Fresenius Medical Care nurses are on the front line of patient care, improving the quality of life of every patient, every day. That means providing dialysis care to 10-12 patients at any given time, and collaborating with our multi-disciplinary team to deliver a unique care plan to each one of them. This role is all about relationships and the bond you’ll create with patients and their families. Prior dialysis nursing experience is helpful, but many successful candidates come from a background in ICU, PCU and/or surgery.
Job DescriptionFresno, California Job ID R0013070
PURPOSE AND SCOPE:
The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1. The CAP RN 2 is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients.
As a member of the Chronic Kidney Disease (CKD) health care team the CAP RN 2 participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations.
Performs all essential functions under the direction of the Clinical Manager and with the guidance from the Educator Preceptor or a CAP RN 2 3 4 or 5 for the first 3 months of employment.
Required to complete CAP program requirements to either maintain the CAP RN 2 level or advance to CAP RN 3.
Performs ongoing systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Clinical Manager or Physician as needed.
Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input.
Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
Directs and provides all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients.
Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness.
Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record.
Initiates or assists with emergency response measures.
Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians.
Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.
Promotes infection control equipment and environmental safety.
Assesses collaborates and documents patient/family's basic learning needs including direct and ancillary patient care staff to provide initial and ongoing education to patients and family.
Serves as a leader coach mentor and role model for new and incumbent employees by setting examples of appropriate behavior work habits and attitudes towards patients co-workers supervisors and the company at the facility and area level. May serve as a Preceptor to new employees.
As a Preceptor fulfills the following:
Demonstrates reinforces and encourages attitudes and actions which are consistent with FKC Mission and Core Values.
Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting.
Seeks opportunities for new employees and communicates progress to Clinical Manager. Provides feedback about new employee's progress to the CM and the Education Department using evaluation tools and direct communication.
Completes all documentation in a timely manner.
Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and CM.
Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills.
Performs essential functions of a Team Leader as assigned by the Clinical Manager or Charge Nurse
Performs essential functions of a designated Nurse in charge as assigned by the Clinical Manager.
Collaborates with the interdisciplinary team in the assessment and development of patient plans of care.
Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
Ensures patient awareness related to transplant and treatment modality options.
Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling.
Checks availability of adequate emergency equipment and supplies daily as assigned.
Assists with medication tracking and inventory as assigned.
Serves as a resource for health care team participates in staff training orientation of new staff as assigned.
Participates in all required staff meetings as scheduled.
Supports and promotes the FMCNA's mission vision values and customer service philosophy.
Provides education to staff members regarding updates to policy and procedures as directed by Supervisor.
Participates in education and quality improvement projects at the facility and area level as directed by Supervisor.
Performs all other duties as assigned by Supervisor.
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. 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.
Day to day work includes desk work computer work and interaction with patients facility/hospital staff and physicians. The position may require travel to training sites or other facilities.
May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
Assigned oversight of patient care technicians/LPNs as a Team Leader or designated Nurse in charge after the following:
Successful completion of all FKC education and training requirements for new employees plus
Must have a minimum of 3 months experience in chronic hemodialysis plus
Achieve and maintain all CAP RN 2 level criteria.
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 REQUIRED SKILLS:
- Entry level for RNs with 2 years or more of nephrology nursing experience within the last two years or BSN plus 1 year of nephrology nursing experience within the last two years.
- Chronic hemodialysis experience (preferred).
- Successful completion of FKC Education and Training requirements for new employees.
- Successful completion and maintenance of CPR BLS Certification.
- Meet all conditions of employment including Ishihara's Color Blindness Test.
- Successful completion of all annual required education/training/competencies.
- Successful completion of on-going training and education as assigned or required.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.
- Detail Oriented
- Relationship Expertise
You have to be able to count on your co-workers to help you, and I see this here every day. Everybody works together, which is better for the patients.Carol B., Registered Nurse
We've got your back.
We fully believe that dedication and passion should be recognized and rewarded. That's why we offer a competitive compensation and benefits package to all of our employees. Our benefits provide the flexibility, choice and support you need to be at your best as you play a vital part in helping patients live longer, better and healthier lives.
- Healthcare FSA
- Dependent Care FSA
- RN Tuition Assistance Program
- Clinical Advancement Program (four practice tiers for RNs to advance your career)
Paid Time Off
Paid Time Off
Flexibility in using PTO for vacation, holiday and personal time.
- Employee Pride
- Valued Team Members
- Motivation for Excellence
- Respect & Dignity
- Openness & Trust
- Adoption Assistance
- Wireless, Automobile and Computer Discounts
- Discount Fitness Program
401(K) Retirement Saving
401(K) Retirement Saving
Competitive vesting schedules and a company match of 50 cents for each dollar you save up to the first 6% of your salary (3% additional) after one year of employment.
We are so glad you are interested in a career with FMCNA! What happens next?
Application & Assessment
First you will need to complete your online application. Some roles may also require an online assessment to be completed.
Then a recruiter will review the applications submitted and select those most aligned with the role to move forward. If selected, The recruiter will contact you to schedule the next step.
Next, you will participate in phone/video interview(s) with our recruiter & leadership team.
The recruiter will provide feedback to you on your interview(s) and update you on any hiring decisions.
Next, the recruiter will extend a formal offer if you are selected for the position.
Lastly, you will accept your offer and complete pre-employment checks and paperwork.
Learn more about working at Fresenius Medical Care at an upcoming hiring event near you.
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