Outpatient Registered Nurse - RN

Fresenius Medical Care Bellmore, NY 11710, US

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: $37.00 - $63.00

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

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Operations and Administration 1.Supports the implementation of the mission, vision, goals and objectives of the department, throughout the clinical service and individual patient care units. 2.Provides administrative oversight to a service line, department or group of units to ensure that all activity (staffing, support services, inter disciplinary collaboration, resources and financial viability) supports the goals of the organization. 3.Works collaboratively with Associate Director/ Clinical Nurse Manager/Assistant Nurse Manager, physician dyads and all members of the healthcare team to develop a cohesive unit leadership group. 4.Maintains service line compliance with all regulatory agency mandates, including the regulations of NYS DOH and The Joint Commission. 5.Oversees Associate Directors/Clinical Nurse Managers/Assistant Nurse Managers to ensure 24 hour patient care delivery, throughput, staffing and processes to insure efficient and effective operations. 6.Oversees the development and implementation of several unit or service line budgets, including capital equipment allocation, budget variances, management of OT and vacancies according to MSHS financial goals. 7.Oversees control of positions and the recruitment and retention of qualified staff. 8.Maintains patient/employee confidentiality in the management of information. 9.Monitors availability and maintenance of nursing equipment and supplies. 10.Evaluates Associate Director/Clinical Nurse Manager and Assistant Nurse Manager performance. Mentors, coaches, counsels and disciplines staff as needed. 11.Conducts leadership staff meetings with Associate Directors to ensure communication about progress, changes and compliance with all hospital ensure and procedures and regulatory agency standards. 12.Encourages, recognizes and rewards manager and staff participation in quality and safety initiatives, compliance and successes. 13.Facilitates organizational change initiatives by using effective strategies. 14.Leads a shared decision making model by establishing a structure of shared governance, just culture and staff engagement in practice councils, departmental meetings and initiatives. 15.Interprets and implements collective bargaining agreements affecting staff while enforcing compliance of union contracts. 16.Serves as chairperson/member in hospital wide committees to represent nursing. 17.Serves in the position of Administrator on Call (AOC) as assigned. Professional Development 1.Evaluates and directs the environment of care to support clinical colleagues, patients and their families and members of the health care team. 2.Advances clinical competence in nursing practice and leadership to progress from competent to expert. 3.Develops and leads an environment that cultivates a professional image of nursing to colleagues, communication standards include styles and methods that demonstrate caring, respect, empathy and trust. 4.Recommends and supports standards that ensure that ethical principles are incorporated into decision making for patient and family in collaboration with the clinical nursing staff and the health care team. 5.Encourages and facilitates a spirit of scholarship, inquiry, life-long learning and innovation for self and others. 6.Oversees and supports staff in shared decision making through facilitating specialty practice councils, and as a chairperson/ member of nursing department committees, and unit initiatives. 7.Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty and global or local health community needs 8.Serves as a professional role model and preceptor for new leadership, staff and students. 9.Establishes and implements a system that supports best practice patient care decisions, safe and efficient patient throughput and access to resources for the unit/clinical service area. 10. Incorporates the values of research and evidenced based practice and its application to the environment of care. 11.Contributes to the profession of nursing through leadership and participation in professional organizations. Qualifications Education Requirements Bachelor of Science with a major in nursing and Master’s degree in nursing or health related specialty required; doctorate preferred. Experience Requirements 7+ years minimum demonstrated clinical and administrative expertise in area of nursing practice assigned. Licensing and Certification Requirements Licensed as a registered nurse with current registration in New York State. Professional Board Certification in leadership and/or clinical specialty strongly preferred. General Skills and Competencies Must have relevant clinical experience in area of nursing practice assigned Evidence of ability to maintain and promote interpersonal relationships, communicate appropriately to others, and work effectively and efficiently to solve problems Demonstrates the ability to work in a team displaying effective communication and critical thinking Ability to read, write, understand and speak English in a clear and concise manner Visual, physical, auditory and cognitive ability to assess patient status Physical and mental health necessary to care for acutely ill patients with a broad variety of diagnoses and behaviors on a daily basis Ability to walk, stand, lift, stoop, push and respond quickly in a variety of situations and for an extended period of time Manual dexterity to perform a variety of clinical procedures relevant to practice area (i.e. venipuncture, urinary catheterization, cardiopulmonary resuscitation) Ability to use data entry, retrieval systems and the electronic medical record documentation system in a proficient manner Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $218400 - $239200 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.