Provides ongoing patient information to the interventionist and clinical team during procedures to deliver vascular access care to the patient including but not limited to cardiac monitoring, aldrete score, pain status. Monitor patient vitals (HR, BP, O2Sat, EKG) during proceduresAssist in recovery room patient care following vascular access proceduresGather patient clinical information prior to procedures including patient assessments and patient historyMaintain up-to-date narcotic drug logMaintain clear and accurate patient medical recordsCommunicate with dialysis facilities to monitor post-care as directed by center managerParticipate in access center community education programsMonitor and maintain adequate inventory of medical suppliesAssist in scheduling patients for vascular access procedures and provide assistance in transporting patients within the centerParticipate in community education activities regarding the Access Center

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.Ensures adequate staffing through daily management of staff scheduling when appropriate.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.Assists Clinical Manager with staff performance evaluations.Participates in staff training and orientation of new staff as assigned.Participates in all required staff meetings as scheduled.Functions as Team Leader.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 competency with all emergency operational procedures and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.Ensures provision of appropriate vaccinations immunizations and annual Tuberculosis (TB) testing.

As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members.

•Welcome assigned patients and inquire as to their wellbeing since their last treatment. Report any complaints or observations to the nurse supervisor.•Evaluate vascular access for patency and report any unusual findings to nurse supervisor.•Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.•Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.•Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.•Perform administration of Heparin as delegated or as allowed by state law. •Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).•Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.•Monitor patients’ response to dialysis therapy and report any unusual findings to nurse supervisor.•Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.•Discontinue dialysis treatment according to established procedures,•Evaluate patient prior to termination of venous access - standing & sitting blood pressure.•Obtain Hemostasis and apply appropriate dressings. •Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.•Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.•Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling

Traveling Hospice RN