Description Inspire and inform each patient. Allow others to achieve their
most important objectives while you achieve yours. Improve their prospects—and
the vitality of your career. Connect with your goals and change lives with
Fresenius Medical Care North America. Create strong, vital connections with
your knowledge and kind reassurance. Enhance lives and your potential for
success with the global leader in dialysis healthcare: Fresenius Medical Care
North America. By forming powerful bonds among patients, their families, and
our team members, we have built an atmosphere of clinical excellence and
trust. Offering vast resources, we advance careers and the healthcare of
countless individuals. Why Join the Fresenius Team? Passion. Dedication.
Knowledge. Motivation. Experience. These are the impressive qualities you’ll
find in the Fresenius Leadership Team. Our strength in the North American
market and extensive global network provide our employees with the best of
both worlds—the friendliness of a local organization and the stability of a
worldwide organization—for diverse experiences and challenging career
opportunities. When you join the Fresenius Medical Care team, you’ll be
welcomed into a company that is built on the philosophy that our employees are
our most important asset. Our career advantages include the following:
Fresenius Medical Care is the nation’s largest provider of renal care, meeting
the needs of more than 135,000 patients at 1,800 clinics throughout the
country. Our well-established, trusted organization fosters a spirit of
camaraderie, emphasizing friendly collaboration, professional support, and
career development. Superior training, UltraCare ® quality control, and
certification procedures ensure your potential to succeed and advance as a
professional. Competitive compensation and exceptional benefits. Outstanding
tuition reimbursement program. Recognized among Fortune’s World’s Most
Admired Companies” in 2011. National Safety Award from CNA insurance companies
for 11 consecutive years. Opportunities to give back by participating in
philanthropy and community outreach programs. Team Leader Registered Nurse
Make the most of this exciting opportunity to work with a leader in the field
of healthcare. The professional we select will direct Patient Care
Technicians, LVNs/LPNs, and Dialysis Assistants in the provision of safe,
effective chronic dialysis therapy in compliance with facility and
governmental standards. This friendly, knowledgeable communicator will
interact with patients and families as well, providing educational information
about end-stage renal disease (ESRD), vascular access, and dialysis therapy.
PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a
Team Leader Registered Nurse to ensure provision of quality patient care on a
daily basis in accordance with FMS policies, procedures, and training.
Supports FMCNA’s mission, vision, values, and customer service philosophy.
Support FMCNA’s commitment to the Quality Enhancement Program (QEP) and CQI
Activities, including those related to patient satisfaction. Actively
participate in process improvement activities that enhance the likelihood that
patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adhere to all
requirements of the FMCNA Compliance Program, and FMS patient care and
administrative policies. DUTIES / ACTIVITIES : CUSTOMER SERVICE: Responsible
for driving the FMS culture though values and customer service standards.
Accountable for outstanding customer service to all external and internal
customers. Develops and maintains effective relationships through effective
and timely communication. Takes initiative and action to respond, resolve and
follow up regarding customer service issues with all customers in a timely
manner. PRINCIPAL RESPONSIBILITIES AND DUTIES 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. Ensures adequate staffing through daily
management of staff scheduling when appropriate. 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. Assists Clinical Manager with staff performance evaluations.
Participates in staff training and orientation of new staff as assigned.
Participates in all required staff meetings as scheduled. Functions as Team
Leader. 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’ responses 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 Clinical Manager or physician.
Identifies and communicates patient related issues to the Clinical Manager 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 polices 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: 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. EDUCATION: Graduate
of an accredited School of Nursing (R.N.). Current appropriate state
licensure. Must meet the practice requirements in the state in which he or she
is employed. EXPERIENCE AND REQUIRED SKILLS: Minimum of one year medical-
surgical nursing experience preferred RN Team Leaders assuming responsibility
for nursing and patient services in the absence of the Clinical Manager must
have one year clinical experience and six months ESRD experience Hemodialysis
experience preferred. ICU experience preferred. Successfully complete a
training course in the theory and practice of hemodialysis. Successfully
complete CPR Certification. Employees must meet the necessary requirements of
Ishihara's Color Blindness test as a condition of employment. ICD-9 coding
Training. Nurses Technical Training. Team Leader Certification Training. Must
meet appropriate state requirements (if any).