Registered Nurse - RN - Dialysis

$41 - $58 / hour

Must be able to float to the different clinics on Hawaii Island (Kona, Kamuela, Hilo) Float differential eligible PURPOSE AND SCOPE: 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. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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. 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. 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. 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. Enforces all company approved policies 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. 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. 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. 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. 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. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. 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. 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. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: 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 SKILLS : Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. Provide coverage at any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate state requirements (if any). "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: $41.00 - $58.00" 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

ICU Travel Nurse

CommonSpirit Health Lexington, KY

$40 - $100 / hour

Job Summary and Responsibilities As a National Internal Traveler RN, you will be a direct clinical registered nurse providing independent patient care within your scope of practice. Daily, you will utilize your advanced patient care skills, continuously enhancing your nursing knowledge, skills, and behaviors through education and involvement beyond basic job requirements. Success in this role requires exceptional clinical expertise, strong adaptability, a proactive approach to professional development, and a steadfast commitment to independent, high-quality patient care in dynamic settings. Assesses, plans, and implements nursing care while ensuring patient comfort. Anticipates, identifies, and responds to informational and emotional needs of patients and families. Guides and directs healthcare personnel (i.e., Patient Care Technicians) in caring for patients. Maintains knowledge of equipment setup, maintenance, and use (i.e., IV pumps, monitoring equipment, and drainage devices) Utilizes safeguards such as IV pump drug library and monitor alarms with necessary. Initiates emergency support measures (i.e., cardiopulmonary resuscitation, protecting patient from injury). Assists with patient care duties/tasks (i.e., emptying drainage devices, ambulating, and hygiene). #LI-CSH Job Requirements Required Experience and Education: Minimum 2 years of experience as registered nurse in specialty area(s) (e.g., medical/surgical, telemetry, intensive care, emergency department, operating room, post-anesthesia recovery, pediatrics, maternal-child health) ADN or Nursing Diploma Current unencumbered license as a Registered Nurse from the state(s) in which he or she will be practicing and/or compact state license Current certification in Basic Life Support (BLS.) Other credentials may be required based on specialty and area(s) of assignment as specified by the requesting facility, state license and other regulatory requirements for local, state and federal agencies. Certification in specialty preferred; certifications and competencies to support care area and patient population served. Preferred: Bachelor of Science in Nursing (BSN) Where You'll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Neuro ICU Travel Nurse

CommonSpirit Health Lexington, KY

$40 - $100 / hour

Job Summary and Responsibilities As a National Internal Traveler RN, you will be a direct clinical registered nurse providing independent patient care within your scope of practice. Daily, you will utilize your advanced patient care skills, continuously enhancing your nursing knowledge, skills, and behaviors through education and involvement beyond basic job requirements. Success in this role requires exceptional clinical expertise, strong adaptability, a proactive approach to professional development, and a steadfast commitment to independent, high-quality patient care in dynamic settings. Assesses, plans, and implements nursing care while ensuring patient comfort. Anticipates, identifies, and responds to informational and emotional needs of patients and families. Guides and directs healthcare personnel (i.e., Patient Care Technicians) in caring for patients. Maintains knowledge of equipment setup, maintenance, and use (i.e., IV pumps, monitoring equipment, and drainage devices) Utilizes safeguards such as IV pump drug library and monitor alarms with necessary. Initiates emergency support measures (i.e., cardiopulmonary resuscitation, protecting patient from injury). Assists with patient care duties/tasks (i.e., emptying drainage devices, ambulating, and hygiene). #LI-CSH Job Requirements Required Experience and Education: Minimum 2 years of experience as registered nurse in specialty area(s) (e.g., medical/surgical, telemetry, intensive care, emergency department, operating room, post-anesthesia recovery, pediatrics, maternal-child health) ADN or Nursing Diploma Current unencumbered license as a Registered Nurse from the state(s) in which he or she will be practicing and/or compact state license Current certification in Basic Life Support (BLS.) Other credentials may be required based on specialty and area(s) of assignment as specified by the requesting facility, state license and other regulatory requirements for local, state and federal agencies. Certification in specialty preferred; certifications and competencies to support care area and patient population served. Preferred: Bachelor of Science in Nursing (BSN) Where You'll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Travel Registered Nurse (RN) Critical Care / Oncology

Five Star Nursing Binghamton, NY

Seeking Compassionate Travel RN for SUNY Upstate Medical University We are dedicated to connecting passionate Registered Nurses (RNs) with opportunities that align with their lifestyle and professional goals. We believe that strong, ongoing relationships with our partnered facilities are key to delivering exceptional care. Our team works closely with providers to understand their unique needs, ensuring you’re always placed in a role that supports both your growth and their care requirements. Hourly Pay Rate: $70 *Rate includes $202 daily tax-exempt stipend Requirements: · Active RN license in the State of New York · 2+ years oncology/critical care experience · ACLS & BLS Certification required Responsibilities: Delivers intensive care to oncology patients including chemotherapy Create a supportive environment to help patients cope with their diagnosis Maintain accurate and detailed records of patient treatment and progress

Travel Registered Nurse (RN) Critical Care / Oncology

Five Star Nursing Utica, NY

$70 / hour

Seeking Compassionate Travel RN for SUNY Upstate Medical University We are dedicated to connecting passionate Registered Nurses (RNs) with opportunities that align with their lifestyle and professional goals. We believe that strong, ongoing relationships with our partnered facilities are key to delivering exceptional care. Our team works closely with providers to understand their unique needs, ensuring you’re always placed in a role that supports both your growth and their care requirements. Hourly Pay Rate: $70 *Rate includes $202 daily tax-exempt stipend Requirements: · Active RN license in the State of New York · 2+ years oncology/critical care experience · ACLS & BLS Certification required Responsibilities: Delivers intensive care to oncology patients including chemotherapy Create a supportive environment to help patients cope with their diagnosis Maintain accurate and detailed records of patient treatment and progress

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