Fresenius Medical Care is hiring: Outpatient Registered Nurse - RN in San Bernar

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position 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. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position 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 Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. 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, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource, 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. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. 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. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. May serve as a Preceptor to new employees. Required to complete CAP requirements to maintain or advance. 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, 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. SUPERVISION: Assigned oversight of Patient Care Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with minimum of 2 years of Nephrology Nursing experience 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: $39.00 - $59.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

In Summary: Position 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 . Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses . Assigned oversight of Patient Care Technicians/RNs/LPNs as a Team Leader or designated Nurse in Charge .

En Español: PURPOSE AND SCOPE: La enfermería profesional registrada Outpatient RN CAP 2 puede ser una designación de nivel de entrada en el Programa de Avance Clínico (CAP) para nuevos empleados que cumplan con los criterios del RN Cap 2 o alcanzados a través del avance de la CAP 1. Este puesto es responsable y responsable de proporcionar y coordinar atención clínicamente competente, incluida la evaluación, planificación, intervención y evaluación para un grupo asignado de pacientes. Esto puede incluir la delegación de tareas apropiadas al personal de cuidado directo del paciente incluyendo pero no limitado a RNs, LVN / LPNs y Técnicos de Atención Al Paciente. Como miembro del equipo de atención médica Enfermedad renal terminal (ESKD), este puesto participa en la toma de decisiones, prácticas docentes, funciones y actividades de mejora de calidad que mejoran las orientaciones sobre procedimientos e instalaciones educativas. Realiza una recopilación y análisis continuos, sistemáticos de los datos del paciente antes durante tratamiento posterior a la hemodiálisis para pacientes asignados y documentos en el expediente médico del paciente, hace ajustes o modificaciones al plan de tratamiento según se indique y notifica al líder del equipo, enfermera encargada, supervisor o médico según sea necesario. Evalúa, colabora y documenta las necesidades básicas de aprendizaje del paciente/familia para proporcionar educación inicial y continua a los pacientes y familiares. Dirige y proporciona, en colaboración con personal de atención al paciente directo y auxiliar, todos los aspectos de la entrega diaria segura y efectiva de terapia de hemodialisis a los enfermos asignados. Administra medicamentos como prescrito o de acuerdo con planes de algoritmo aprobados), elige justificación médica adecuada y efectividad. Inicia o asiste a la recogida de medidas de respuesta disciplinarias apropiadas. Asegura la conciencia del paciente relacionada con las opciones de trasplante y modalidad de tratamiento. Participa en proyectos de educación y mejora de calidad a nivel de instalación y área según lo indicado por el supervisor. Puede servir como preceptor para nuevos empleados. Requiere completar los requisitos de la PAC para mantener o avanzar. Realiza todas las demás tareas asignadas por el superintendente. Demandas Físicas Y CONDICIONES DE TRABAJO: Las exigencias físicas y las características del entorno de trabajo descritas aquí son representativas de aquellas que un empleado encuentra mientras realiza las funciones esenciales de este trabajo. Se pueden hacer adaptaciones razonables para permitir a personas con discapacidades fundamentales realizar las funciones del paciente. La posición proporciona atención directa que implica regularmente levantar, mover pacientes pesados y ayudar con ambulación. El puesto puede requerir viajes a sitios de capacitación u otras instalaciones. Se le puede pedir que provea funciones esenciales de este puesto en otros lugares con las mismas demandas físicas y condiciones de trabajo como se describe anteriormente. SUPERVISIÓN: Supervisión asignada de Técnicos del Cuidado del Paciente / LVN/LPNs/RNs como Líder de Equipo o enfermera designada encargada, después de cumplir todos los siguientes requisitos: Completar exitosamente todas las exigencias de educación y formación FKC para nuevos empleados. Debe tener un mínimo de 3 meses de experiencia en hemodiálisis crónica / aguda como RN. EDUCACIÓN Y LICENCIA: Graduado de una escuela acreditada de enfermería. Licencia apropiada.