Dialysis Charge Registered Nurse - RN
Company: Fresenius Medical Care
Location: Kansas City
Posted on: October 24, 2024
Job Description:
Job DescriptionPURPOSE AND SCOPE:Works with the Facility
Manager, facility staff and physician to coordinate the facility
operations and patient procedures to ensure provision of quality
patient care on a daily basis in accordance with policies,
procedures and training. Provides nursing support to patients and
staff. Assists with staffing, staff training, equipment, physician
and patient relations, cost containment, supply management, medical
records, patient billing, OSHA and all company, state and federal
compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES:QUALITY:
- Responsible for supporting and driving quality standards
through meeting regulatory requirements and the practice of
Continuous Quality Improvement (CQI), including use of CQI
tools.
- Assists with implementing quality goals and develops facility
specific action plans to achieve quality standards.
- Accountable for outstanding quality of patient care, as defined
by the quality goals, by working with management to ensure that
policies and procedures are followed.
- Assists with implementing appropriate training according to
policy; ensure ongoing compliance with all risk management
initiatives.
- Responsible for aggressively addressing and acting on adverse
events and action thresholds.
- Ensures all Quality policies and procedures are communicated to
and implemented by the facility staff.
- Maintains integrity of medical records and other administrative
and operational records.
- Complies with all data collections and auditing
activities.
- Maintains facility environmental integrity, including
safety.PATIENT RELATED:
- Coordinates all aspects of patient care with the appropriate
staff members, from admission through discharge.
- May confer with patients prior to the procedure to obtain
necessary medical history, discuss procedure and answer questions,
as well as, performs nursing assessment on the day of the
procedure.
- Ensures patients and patient's families are educated regarding
post procedure care of vascular access.
- Acts as a resource for the staff to address patient concerns
and questions.
- Ensures patient's procedures are scheduled in a timely manner
and the facility capacity is utilized efficiently.
- As needed, assist with patient workflow, including providing
direct patient care and monitoring pre, intra and post
procedure.
- Identifies and communicates patient related issues to the
Facility Manager.
- Oversees and ensures accurate and complete documentation of
patient treatments from admission to discharge.
- Confirms written orders, consents and lab work are completed
and documented in accordance with facility policies. This includes
appropriate preparation of lab requisitions, delivery to
appropriate labs, reporting and forwarding of lab results to
appropriate physician.
- Assumes primary responsibility in an emergency situation and
must maintain competency with all emergency operational procedures,
and initiate CPR and emergency measures as needed.
- Administers medications and IV conscious sedation to patients
as directed per physician's orders, and in compliance with,
company, federal, state and local regulations.PHYSICIANS:
- Ensures regular and effective communication with all physicians
on an as needed basis.
- Attends and participates in Governing Body, assisting with
meeting agenda and gathering of data/material for meetings.
- Attends and participates in CQI meetings with physicians,
reporting on assigned topics.
- Works with the physicians and staff to ensure possession of all
necessary instruments and equipment.MAINTENANCE/TECHNICAL
- Ensures appropriate operation of facility equipment and
technology, including but not limited, patient monitors,
defibrillators, medical recording devices and computers.
- Ensures the inspection of all facility equipment on a regular
basis. Report any malfunctions or maintenance issues
immediately.
- Ensures the inspection of all facility operating systems,
including temperature checks in appropriate areas and inspect the
physical structure of the facility.
- Maintains a clean, safe and sanitary environment in the entire
vascular access facility at all times.
- Ensures all blood spills are immediately addressed according to
company Bloodborne Pathogen Control Policies.ADMINISTRATIVE:
- Participates in cost control initiatives. Responsible for
efficient utilization of medication, laboratory, inventory,
supplies and equipment to achieve supply cost goals following all
guidelines established in the formularies.
- Assists in the development and revision of any applicable
policies and procedures for the facility as directed to ensure
continuous process improvement.
- Initiates, documents and completes ongoing Continuous Quality
Improvement (CQI) activities including monthly reports and attend
meetings as required.
- Manages medications, including ordering, receiving, and
inventory control and checking for expired medications, including
appropriate recording of controlled substances as required by
law.
- Oversees maintenance of usage logs for all medications with
appropriate documentation, as well as, records of drug disposal.
Communicates with the pharmacist to assure medication accuracy,
including appropriate recording of controlled substances as
required by law.
- Ensures medical records are accurate, complete and in
compliance with policies and procedures prior to discharge of the
patient. Performs chart audits on a regular basis.
- Along with Facility Manager, coordinates the annual medical
testing and competency testing for all facility staff.
- Participates in all facility regulatory and accreditation
surveys and action plans to address any deficiencies
identified.
- Verifies records for all implanted devices are completed
accurately, timely and maintained according to records management
guidelines.
- Coordinates the collection and forwarding of all vendor
invoices to the accounting department.
- Acts as the Facility Manager in the absence of the manager or
at the direction of management.
- Ensure nurses' progress notes are accurate and complete.
- Acts as the Patient Safety Officer and conducts quarterly
patient safety meetings and fire drills.
- Complies with HIPPA policies and standards regarding patient
information and medical records.
- Other 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.
- 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:
- May be responsible for the direct supervision of various levels
of direct patient care staff. EDUCATION:
- Bachelor's Degree preferred; Advanced Degree desirable
- Graduate of an accredited School of Nursing (R.N.).
- Current appropriate state licensure and ACLS certification.
EXPERIENCE AND REQUIRED SKILLS:
- 6 - 8 years' related experience.
- 3+ years' supervisory or project/program management experience
preferred.
- Minimum of three years' experience in an Ambulatory Surgical
Center/Vascular Access Lab, or a combination of ASC, surgical,
Interventional Radiology and ICU/CCU experience.
- Minimum of three years of Interventional Radiology, scrub
experience preferred.
- Supervisory or management experience within a medical or
vascular access environment preferred.
- Proficiency with the Microsoft office suite is necessary.
Experience with Medical database software.
- Demonstrated management skills necessary to provide leadership
and supervision of facility personnel and to ensure the delivery of
maximum quality care to all patients.
- Good communication skills - verbal and written.
- Certified in CPR or successfully complete course in CPR
certification EO/AA Employer:
Minorities/Females/Veterans/Disability/Sexual Orientation/Gender
IdentityFresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state
laws.
Keywords: Fresenius Medical Care, Shawnee , Dialysis Charge Registered Nurse - RN, Healthcare , Kansas City, Kansas
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