PURPOSE AND SCOPE: 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. 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. DUTIES / ACTIVITIES: CUSTOMER
SERVICE: Responsible for driving the FMS culture through 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
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. Asses 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. 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. 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. EDUCATION: Graduate of an
accredited school of Nursing (R.N.) Must be registered and licensed to
practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS Minimum of 9
months of nursing experience, plus 3 months of specialized experience
providing clinical nursing care to dialysis patients, in either a chronic or
acute setting. Medical/surgical nursing preferred. Supervisory or management
experience preferred. Certified in CPR or successfully complete course in CPR
certification. Good communication skills – verbal and written.