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
Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for a passionate Shift Supervisor responsible for the supervision of nursing team and who oversees the operation of a nursing unit and the daily delivery of care to residents. Keeps Director of Nursing informed of both progress and potential problems. Coordinates unit admissions, discharges, and transfers. Meets nursing operational standards by contributing information to productivity, quality, and customer-service standards; resolving problems; and identifying system improvements. Identifies guest service requirements by establishing personal rapport with patients and other persons in a position to understand service requirements. Assist charge nurses when needed to manage work assignments if overloaded by emergencies or during high volume time. Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. Requirements: Graduate of an accredited school of nursing. Current license as a Registered Nurse in the State of Hawaii required. One (1) year professional nursing experience required; experience in geriatrics and current nursing standards of practice preferred; management experience preferred. Current and valid 2 Step TB clearance First Aid and CPR . The Benefits: Paid Time Off (PTO) Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team. Weekend Supervisor - 12 hour day shift
Job Description: HSL provides enhanced housing with services to seniors living in its four affordable housing locations and at partner housing sites, with the goal of improving quality of life and supporting independent living. At its core, enhanced housing with services is a proactive approach wherein resident services staff regularly and actively reach out to each individual resident to engage with them around their health and wellness, identify areas of need/risk and provide intensive, individualized case management and support as needed and desired by the resident. The Nurse Care Manager is a key member of the housing team working to support residents in living independently and safely for as long as possible by developing meaningful relationships with residents and providing support in a holistic way. The Nurse Care Manager collaborates with team members to engage residents in wellness assessments and health education, connect them to needed services, support in managing health concerns, coordinate care for residents returning from hospital or rehabilitation stays, document all resident care tasks, and partner with community providers to promote overall well-being. This position is to work on-site at an affordable housing community in Chelsea. The position requires fluency in Spanish as the majority of the resident population is Spanish-speaking. Hebrew SeniorLife employees set the highest standard in our commitment to redefine the experience of aging. With compassion, resilience, and determination, we make a difference in the lives of patients, residents, their families, and the broader senior care community every day. And they in ours as well. These life-changing connections give our work meaning and fuel our desire to advance our potential. To be all that we can be. At Hebrew SeniorLife, that’s uniquely possible. Because here we’re supported to always keep growing. And as we do, so does our collective impact. Our Benefits Include Excellent medical and dental benefits, available on your first day for positions over 24 hours/week A 403b retirement plan open to all employees, including per diems Generous paid time off On-site health and wellness programming Tuition reimbursement and scholarships An employee recognition program Core Competencies: Commit to the organization’s core values of respect, dignity, and empowerment. Able to form collaborative and trusting relationships with residents, families, and other staff. Work collaboratively with colleagues, both within and outside the HSL continuum. Listen attentively; speak respectfully; maintain confidentiality. Provide the highest quality of preparation and presentation. Committed to active outreach to residents, including engaging with them in their apartments, during programs, during meals, etc. Being ‘out and about’, visible and connected. Actively promote respect and inclusion for all residents and staff in a multicultural community. Have a “can-do” service mentality. Accept responsibility for all tasks assigned. Work independently toward achieving program goals Position Responsibilities : Partner with the wellness coordinator and the resident services team to provide comprehensive case management services to residents. Provide regular preventative outreach to all residents to check in on their needs and overall health, and develop trusting relationships with residents and their families. Conduct wellness assessments of residents to determine risk and needs. Actively follow up on all identified needs, including finding resources, making referrals,s and ensuring residents are actively engaged in services. Evaluate resident medical concerns and support residents with decision-making regarding next steps, e.g., calling PCP, going to urgent care, going to the ED, or seeing a specialist. Coordinate with primary care physicians and specialists, hospitals, mental health, and other community providers. Ensure effective communication around changes in status, transitions, and service utilization. Active follow-up on all hospitalizations, rehab stays, and emergency room visits. Work with families, hospitals, rehabs, HSL Home Care, and/or VNA, ASAPs, and other providers to ensure safe discharges and ongoing services. Follow up regularly with at-risk residents to support adherence to health and wellness-related activities, medication, and treatment plans. Conduct and/or coordinate group and individual education sessions on health and wellness, including medication management. Track residents with special needs, such as dementia and mental health, and make appropriate referrals. Utilize collected data to identify, plan, schedule, and implement focused programs, such as falls prevention. Support and educate housing staff members about common medical conditions and how to identify and communicate status changes. Participate in resident services team meetings, provider meetings, and individual family meetings. Assist residents and family members with transition to other levels of care when needed. Assist with specific resident needs, such as taking vital signs, educating and assisting with Health Care Proxy and File of Life forms, arranging clinics for vaccines, and arranging other health-focused clinics, supporting residents in preparing for planned surgeries/medical tests. Document all work electronically in online software. Track residents with special needs, such as dementia and mental health, and make appropriate referrals. Qualifications: RN and 1 year of experience or LPN and 3 years of experience required. 3 years of experience in aging services preferred, home health experience, and dementia care a plus. Excellent triage and critical thinking skills are required, as well as the ability to handle difficult situations. Must have compassion for and a desire to work with a senior population. Excellent organizational and interpersonal skills, including the ability to manage multiple projects simultaneously, work efficiently, and proactively as part of a team. Excellent oral and written communication skills, including the ability to communicate with residents, families, and staff in a manner that conveys respect, caring, and sensitivity. Motivated to learn and flexible/willing to change. Professional, proactive, collaborative, conscientious, and results-oriented individual. Optimistic and positive demeanor, good intuition, and sound judgment. Must be able to collect needed information and document clearly in electronic formats. Skills and comfort using Windows, Word and Excel required. Some travel in the Boston metro area for site visits and meetings is required. Fluency in Spanish required Remote Type Salary Range: $78,576.07 - $117,864.10
