Registered Nurse II (Full Time)
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POST DATE 9/19/2016
END DATE 10/17/2016
JOB DESCRIPTIONJob Description:
GENERAL PURPOSE OF THE JOB: The individual in this role assumes direct responsibility and accountability for the care of chronic dialysis patients as well as oversight of unlicensed assistive staff in assigned/designated areas. This individual provides safe, effective, and compassionate care that is consistent with State and Federal regulations and Company policies and procedures and guidelines.PRIMARY RESPONSIBILITIES: Provide direct patient care in a knowledgeable, skillful, consistent and continuous manner as related to scope of practice as a dialysis professional. Provide supervision of assigned direct patient care staff, including pre-assessment, monitoring of treatment initiation, intradyialytic monitoring, treatment termination, and post-assessment. Oversee the operations prior to the first treatment of a patient (including verifying of opening procedures completed by technicians such as water checks, etc.). Oversee the closing of the facility after last procedure (including verifying of closing procedures completed by technicians), ensuring readiness of facility for next day's operations. Ensure complete and accurate daily assessments, progress notes, and QCS documentation are complete and reported in an efficient and timely manner. Communicate with Care Team on any patient assessment concerns or issues. Complete daily staff assignments ensuring completion of assigned tasks. Implement orders and changes including communication to appropriate disciplines. Communicate patient condition changes and/or problems with medical staff and other healthcare team members on an ongoing basis. Perform admission assessment on assigned patients as well as an on-going assessment. Formulate long-term plan of care as well as interim plans together with the interdisciplinary care team. Evaluate plan of care implemented and patient's response to treatment. Schedule patients for treatments. Know and abide by all facilities policies and procedures to ensure compliance with all clinical and technical issues. Check and update physician's orders Demonstrate critical thinking skills and professional communication. Review and verify completion of required water testing each patient shift as assigned. Complete the daily run/flow sheet review on treatments as assigned. Draw and administer patient medications and perform medication reviews as needed. Follow Company policies and CDC guidelines for infection control. SECONDARY RESPONSIBILITIES: Take on assigned functional management responsibility (such as Anemia Management, Access Management (catheter monitoring), Transplant Management, Foot Care, Bone Management, Case Management or other functional responsibility) and manage program to drive desired outcomes. Infection control Delegate tasks and assignments to other patient care staff as needed. Conduct patient foot checks Assess patient and family learning needs formulating a patient teaching plan. Demonstrate appropriate emergency response following established protocols and complete all documentation in accordance with Company policy. Help with inventory, when needed. Ensure all supplies are stocked and readily available. Evaluate patient progress monthly. Prime machine and set up machine if a Tech is not available. Troubleshoot dialysis machine issues, involve biomed tech when needed Round with Doctors/Medical Director as needed. Maintain a working knowledge of center water system and be able to complete assigned water treatment testing Assist in the implementation of QAPI improvement activities. Perform functions as needed (answer phones, fax requests for patient files, fill out other patient paperwork, audit files, referral scheduling, downloading of treatment data, etc). May act as preceptor for new employees if trained for certified precepting. Participate on committees, task forces, and work groups on a voluntary and appointed basis. Enforce and adhere to all HIPAA compliance policies. Demonstrate the RV Difference program and culture. Perform other duties as assigned. Required Skills QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. An Associate's Degree in Nursing or Nursing Diploma required. Prefer Bachelors degree in Nursing Must have current and valid State professional nursing licensure Must have 6 months of recent dialysis nursing experience in a hemodialysis setting (defined as within last 2 years) required. Certification in Dialysis specialty encouraged. Must obtain CPR/BLS within first 90 days if not already certified. Must have demonstrated record of and commitment to safety; and dedication to excellence. Must possess outstanding communication and interpersonal skills. Must be able to communicate professionally and effectively with other staff members, patients and physicians. Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Must have computer skills including data entry, navigation around software and basic troubleshooting skills. Travel is minimal in this role. WORK ENVIRONMENT & PHYSICAL DEMANDS: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly exposed to work near moving mechanical parts (dialysis equipment and machinery). The employees may be exposed to fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate. The employee must frequently lift and/or move up to 75 pounds (lifting patients, etc.). Specific vision abilities required by this job include close vision, color differentiation, distance vision, peripheral vision, depth perception and ability to adjust focus. While performing the duties of this job, the employee is required to stand; walk and talk, hear and smell. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. He/she is occasionally required to sit; stoop, kneel, bend, crouch, or crawl. Job Location Trenton, New Jersey, United States Position Type Full-Time/Regular