Maintain relevant policies and procedures, patient education materials, outcomes data collection, quality improvement efforts and deliver staff education with a focus on patient care and safety. Collaborate with providers and marketing in the development and delivery of educational sessions, community events and patient symposiums. Provide education to patients and families regarding their hospital stay and discharge instructions. Serve as a liaison between patients, physicians' offices and nursing units for delivery of care. Contact and follow patients throughout their plan of care, ensuring compliance with hospital practices and procedures, responding promptly and thoroughly to questions and clarification of medical terminology, etc. Triages concerns, received through both formal and information reporting, to the appropriate resource for resolution, in a professional and timely manner for follow up. May provide direct patient care (as needed) which would require fulfillment of the staff nurse position, maintenance of all required licenses and certifications, and completion of annual skills assessment. May develop and deliver training to patients and staff. All other duties as assigned. Education Requirements Minimum: Associate degree from an accredited school of Nursing Preferred: Bachelor’s degree from an accredited school of Nursing Experience Requirements Minimum: Two (2) years’ current Inpatient Medical hospital experience. One year of navigation or collaborative experience in health-related field. Preferred: Two (2) or more years of navigation experience in a healthcare environment with experience working in a collaborative team model. License/Certification Requirements Registered Nurse valid to practice in Indiana BLS (American Heart Association) ACLS (American Heart Association)

Oncology

Full-time

RN Specialty Care Medical Oncology

apartment Riverview Health location_onNoblesville, IN

Job Summary The Medical Oncology Office Registered Nurse (RN) prepares and assists physicians or advance practice providers in the examination and treatment of patients in the medical office. The Registered Nurse performs patient assessment and triage, arranges diagnostic testing and hospital admissions, administers patient medication and performs diagnostic testing in the medical office setting. The Registered Nurse also works as part of the team in maintaining exam rooms and supplies and providing exceptional customer service. Job Responsibilities Prepare patients for physician examination. This includes gathering patient assessment information relating to the patient's learning and education ability, patient education and patient family education, measuring and recording vital signs, and accurately documenting the information in a timely manner in patient charts. Perform telephone triage, communicate and adjudicate physician/provider orders. Provide legible and signature authenticated documentation, as needed, of all actions taken, accurately and timely, to the patient's medical record. Perform phlebotomy, administer injections, immunizations and other special procedures demonstrating skills in the principles of infection prevention, reduction and controls appropriate for the medical setting. Provide follow-up care for patients that includes, but is not limited to: arranging diagnostic testing, specialist appointments, hospital admissions, etc. Perform Quality Assurance functions and procedures necessary to meet and maintain regulatory requirements. Work cohesively as a member of the care delivery team in maintaining waiting areas, examination rooms, back office area, equipment and supplies. Also attend scheduled department meetings and continuously monitor organizational communications to ensure currency of knowledge on information and procedures. Perform laboratory testing in compliance with written policies and procedures that meet the requirements of Testing Personnel under Clinical Laboratory Improvement Act '88 (CLIA) Other duties as assigned. Education Requirements Minimum: Associate of Science degree from an accredited school of nursing. Preferred: Bachelor of Science in Nursing Experience Requirements Minimum: Previous patient care experience Preferred: One (1) year previous medical office experience in the office specialty area License/Certification Requirements Minimum: Registered Nurse license, in good standing, in the state of Indiana by date of hire or transfer into the position Basic Life Safety (American Heart Association)

ICU

Full-time

RN Critical Care Full Time Night Shift: 5p-5a

apartment Riverview Health location_onNoblesville, IN

Job Summary The Critical Care staff RN provides direct and indirect care to patients through assessment, plan of care creation and implementation and coordination with other care providers within the hospital system. This position provides guidance of support to personnel and guides nursing care in the critical care departments. Job Responsibilities : Creates, and implements, a written plan of care that addresses the specific needs and goals of each individual patient, making referrals to other professional services as required. Modifies the plan of care based on reassessment of the patient including observed patient response to treatment/care and evaluation of patient's progress toward goal completion and delegates tasks to team members, as appropriate within their scope of practice. Observes, documents, addresses, and implements planned interventions/care, communicating the plan to all members of the team through accurate and timely documentation in the electronic medical record and, when needed, through verbal reports. Documents accurate patient information in compliance with policies and regulatory requirements. Assist with medical procedures as prescribed by the treating physicians. Maintain working knowledge of equipment and procedures utilized in critical care setting. Administers medications, accurately and timely according to physician orders and organizational policy and procedure. Maintains knowledge of medication actions and side effects, recognizing allergic reactions and documenting patients’ response to drugs. Successfully transitions patients, communicating the most current plan of care, through walking rounds and providing accurate, timely report to incoming staff. Advises physicians, other disciplines, family/significant others of changes in patient's condition or abnormal findings. Communicates clearly and concisely. Provides clear, specific educational and discharge information to each patient and/or patient family member. May precept new employees and oversee other members of the care team. Attends department meetings. Education Requirements: Minimum: Associate of Science from an accredited school of nursing by date of hire to the position. Preferred: Bachelor of Science in Nursing Experience Requirements: Minimum: One (1) year critical care/progressive care experience Preferred: Two (2) years License / Certification Requirements: Registered Nurse license valid to practice in Indiana Basic Life Safety (American Heart Association) Advanced Cardiac Life Support within six (6) months of hire into the position (AHA)

Labor and Delivery

Pediatric

Full-time

RN Level II Special Care Nursery/Labor and Delivery Nights

apartment Riverview Health location_onNoblesville, IN

Job Responsibilities Create and implement a written plan of care that addresses the specific needs and goals of each individual patient, making referrals to other professional services as required. Modifies the plan of care based on reassessment of the patient including observed patient response to treatment/care and evaluation of patient's progress toward goal completion and delegates tasks to team members, as appropriate within their scope of practice. Observe, document, address, and implement planned interventions/care, communicating the plan to all members of the team through accurate and timely documentation in the electronic medical record and, when needed, through verbal reports. Documents accurate patient information in compliance with policies and regulatory requirements. Provide patient care through the performance of selective procedures that include but are not limited to IV starts and restarts, blood administration and phlebotomy tasks, answering call lights and serving as testing personnel under CLIA1988 regulations as they relate to point of care testing. Administer medications, accurately and timely according to physician orders and organizational policy and procedure. Maintains knowledge of medication actions and side effects, recognizing allergic reactions and documenting patients’ response to drugs. Successfully transition patients, communicating the most current plan of care, through walking rounds and providing accurate, timely report to incoming staff. Advise physicians, other disciplines, family/significant others of changes in patient's condition or abnormal findings. Communicate clearly and concisely. Provide clear, specific educational and discharge information to each patient and/or patient family member. May precept new employees and oversee other members of the care team. Other duties as assigned. Education Requirements Minimum: Graduate from an accredited school of nursing by date of hire to the position Preferred: Bachelor of or Science in Nursing Experience Requirements Minimum: None Preferred: One (1) year as a Registered Nurse in a hospital setting License/Certification Requirements Minimum: RN license in the state of Indiana by date of hire to the position. Advanced Cardiac Life Support within six (6) months of hire (American Heart Association) Basic Life Safety (American Heart Association) NRP S.T.A.B.L.E. for Nursery staff. Basic Telemetry may be required for labor and delivery staff at management discretion.

Full-time

Registered Nurse Emergency - Day Shift

apartment Riverview Health location_onNoblesville, IN

Job Summary The Registered Nurse, Emergency Department is responsible for handling initial patient assessments, performing laboratory work, point of care testing and administrative tasks associated with the delivery of patient care. The Emergency Department Registered Nurse collaborates with physicians regarding discharge plans, creates and educates patients upon discharge from the Emergency Department and works effectively in transferring patients who are admitted to the hospital. Job Responsibilities Triages patients who present to the Emergency Department, prioritizing care based on the critical nature and severity of a patient’s condition. Assesses patient condition through visual evaluation, medication reconciliation, and vital sign measurements such as: blood pressure reading pulse rate, respiration, and temperature throughout the course of a patient’s stay in the Emergency Department. Administers medication and assists with medical procedures as prescribed by the treating physician. Monitors patients for changes in condition and communicates timely and effectively with those involved in the welfare, care or treatment of the patient in compliance with applicable policies and regulations. Partners with other members of the patient care treatment team in the provision of procedures, interventions, discharge or admission processes. Charts all patient medical history, contact information, condition, medications, and treatment as well as update the electronic medical record throughout the patient stay in the Emergency Department. Charting is accurate and consistent with applicable department and organization standards. Discharges patients from the Emergency Room post treatment. Completes discharge instructions, educates the patient and/or caregiver ensuring understanding of the instructions, answers questions, and confirms transportation from the Emergency Department. Other duties as assigned or required. Education Requirements Minimum: Graduate of an accredited Registered Nurse Program by date of hire. Experience Requirements Minimum: Two (2) years of Critical Care experience. Preferred: Two (2) years of Emergency Department experience. License/Certification Requirements Minimum: American Heart Association Certifications of: Basic Life Support (BLS) – upon date of hire Advanced Cardiac Life Support (ACLS) – within 90 days of hire or transfer to position Pediatric Advanced Life Support (PALS) – within 90 days of hire or transfer to position Registered Nurse – licensed to practice in the state of Indiana upon hire date Preferred: CEN, TNCC, ENPC, NRP