JEFE DE ENFERMERIA

Descripción
Preste dirección, así como una actitud afectuosa. Lleva una sonrisa y tu conocimiento vital a todos todos los días. Mejore las perspectivas para los pacientes y su carrera.

Conéctate con tus metas y cambia vidas

con Fresenius Medical Care Norteamérica.

Aquí está su oportunidad de hacer conexiones profundas que marcan la diferencia. Como líder mundial en atención médica de diálisis, sabemos lo que se necesita para crear vínculos fuertes entre los pacientes, sus familias y los miembros de nuestro equipo, y por qué es importante. Dentro de este ambiente positivo, aquellos bajo nuestro cuidado pueden lograr mejores resultados y los profesionales pueden lograr sus objetivos más importantes.

 
¿Por qué unirse al equipo de Fresenius?

Pasión. Dedicación. Conocimiento. Motivación. Experiencia. Estas son las impresionantes cualidades que encontrará en el equipo de liderazgo de Fresenius. Nuestra fortaleza en el mercado norteamericano y nuestra extensa red global brindan a nuestros empleados lo mejor de ambos mundos: la amabilidad de una organización local y la estabilidad de una organización mundial, para experiencias diversas y oportunidades profesionales desafiantes. Cuando se una al equipo de Fresenius Medical Care, será bienvenido a una empresa que se basa en la filosofía de que nuestros empleados son nuestro activo más importante. Nuestras ventajas profesionales incluyen lo siguiente: 

• Fresenius Medical Care es el mayor proveedor de atención renal del país que satisface las necesidades de más de 135 000 pacientes en 1 800 clínicas en todo el país.
• Nuestra organización confiable bien establecida fomenta un espíritu de camaradería que enfatiza la colaboración amistosa, el apoyo profesional y el desarrollo profesional.
• Capacitación superior Los procedimientos de certificación y control de calidad de UltraCare® garantizan su potencial para tener éxito y avanzar como profesional.
• Compensación competitiva y beneficios excepcionales.
• Excelente programa de reembolso de matrícula.
• Reconocida entre las empresas más admiradas del mundo de Fortune en 2011.
• Premio Nacional de Seguridad de las compañías de seguros CNA por 11 años consecutivos.

Oportunidades para retribuir participando en programas filantrópicos y de alcance comunitario.
 

Enfermera registrada del personal

Esta es una oportunidad excepcional para tener éxito con una organización de atención médica de primer nivel. Como miembro clave de nuestro equipo de hemodiálisis, este profesional administrará a nuestros técnicos de atención al paciente para brindar una administración segura y eficaz de la terapia de hemodiálisis crónica. Al delegar tareas de capacitación y supervisión de todo el personal directo del paciente, incluidos los LVN/LPN y los asistentes de diálisis, esta persona evaluará las necesidades de atención y desarrollará las asignaciones.

PROPÓSITO Y ALCANCE:

Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies procedures and training. Supports the FMCNA's mission vision values and customer service philosophy.  Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP).  Adheres 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.  
• 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.
• Participates in staff training and orientation of new staff as assigned
• Participates in all required staff meetings as scheduled.

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' response 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 Team Leader or physician.
• Identifies and communicates patient related issues to Team Leader 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.

Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.

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.
• Current appropriate state licensure.
• Must meet the practice requirements in the state in which he or she is employed. 

EXPERIENCIA Y HABILIDADES REQUERIDAS:

• Deseable experiencia mínima de un año en enfermería médico-quirúrgica.
• De preferencia experiencia en hemodiálisis.
• De preferencia experiencia en UCI.
• Completar con éxito un curso de formación en la teoría y práctica de la hemodiálisis.
• Completar con éxito la Certificación de RCP.
• Brindar cobertura en cualquiera o todas las instalaciones del área según lo requiera la gerencia.
• Formación en codificación Icd-9.
• Formación Técnica de Enfermeras.
• Debe cumplir con los requisitos estatales apropiados (si corresponde).

Empleador EO/AA: minorías/mujeres/veteranos/discapacidad/orientación sexual/identidad de género

Fresenius Medical Care North America mantiene un lugar de trabajo libre de drogas de acuerdo con las leyes federales y estatales aplicables.