Registered Nurse Vascular Surgery Center RN

Fresenius Medical Care Jacksonville, FL, US

PURPOSE AND SCOPE:

Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements.

Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

QUALITY:

Responsible for supporting and driving organization quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools.
Assists with implementation of organization quality goals and facility specific action plans in order to achieve organization quality standards.
Accountable for outstanding quality of patient care, as defined by the organization quality goals, to ensure that organization policies and procedures are followed.
Responsible for addressing and acting on adverse events and action thresholds in collaboration with facility management.
Maintains integrity of medical records and other organization administrative and operational records.
Complies with all data collection and auditing activities.
Maintains facility environmental integrity and safety.

PATIENT:

Obtains necessary medical history, discusses procedure and answers questions, and performs nursing assessment on the day of the procedure.
Provides education to patients and patient’s family regarding post procedure care of vascular access.
Monitors patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions.
Acts as a resource for the patient to address patient concerns and questions.
Identifies and communicates patient related issues to facility management, as needed.
Completes documentation of patient information from admission to discharge in an accurate manner.
Confirm 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.
Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures, as needed.
Administers medications and IV moderate sedation to patients as directed per physician’s orders, and in compliance with organization, company, federal, state and local regulations.
Acts as scrub technologist to assist the physician during procedure as needed, maintaining a sterile technique.
Assists with patient workflow by transporting patients as needed.
Performs point – of – care laboratory testing as directed per physician’s orders and in compliance with organization, company, federal, state and local regulations.
Performs IV insertion as per physician orders.
Performs additional tasks as designated by Physician, practicing in compliance with state regulations.

PHYSICIANS:

Provides regular and effective communication with physicians on an as needed basis.
Attends and participates in CQI meetings with physicians, reporting on assigned topics.
May assist facility management in working with the physicians and staff to verify all necessary instruments and equipment.
Assists the physician in completing and reporting state required adverse event reports and reporting internally as per organization/FMC policy and procedure.

MAINTENANCE/TECHNICAL:

Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner.
Inspects operation of all facility equipment and reports malfunctions, and maintenance needs to ensure the safe and effective operation of all vascular access equipment.
Inspects operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility and reports any issues to the Facility Manager.
Ensures a clean, safe and sanitary environment in the vascular access facility at all times.
Ensures all blood spills are immediately addressed according to the organization/FMCNA Bloodborne Pathogen Control Policies.

ADMINISTRATIVE:

Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies.
May assist in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement.
Assists with Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required.
Assists with maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law.
Completes usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law.
Assists with maintaining facility supply inventory, including ordering and restocking of supplies as needed.
Examines emergency equipment and supplies, including stocking of the crash cart on a regular basis.
Completes medical records in an accurate manner in compliance with organization policies and procedures prior to discharge of the patient. Perform chart audits on a regular basis.
May participate in facility regulatory and accreditation surveys and action plans to address any deficiencies.
Completes state required records for all implanted devices in an accurate and timely manner and in accordance with organization/FMS records management guidelines.
Participates in staff meetings, training and orientation as assigned.
Complies with HIPPA policies and standards regarding patient information and medical records.
Assist with various projects as assigned by direct supervisor.
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 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.
The 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, patients and equipment of up to 200 lbs. There is a two-person assist program and material assist devices for the heavier items.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious, contagious diseases/materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time.

EDUCATION:

High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred
Graduate of an accredited School of Nursing (R.N.)
Current appropriate state licensure and ACLS certification required.

EXPERIENCE AND REQUIRED SKILLS

4 - 6 years' related experience preferred.
Office Based Surgical Center/Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred.
Proficient in the use of computers and related software such as Microsoft Office is necessary.
Proficient in IV insertion.
Proficient in cardiac rhythm recognition.
Experience with Medical database software.
Certified in BLS & ACLS successfully completed course certifications.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Share this job

Related Jobs

Full-time

1 month ago

Registered Nurse Full-Time Days

ScionHealth Green Cove Springs, FL

Description $20,000 Sign-on Bonus! At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department. Directs, supervises, provides and evaluates nursing care provided to patients. Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated. Assigns nursing care team members in accordance with patient needs, team member’s capabilities and qualifications. Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies. Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment. Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team. Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Receives physician’s orders, ensures transcription is accurate and documents completion. Administers medication utilizing the five rights of medication administration reducing the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice. Performs treatments and provides services to level of licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Initiates or assists with emergency measures for sudden adverse developments in patients’ condition. Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off. Communicates appropriately and clearly to management, co-workers, and physicians. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Participates in orientation, instruction/training of new personnel. Manages and operates equipment safely and correctly. Knowledge/Skills/Abilities/Expectations Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Basic computer knowledge. Able to organize tasks, develop action plans, set priorities and function under stressful situations. Ability to maintain a good working relationship both within the department and with other departments. Approximate percent of time required to travel: 0% Must read, write and speak fluent English. Must have good and regular attendance. Performs other related duties as assigned. Qualifications Education Postsecondary certificate, diploma, or program graduation from an accredited school of nursing. (Required) Associate’s Degree or Bachelor’s Degree in Nursing. (Preferred) Licenses/Certifications Registered Nurse (RN) – State Licensure and/or Compact State Licensure in the state of practice. (Required upon hire) Basic Life Support (BCLS). (Required upon hire) Advanced Cardiac Life Support (ACLS). (Preferred upon hire) Experience Six (6) months of Medical/Surgical nursing experience in an acute care setting. (Preferred) Experience demonstrating critical thinking, decision-making, and effective prioritization in a fast-paced clinical environment. (Preferred)

Full-time

2 months ago

Registered Nurse FT Nights

ScionHealth Green Cove Springs, FL

Description $20,000 Sign-on Bonus! At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department Directs, supervises, provides and evaluates nursing care provided to patients Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated Assigns nursing care team members in accordance with patient needs, team member’s capabilities and qualifications Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies. Performs assessment on all patients on admission and reassessments as per policy Makes referrals to other disciplines based on assessment Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team Assesses and reassesses pain Utilizes appropriate pain management techniques Educates the patient and family regarding pain management Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness Performs patient care responsibilities considering needs specific to the standard of care for patient’s age Receives physician’s orders, ensures transcription is accurate and documents completion Administers medication utilizing the five rights of medication administration reducing the potential for medication errors Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice Performs treatments and provides services to level of licensure Treats patients and their families with respect and dignity Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Functions as liaison between administration, patients, physicians, and other healthcare providers Interacts professionally with patient/family and involves patient/family in the formation of the plan of care Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors Initiates or assists with emergency measures for sudden adverse developments in patients’ condition Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off Communicates appropriately and clearly to management, co-workers, and physicians Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs Participates in orientation, instruction/training of new personnel Manages and operates equipment safely and correctly Knowledge/Skills/Abilities/Expectations Knowledge of medications and their correct administration based on age of the patient and their clinical condition Basic computer knowledge Able to organize tasks, develop action plans, set priorities and function under stressful situations Ability to maintain a good working relationship both within the department and with other departments Approximate percent of time required to travel: 0% Must read, write and speak fluent English Must have good and regular attendance Performs other related duties as assigned Qualifications Education Graduation from an accredited Bachelor of Science in Nursing Associate Degree in Nursing or Nursing Diploma program Licenses/Certification Current state licensure as Registered Nurse BCLS certification required ACLS certifications preferred Experience Minimum six months’ Medical/Surgical experience in an acute care setting preferred

Full-time

2 months ago

Registered Nurse Full-Time Nights

ScionHealth Green Cove Springs, FL

Description $20,000 Sign-on Bonus! At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department Directs, supervises, provides and evaluates nursing care provided to patients Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated Assigns nursing care team members in accordance with patient needs, team member’s capabilities and qualifications Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies. Performs assessment on all patients on admission and reassessments as per policy Makes referrals to other disciplines based on assessment Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team Assesses and reassesses pain Utilizes appropriate pain management techniques Educates the patient and family regarding pain management Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness Performs patient care responsibilities considering needs specific to the standard of care for patient’s age Receives physician’s orders, ensures transcription is accurate and documents completion Administers medication utilizing the five rights of medication administration reducing the potential for medication errors Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice Performs treatments and provides services to level of licensure Treats patients and their families with respect and dignity Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Functions as liaison between administration, patients, physicians, and other healthcare providers Interacts professionally with patient/family and involves patient/family in the formation of the plan of care Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors Initiates or assists with emergency measures for sudden adverse developments in patients’ condition Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off Communicates appropriately and clearly to management, co-workers, and physicians Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs Participates in orientation, instruction/training of new personnel Manages and operates equipment safely and correctly Knowledge/Skills/Abilities/Expectations Knowledge of medications and their correct administration based on age of the patient and their clinical condition Basic computer knowledge Able to organize tasks, develop action plans, set priorities and function under stressful situations Ability to maintain a good working relationship both within the department and with other departments Approximate percent of time required to travel: 0% Must read, write and speak fluent English Must have good and regular attendance Performs other related duties as assigned Qualifications Education Graduation from an accredited Bachelor of Science in Nursing Associate Degree in Nursing or Nursing Diploma program Licenses/Certification Current state licensure as Registered Nurse BCLS certification required ACLS certifications preferred Experience Minimum six months’ Medical/Surgical experience in an acute care setting preferred

Full-time

3 months ago

Registered Nurse - ARU FT Nights

ScionHealth Green Cove Springs, FL

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plan in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department. Directs, supervises and evaluates nursing care provided to patients. Assigns nursing care team members in accordance to patient needs, team members capabilities and qualifications. Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies. Performs assessment on all patients on admission and reassessments as per policy. Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team. Assesses and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Revises the plan of care as indicated by the patient’s response to treatment, and evaluates overall plan daily for effectiveness. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Performs treatments and provide services to level of license Receives physician’s orders, ensures transcription is accurate and documents completion. Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice. Administers medication utilizing the five rights of medication administration reducing the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Knowledge/Skills/Abilities/Expectations Excellent oral and written communication and interpersonal skills. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Basic computer knowledge. Able to organized tasks, develop action plans, set priorities and function under stressful situations. Ability to maintain a good working relationship both within the department and with other departments. Must have good and regular attendance. Must read, write and speak fluent English. Approximate percent of time required to travel: 0% Performs other related duties as assigned. Qualifications Education Graduation from an accredited Bachelor of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program. Licenses/Certifications Current state licensure as Registered Nurse. BCLS certification. ACLS preferred. Experience Minimum six months’ Medical/Surgical experience in an acute care setting preferred.

Psych

Full-time

1 month ago

Registered Nurse (Psychiatry)

Serenity Mental Health Centers Nocatee, FL

Registered Nurse (Psychiatry) Location: Nocatee, FL Schedule: Three 12-hour shifts per week | No Sundays Compensation: Competitive pay based on experience Deliver infusion-based psychiatric care in a supportive outpatient setting focused on patient safety, comfort, and balance. This role is well suited for RNs with strong IV skills who value meaningful patient interaction and a calm clinical environment. About the Role Provide psychiatric infusion care in an outpatient clinic setting Monitor patients closely to ensure safe, effective, and compassionate treatment Support a patient-centered experience throughout each visit Key Responsibilities Administer ketamine infusions via IV while following established protocols Monitor patient responses and provide reassurance throughout treatment Educate patients and families on the infusion process and expectations Maintain thorough, compliant clinical documentation Follow medication safety, sterile technique, and infection control standards Assist with telehealth support when not administering infusions Remain flexible and collaborate with team members as needed Requirements (Must-Haves) Current, active, unrestricted Registered Nurse (RN) license Graduation from an accredited nursing program Strong IV placement and management skills Knowledge of medications, sterile techniques, and infection control Excellent communication and interpersonal skills Ability to adapt in a collaborative outpatient clinical environment Nice-to-Haves Experience in psychiatric, infusion, or outpatient nursing Background in behavioral health, wellness, or recovery-focused care Comfort supporting patients through emotional or vulnerable moments Pay & Benefits Competitive pay based on experience Three 12-hour shifts per week with alternating Saturdays with no Sundays 1:2 nurse-to-patient ratio in an outpatient clinic 90% employer-paid medical, dental, and vision coverage for employees and families 401(k) retirement plan 10 PTO days (15 after first year) + 10 paid holidays Employee referral program About Serenity Healthcare Serenity Healthcare provides advanced, evidence-based psychiatric treatments for individuals who have not found relief through traditional care. Through innovative outpatient services and a compassionate, patient-first approach, we help people take back their lives. Serenity Healthcare is an Equal Opportunity Employer. Employment is contingent upon successful completion of a background check and drug screening.