Charge Registered Nurse - RN

apartment Fresenius Medical Care location_onNew York, NY, US

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 Manager
Assist 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 dialysis
RN 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.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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One year of acute care nursing experience preferred for areas other than medical surgical or step-down BLS certification (through American Heart Association) is required. ACLS certification (through American Heart Association) is required for all RNs, except for NICU and OR RNs. All newly hired, inexperienced nurses must receive this certification within 12 months. All newly hired, experienced nurses must receive this certification within 6 months. PALS certification (through American Heart Association) is required for all RNs working in the PACU, 5I Pediatrics, Emergency Department, Armonk Urgent Care, Ambulatory Surgery and 226 Ambulatory Surgery Center. All newly hired, inexperienced nurses must receive this certification within 12 months. All newly hired, experienced nurses must receive this certification within 6 months. NRP certification is required for all RNs working in the Mother-Baby unit, Labor & Delivery, and NICU. All newly hired nurses to the NICU, L&D, and Mother-Baby must receive this certification within 6 months. Effective 10/31/25 all RNs working on 5I are required to have NRP. Experienced RNs will have 6 months to obtain and new graduates will have 12 months. All registered nurses and advanced practice nurses providing direct oncology care must demonstrate one of the following: Current cancer-specific certification in the nurse’s specialty by an accredited certification program. Oncology nursing certifications that qualify include, but are not limited to: AOCNP®, AOCNS®, AOCN®, BMTCN®, CPHON®, CPON®, CBCN® OCN® or Ongoing education by earning 36 cancer-related continuing education nursing contact hours every 3 years (maintained by department manager) Registered Nurses in the Emergency Department must complete de-escalation training within 1 year of hire to transfer to the Emergency Department. Successful completion of Department and Unit Orientation Program. Core Competencies Teamwork & Adaptability Acts as a Professional Role Model Assessment Skills Excellent Communication Skills (both verbal and written) Attention to Detail Planning & Organizing Sound Problem-Solving, Judgment and Decision-Making Skills Stress Tolerance Physical/Mental Demands/Requirements & Work Environment May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) database and accessed through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS database can also be found at the hospital switchboard, saved on a disc. Position requires ability to move about freely at least 85 per cent of the time. Must be able to remain stationary for extended/prolonged periods Frequently moves/transports objects up to fifty (50) pounds and must be able to move patients of all weights with a minimum of one (1) assist or assistive device/equipment Must be able to work in environment with continuous interruptions Must be able to assess and respond to rapidly changing situational needs of patients, department and hospital Must be able to adapt in a high stress and fast-paced environment with multiple interruptions Must be able to detect sounds and respond to emergency sounds/signals at all times Must be able to constantly operate computer, equipment and other devices Position requires ability to concentrate on fine detail with interruptions and attend to tasks for more than sixty (60) minutes at a time. Individual must be able to understand and relate to theories behind several related concepts and remember multiple tasks given during the course of a day. Primary Population Served Check Appropriate Box(s) Below Neonatal (birth – 28 days) Patients with exceptional communication needs Infant (29 days – less than 1 year) Patients with developmental delays Pediatric (1 – 12 years) Patients at end of life Adolescent (13 – 17 years) Patients under isolation precautions Adult (18 – 64 years) Patients with cultural needs Geriatric (> 65 years) â˜’All populations Bariatric Patients with weight related comorbidities Non-patient care population The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital. Salary Range: $117,695-$152,756 (Based on FT hours)