New Graduate Registered Nurse - RN

apartment Fresenius Medical Care location_onAuburn, AL

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner. PRINCIPAL DUTIES AND RESPONSIBILITIES: STAFF RELATED: Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. Assesses daily patient care needs and develops appropriate patient care assignments. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. PATIENT RELATED: Education: Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. Discusses with patient, and records education related to diet/fluid and medication compliance. Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). Ensures transplant awareness, modality awareness, and drive catheter reduction. Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Dialysis Treatment: Provides safe and effective delivery of care to patients with ESRD. Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. Identifies and communicates patient related issues to Team Leader or physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Laboratory-related: Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. General duties: Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. Maintains overall shift operation in a safe, efficient, and effective manner. Act as a resource for other staff members. Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. Oversees all documentation of patient information. Maintains facility drug list for all required stock medications. Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. Ensures verification and availability of adequate emergency equipment. Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. Maintains appropriate recording of controlled substances as required by law. Assists with the coordination of patient transportation if necessary. MAINTENANCE/TECHNICAL: Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. MEDICAL RECORDS & DOCUMENTATION: General Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Daily Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Monthly Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Annually Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. OTHER: As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately. Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs. Maintain regular and punctual attendance. Perform other related 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. The position provides direct patient c a r e tha t regularl y involve s heav y liftin g and moving of patients and assisting with ambulation . Equipmen t aid s and/o r cow o rkers may provide assistance. This po s ition 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, machine s an d equipmen t o f u p t o 20 0 lbs. , an d ma y lif t chemica l an d water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a healt h car e facilit y wit h ai r temperatu r e control and moderate noise levels. May b e 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 the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None EDUCATION : Graduate of an accredited School of Nursing. Current appropriate state Temporary Permit. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS : 0 – 1 year’s related experience. ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. ADDENDUM: Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed-Nurse-50-State-Review-Training-TracksFinal-5-19.pdf . For additional information please contact your Regional Education Coordinator. Fresenius Medical Care North America 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

RN

Per Diem

RN Tier 3 PRN

apartment ScionHealth location_onColumbus, GA

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Under the direction of the Clinical Coordinator and/or Nursing Unit Director, perform nursing patient care duties for the assigned unit or department. Plan, provide, and evaluate total nursing care in accordance with the established patient care philosophy. Facilitate individualized, goal-directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Relate effectively with other shifts for continuity of care, maintain satisfactory relations with other departments and nursing units; and participate in all phases of education. Essential Functions Identifies existing and potential problems and seek or implement appropriate solutions Performs plan of care interventions, including specimen collection and wound care May administer medication Documents patient care given. Provides nursing care through planning, organizing, and facilitating the nursing function for assigned patients Assists patients with performing activities of daily living, including personal hygiene, elimination, nutrition, and ambulation Monitors, documents, and communicates patient's status and reactions to interventions with RN, physician, patient, and families Works as an advocate for the physical and emotional well-being of the patient Knowledge/Skills/Abilities/Expectations Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision Must be able to work in a stressful environment and take appropriate action Qualifications Education Associates degree in Nursing Required Bachelors degree in Nursing Preferred Licenses/Certifications Basic Life Support (BLS)-Required ACLS within 6 months of hire PALS within 6 months of hire Handle with Care Certification within 6 months Valid licensure in the State as a Registered Nurse (RN) Experience Six (6) months of experience as a Registered Nurse (RN) in a direct patient care setting unless entering into the Nurse Residency Program

RN

ICU

Full-time

RN Full Time Days - MSICU

apartment ScionHealth location_onColumbus, GA

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) - ICU provides comprehensive nursing care to critically ill patients in the Intensive Care Unit. The RN monitors hemodynamic status, administers medications, performs assessments, and collaborates with the interdisciplinary care team. The RN ensures optimal patient outcomes through adherence to clinical protocols, safety guidelines, and effective communication with patients and families. Essential Functions Provides direct and indirect patient care in a critical care setting, including hemodynamic monitoring and management of critically ill patients Administers medications, monitors for side effects, and responds to adverse events Performs comprehensive assessments, including head-to-toe assessments, pain assessments, and reassessments Develops and implements individualized care plans based on patient condition and response to treatment Collaborates with physicians, respiratory therapists, and other healthcare providers to optimize patient care Educates patients and families on treatment plans, medication regimens, and discharge instructions Participates in emergency response and crisis management, including code blue and rapid response situations Assists in invasive procedures, including central line insertions and arterial line placements Adheres to infection control protocols and maintains a safe environment for patients and staff Documents patient care activities, assessments, and interventions accurately and timely in the electronic medical record (EMR) Knowledge/Skills/Abilities/Expectations Advanced clinical knowledge in critical care nursing and emergency response Strong communication and interpersonal skills Ability to prioritize tasks and manage multiple responsibilities effectively Proficiency in electronic medical records (EMR) and medical equipment operation Demonstrates professionalism, integrity, and a commitment to patient-centered care Ability to lift up to 50 lbs and perform extended periods of standing, walking, and physical activity Qualifications Education Associate Degree in Nursing (ADN) required Bachelor of Science in Nursing (BSN) preferred License/Certification Current RN license in the state of practice or compact state required Basic Life Support (BLS) Certification within timeframe specified by facility policy Advanced Cardiovascular Life Support (ACLS) Certification within timeframe specified by facility policy Pediatric Advanced Life Support (PALS) Certification preferred De-escalation Training required Experience Minimum of six (6) months of experience in an acute care setting preferred

RN

Psych

Full-time

Registered Nurse Crisis Stabilization Unit, Full Time Night

apartment ScionHealth location_onColumbus, GA

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Responsible for directing and coordinating all nursing care based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Essential Functions Ability to practice nursing as described by the following definition: “The diagnosis and treatment of human responses to actual or potential health alterations.” Ability to utilize the nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers, and providing education to patients and/or significant others. The successful candidate will be required to pass competencies for this position. Involves discretion and independent action within prescribed limits. Collects patient health data Determines the priority of data collection based on the patient’s immediate condition or needs. Collects pertinent data using appropriate assessment techniques. Involves the patient, significant others, and health care providers in data collection when appropriate. Ensures that the data collection process is systematic and ongoing. Documents relevant data in the medial record according to hospital standards. Analyzes the assessment data in determining diagnoses/patient problems. Derives diagnoses/patient problems from the assessment data. Validates diagnoses/patient problems with the patient, significant other, and health care providers, when possible. Documents diagnoses/patient problems in a manner that facilitates the determination of expected outcomes and plan. Identifies expected outcomes individualized to the patient. Derives outcomes from the diagnoses/patient problems. Documents outcomes as measurable goals. Formulates outcomes mutually with the patient and health care providers, when possible. Ensures outcomes are realistic in relation to the patient’s present and potential capabilities. Ensures outcomes are attainable in relation to resources available to the patient. Ensures outcomes include a time estimate for attainment. Ensures outcomes provide direction for continuity of care. Anticipates potential problems situations and intervenes to offset any adverse impact. Develops a plan of care that prescribes interventions to attain expected outcomes. Individualizes the plan to the patient’s condition or need. Develops the plan with the patient, significant others, and health care providers, when appropriate. Ensures the plan reflects current nursing practice. Documents the plan. Provides continuity of care in the plan. Implements the interventions identified in the plan of care. Establishes interventions that are consistent with the plan of care. Implements interventions in a safe and appropriate manner. Documents interventions. Evaluates the patient’s progress toward attainment of outcomes. Ensures evaluation is systematic and ongoing. Documents patient’s responses to interventions. Evaluates the effectiveness of interventions in relation to outcomes. Utilizes ongoing assessment data to revise diagnoses/patient problems, outcomes, and the plan of care, as needed. Documents revisions in diagnoses/patient problems, outcomes, and the plan of care. Involves the patient, significant others, and health care providers in the evaluation process, when appropriate. Participates in quality-of-care activities as appropriate to include but not limited to: Identification of aspects of care important for quality monitoring. Identification of indicators used to monitor quality and effectiveness of nursing care. Collection of data to monitor quality and effectiveness of nursing care. Analysis of quality data to identify opportunities for improving care. Formulation of recommendations to improve nursing care or patient outcomes. Implementation of activities to enhance the quality of nursing practice. Utilizes the results of quality-of-care activities to initiate changes in practice. Other duties as assigned. Qualifications Education Bachelor’s Degree preferred Graduate of an accredited school of professional nursing Licenses/Certifications Current RN license in the state of practice or compact state required Experience Minimum of one year of hospital clinical experience preferred

RN Full Time Nights - ICU Stepdown

apartment ScionHealth location_onColumbus, GA

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) - ICU provides comprehensive nursing care to critically ill patients in the Intensive Care Unit. The RN monitors hemodynamic status, administers medications, performs assessments, and collaborates with the interdisciplinary care team. The RN ensures optimal patient outcomes through adherence to clinical protocols, safety guidelines, and effective communication with patients and families. Essential Functions Provides direct and indirect patient care in a critical care setting, including hemodynamic monitoring and management of critically ill patients Administers medications, monitors for side effects, and responds to adverse events Performs comprehensive assessments, including head-to-toe assessments, pain assessments, and reassessments Develops and implements individualized care plans based on patient condition and response to treatment Collaborates with physicians, respiratory therapists, and other healthcare providers to optimize patient care Educates patients and families on treatment plans, medication regimens, and discharge instructions Participates in emergency response and crisis management, including code blue and rapid response situations Assists in invasive procedures, including central line insertions and arterial line placements Adheres to infection control protocols and maintains a safe environment for patients and staff Documents patient care activities, assessments, and interventions accurately and timely in the electronic medical record (EMR) Knowledge/Skills/Abilities/Expectations Advanced clinical knowledge in critical care nursing and emergency response Strong communication and interpersonal skills Ability to prioritize tasks and manage multiple responsibilities effectively Proficiency in electronic medical records (EMR) and medical equipment operation Demonstrates professionalism, integrity, and a commitment to patient-centered care Ability to lift up to 50 lbs and perform extended periods of standing, walking, and physical activity Qualifications Education Associate Degree in Nursing (ADN) required Bachelor of Science in Nursing (BSN) preferred License/Certification Current RN license in the state of practice or compact state required Basic Life Support (BLS) Certification within timeframe specified by facility policy Advanced Cardiovascular Life Support (ACLS) Certification within timeframe specified by facility policy Pediatric Advanced Life Support (PALS) Certification preferred De-escalation Training required Experience Minimum of six (6) months of experience in an acute care setting preferred

Nurse RN

Overview

Responsibilities

Qualifications

Related Jobs

New Graduate Registered Nurse - RN

RN Tier 3 PRN

RN Full Time Days - MSICU

Registered Nurse Crisis Stabilization Unit, Full Time Night

RN Full Time Nights - ICU Stepdown