Part-time 20 hours per week PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as 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. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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. 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. 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. 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. 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. 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. 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. 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. 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. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. Performs additional 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. 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. 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 the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS : Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. Provide coverage at any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate state requirements (if any). 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: $41.00 - $58.00 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
Join our team as a Registered Nurse with a $7,500 Retention Bonus! The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for passionate Registered Nurses to help us with providing professional nursing care to residents following established policies and procedures of the facility. Administers medications/treatments as ordered by the physician and according to policy and procedures. Takes telephone orders from physicians and transcribes orders to new medication administration record, the pre-printed physician order sheet, resident chart, treatment/care plans as appropriate. Maintains & orders appropriate inventory of resident medications and medical stock supplies. Conducts accurate physical assessments of residents, determines their needs and implements appropriate interventions to meet those needs. Performs assessments on admission, transfer and/or discharges. Requirements: Graduate of an accredited school of nursing. Current license as a Registered Nurse in the State of Hawaii required. Experience in geriatrics and current nursing standards of practice preferred. Knowledge of medical terminology and abbreviation required. First Aid and CPR preferred (can be done in-house). The Benefits: $7,500 Retention Bonus! Paid Time Off (PTO) & Extended Sick Leave (ESL) benefits Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team. FT Noc Shift 10pm - 6:30am
Hourly Rate: CNA $20/hr We are seeking a dedicated and compassionate Healthcare Professional to join our team in Hawaii. The ideal candidate will have experience in a healthcare setting and a passion for providing high-quality care to patients. Responsibilities: Provide direct care to patients, including taking medical histories, conducting exams, and developing treatment plans Collaborate with other healthcare professionals to coordinate care and ensure optimal patient outcomes Educate patients and their families on healthcare and wellness topics Record and maintain accurate patient medical records Things We Look For (Not Required): A degree in a healthcare field (e.g. nursing, medicine, etc.) Experience in a healthcare setting Strong communication and interpersonal skills A passion for providing exceptional patient care Qualifications: CNA Current CPR/First Aid Certification Current TB test Valid Driver's License Valid Vehicle Insurance Must Live on the Big Island If you are a healthcare professional looking to join a dynamic and dedicated team in a beautiful location, we encourage you to apply. Please submit your resume and a cover letter explaining why you would be a good fit for this position. We look forward to hearing from you! Job Types: Full-time, Part-time, Contract
Hourly Rate: CNA $20/hr We are seeking a dedicated and compassionate Healthcare Professional to join our team in Hawaii. The ideal candidate will have experience in a healthcare setting and a passion for providing high-quality care to patients. Responsibilities: Provide direct care to patients, including taking medical histories, conducting exams, and developing treatment plans Collaborate with other healthcare professionals to coordinate care and ensure optimal patient outcomes Educate patients and their families on healthcare and wellness topics Record and maintain accurate patient medical records Things We Look For (Not Required): A degree in a healthcare field (e.g. nursing, medicine, etc.) Experience in a healthcare setting Strong communication and interpersonal skills A passion for providing exceptional patient care Qualifications: Current CPR/First Aid Certification Current TB test Valid Driver's License Valid Vehicle Insurance Must Live on the Big Island If you are a healthcare professional looking to join a dynamic and dedicated team in a beautiful location, we encourage you to apply. Please submit your resume and a cover letter explaining why you would be a good fit for this position. We look forward to hearing from you! Job Types: Full-time, Part-time, Contract
Start your caring career with Ohana. Scholarship opportunities available if you are currently enrolled in a State Approved Nurse Aide Training Program. The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for passionate Certified Nurse Aides (CNA) to help us with providing nursing care and services for residents, that include personal and restorative care and activities of daily living. Ohana Certified Nurse Aides (CNAs) orient residents to the unit and facility: Bathroom, call system, shower schedule, and lanai/common areas; introduces residents at table; informs of meal schedule and snack times; and informs of activity calendar and where activities are held. Certified Nurse Aides (CNAs) respond to resident calls, call bells, call lights, alarms immediately. Responds to family requests immediately. Informs Charge Nurse when required. Requirements: High School Diploma or equivalent. / Minimum age of 18. Certified Nurse Aide (CNA) certification with the State of Hawaii or currently enrolled in a State Approved Nurse Aide Program. Current and valid 2 Step TB clearance (can be done in-house). The Benefits: CNA Scholarship – Financial Assistance available at various communities Paid Time Off (PTO) Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.
Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for passionate Licensed Practical Nurses to help us with providing professional nursing care to residents following established policies and procedures of the facility. Administers medications and treatments as ordered by the physician and according to policy and procedures. Takes telephone orders from physicians and transcribes orders to new medication administration record, the pre-printed physician order sheet, resident chart, treatment/care plans as appropriate. Maintains appropriate inventory of resident medications and medical stock supplies. Orders required medications/treatments from the pharmacy / other supplier. Conducts accurate physical assessments of residents, determines their needs, and implements appropriate interventions to meet those needs. Performs assessments on admission, transfer and/or discharges. Requirements: Graduate of an accredited school of nursing. Current license as License Practical Nurse in the State of Hawaii required. Experience in geriatrics and current nursing standards of practice preferred. Knowledge of medical terminology and abbreviation required. First Aid and CPR preferred (can be done in-house). The Benefits: Paid Time Off (PTO) Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team. Evening shift: 2pm-10:30pm
Description Attention all Nurse Practitioners, we are calling you to partner with us as independent contractors providing services to our Military Service members. We primarily work weekends, with some occasional weekdays under the Reserve Health Readiness Program (RHRP) in the State of Hawaii on an "as needed basis". You choose how frequently you work our events. We provide health readiness services to meet the medical and dental requirements to maintain a deployable military force for the following: U.S. Army Reserve (USAR) Army National Guard (ARNG) U.S. Navy Reserve (USNR) U.S. Marine Forces Reserve (MARFORRES) U.S. Coast Guard Reserve (USCGR) Air National Guard (ANG) U.S. Air Force Reserve (USAFR) Responsibilities: Support Physical Health Assessments of military personnel. Review health history, service member medical records, and medical questionnaires. Interview military personnel to determine current and prior medical concerns. Identify any concerns that need to be addressed immediately, inclusive of Behavioral Health. Document interview results for readiness classification in the service member’s medical record using the proprietary system. Requirements Supervising Physician may required depending on the state requirement Active NP license in the state CPR/BLS Certification Experience with Primary Care, Urgent Care or Occupational Health - preferred Experience with mobile medical services - preferred Knowledge of Military systems, protocols, and terminology - preferred Adaptable to fast paced environments, with large volumes of service members seen daily Able to work extended hours Able to work in various locations, including remote military installations Able to travel, with weekend availability - preferred Excellent oral and written communication skills Basic computer knowledge and skills Not Required - Diagnose, treat, or prescribe medications With over three decades of experience, we are a trusted industry leader. Our experienced team of clinicians and logistics professionals are dedicated, and strive to do the right thing for our partners and their members every time. Because of this commitment, we’ve set a new standard of care delivery through our fixed-clinic, mobile treatment center, telemedicine, and portable deployment models. Join our team, and become a part of a bridge for better health. ________________________________________ If you are made a conditional offer of employment, you will be required to undergo background check (including criminal record check) and drug screening. We use E-Verify in our hiring process. DOCS Health is committed to ensuring equal employment opportunity. All employment decisions, policies, and practices are in accordance with applicable federal, state, and local anti-discrimination laws. DOCS Health will not engage in or tolerate unlawful discrimination (including any form of unlawful harassment) on account of a person's sex (including pregnancy), age, race, color, religion, national origin, ancestry, citizenship, physical or mental disability, sexual orientation, gender nonconformity, status as a transgender individual, gender identity, genetic information, marital status, family responsibility, armed services, or any other status protected by law.
