Fresenius Medical Care

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 for health care team, participates in staff training and orientation of new staff as assigned.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.Required to complete CAP requirements to 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, 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.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: Assigned oversight of Patient Care Technicians/LPNs/LVNs/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 9 months experience as a RN.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 less than 1 year of Nephrology Nursing experience in the last two years as a RN.Minimum of 9 months experience as a Registered Nurse (preferred).Chronic/acute hemodialysis experience (preferred). EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

West Broad St location - Richmond, VAFull-time roleRN license requiredPaid training in dialysis is offeredPURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 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. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 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 Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record Initiates or assists with emergency response measures. Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. Promotes infection control, equipment and environmental safety. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. 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. Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. Checks availability of adequate emergency equipment and supplies as assigned. Assists with medication tracking and inventory as assigned. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Participates in all required staff meetings as scheduled. Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. 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 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. 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/LPNs as a Team Leader or designated Nurse in charge, after the following: Successful completion of all FKC education and training requirements for new employees plus Must have a minimum of 9 months experience as an RN plus Successful completion of 3 months experience in chronic hemodialysis. EDUCATION: 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 REQUIRED SKILLS: Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years.Minimum of 9 months experience as a Registered Nurse (preferred).Chronic hemodialysis experience (preferred).Successful completion of FKC Education and Training requirements for new employees.Successful completion and maintenance of CPR BLS Certification.Meet all conditions of employment including Ishihara's Color Blindness Test.Successful completion of all annual required education/training/competencies.Successful completion of on-going training and education as assigned or required. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization 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 organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES:Patient Related Education: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.Treatment: Welcome assigned patients and inquire as to their wellbeing since their last treatment.Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatmentInitiate 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. Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressureObtain Hemostasis and apply appropriate dressings. Evaluate the patient prior to discharge.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; and UF modeling as prescribed. Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.Perform and document any intervention for unusual patient status and document patients' response to intervention.Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.Obtain all prescribed laboratory testing and prepare specimens for collection. Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. Monitors patients performing self-care under the supervision of RN.Staff Related Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.Education/Communication: Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).Initiate Solution Delivery System (SDS) system. RECORD KEEPING: Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. Enters all treatment data into the designated clinical application in an accurate and timely manner. Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. Collect, label, appropriately prepare and store lab samples according required laboratory specifications. Ensure collection of lab specimens by appropriate lab courier. INFECTION CONTROL: Assists in collecting information for infection control audits. Supports staff and patient Adherence to infection control practices. Follows infection control Policies and Procedures Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. TRANSITIONAL CARE UNIT: Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care Reinforces all education and care related matters as it relates to the new patient as allowed by state lawLiaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.Sets and preforms a treatment on all machines used in the transitional care unit. Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.Assists with coordination of transition to patient’s modality choice. Assists with supply ordering and inventory for TCU PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employeeencounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. 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 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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items. EDUCATION AND LICENSES:High School diploma or G.E.D. required.Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.All appropriate state licensure, education, and training (if any) required.Demonstrated commitment to organization culture, values, and customer service standards EXPERIENCE AND REQUIRED SKILLS:Previous patient care experience in a hospital setting or a related facility preferred.Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals’ policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT.Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined – hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis.Assesses patients’ responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. Delivers safe, effective care in a timely an efficient manner.Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment.Responsible for the implementation, administration, monitoring, and documentation of patient’s response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed.Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed.Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.Performs all required pre-treatment dialysis machine alarm testing.If applicable, initiates Solution Delivery System.Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies.Completes and documents ongoing participation in QAI activities.Participates in staff meetings as scheduled.Participates in staff training and orientation as assigned.Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basisReview and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.Assist with various projects as assigned by direct supervisor.Other 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.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 accommodations can be made.Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events.Position requires on call rotation including night, day, weekend, and holidays.There is potential for exposure to potentially infectious material and contagious diseases/material. Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet. SUPERVISION: Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT. EDUCATION: Current appropriate state licensure.Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services).Must meet the practice requirements in the state in which employed.Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged. EXPERIENCE AND REQUIRED SKILLS: One year RN experience required and required nursing skills.Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services.Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services.Demonstrated strong assessment skills related to the critically ill patient.ICU experience preferred but not required.Successful completion of training course in the theory and practice of care of the ESRD patient – Progressive Renal Education Preparation.BLS CPR Recognition.ACLS CPR Recognition preferred, but not required.Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff).Successful completion of Nurses Technical Training. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: Research and Development (R&D) Senior Technician will assist in the development of innovative products for patients with End-Stage-Renal-Disease (ESRD). Development activities may consist of tests that determine chemical, biological and physical characteristics or composition of solid, liquid, or gaseous materials for such purposes as quality control, process control, or product development. The Senior Tech will perform complex tasks and work in close coordination with lead technician/engineers/scientists for the purpose of improving existing products and developing new products and processes. PRINCIPAL DUTIES AND RESPONSIBILITIES: May assist lead technicians/engineers/scientists in data analysis, statistics, and trend analysis. Write reports discussing results, which can include graphs and charts. May present updates of research/work at R&D and other laboratory meetings as required.Assist senior level staff in developing new techniques, test methods (TMs) and performing validations on TMs or test systems.Write standard operating procedures (SOPs) and other documents as deemed necessary.Assist lead technician/supervisor in scheduling testing and ensuring smooth operation of the laboratory.Works with issues of moderate scope where analysis of situation or data requires a review of a variety of factors. Work on assignments requiring considerable judgment and initiative. Understands implications of work and makes recommendations for solutions.May provide assistance to junior level staff with general tasks that require a better understanding of functions.May act as liaison to other departments within the plant.Assist in various projects as assigned by lead technician/supervisor. May analyze data qualitatively and statistically.Set-up, adjust, and operate various types of equipment and instruments.Perform experiments for development research projects under limited guidance and supervision of immediate supervisor/lead technician. Test samples of manufactured products to verify conformity to specifications.Record test results on standardized forms and maintain good documentation practices. Maintain order and cleanliness of laboratories and warehousing space, including inventories of developmental materials.Exercise professional capability to properly apply company policies and procedures.Build productive working relationships.Refer to senior level staff for assistance with complex problems that may arise.Escalate issues to supervisor/manager as necessary. Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.Regular attendance and maintaining a good attendance record is an essential function of the job. Maintain laboratory notebook in accordance with standard procedures and cGMP.Maintain general housekeeping of working area and plant. Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. 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. While performing the duties of this job, the employee is frequently required to talk or hear, stand, walk and use hands to finger, handle, or feel. The employee is occasionally required to sit; reach with hands and arms. The noise level is usually moderate.required to wear personal protective equipment that may include safety glasses, smock, steel-toed shoes, etc.Occasionally exposed to moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals, and risk of electrical shock.Occasionally lift or move up to 50 pounds. The employee may also be required to work with human or bovine blood, plasma, or serum. The employee may be required to work with potentially hazardous materials and solutions. Hepatitis B vaccination is strongly recommended.Occasional travel may be required.EDUCATION: Associates Degree required. Bachelor's Degree desired or equivalent experience. EXPERIENCE AND REQUIRED SKILLS: 4 - 6 years related experience; or equivalent directly related work experience.Must be detail oriented and capable of reading and interpreting documents such as safety rules, operating and maintenance instructions, procedure manuals, drawings, specifications, and data results.Must be capable to write routine reports and correspondence and speak effectively before groups of customers or employees of the organization. Solve practical problems and deal with a variety of variables in situations where only limited standardization exists. Must be capable of interpreting a variety of instructions furnished in written, oral, diagram, or schedule form. Must have good organizational skills, and be able to perform work in a team environment with a minimum level of supervision.Must have an aptitude for math with basic algebraic skills such as, conversion of units, calculations of surface area, mass weights, and measurements skills.Strong PC skills with proficiency in Microsoft Office applications.Understand and apply FDA Guidelines, standards (ISO/AAMI/USP), and Design/Pharma Control Concepts.Strong oral and written communication skills.EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

About this role: 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. How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. 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. As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff. Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record. Adjusts or modify the treatment plan as indicated and notify supervisor as needed. Provides initial and ongoing education to patient and family. Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness. Initiates or assist with emergency response measures. Ensures correct laboratory collection, processing, and shipping procedures are performed. Collaborates with the Interdisciplinary Team on the patient care plan. Ensures patient awareness related to transplant and treatment modality options. Completes CAP requirements to either maintain or advance within the program. Makes referrals to Social Worker and Registered Dietitian as appropriate. Ensures patient awareness related to transplant and treatment modality options.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 SKILLS: • Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable. • Experience as a Registered Nurse (preferred but not required). • Chronic/acute hemodialysis experience (preferred but not required). • Successfully pass the Ishihara Color Blind Test. 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, 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. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Vanderbilt Dialysis Clinic Sign on Bonus Available! PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 for health care team, participates in staff training and orientation of new staff as assigned.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.Required to complete CAP requirements to 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, 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.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: Assigned oversight of Patient Care Technicians/LPNs/LVNs/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 9 months experience as a RN.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 less than 1 year of Nephrology Nursing experience in the last two years as a RN.Minimum of 9 months experience as a Registered Nurse (preferred).Chronic/acute hemodialysis experience (preferred). EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 for health care team, participates in staff training and orientation of new staff as assigned.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.Required to complete CAP requirements to 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, 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.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: Assigned oversight of Patient Care Technicians/LPNs/LVNs/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 9 months experience as a RN.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 less than 1 year of Nephrology Nursing experience in the last two years as a RN.Minimum of 9 months experience as a Registered Nurse (preferred).Chronic/acute hemodialysis experience (preferred). EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization 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 organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: Welcome assigned patients and inquire as to their wellbeing since their last treatment. Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment 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. Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure Obtain Hemostasis and apply appropriate dressings. Evaluate the patient prior to discharge. 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; and UF modeling as prescribed. Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. Perform and document any intervention for unusual patient status and document patients' response to intervention. Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor. Obtain all prescribed laboratory testing and prepare specimens for collection. Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. Monitors patients performing self-care under the supervision of RN. Staff Related Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. Education/Communication: Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). Initiate Solution Delivery System (SDS) system. RECORD KEEPING: Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. Enters all treatment data into the designated clinical application in an accurate and timely manner. Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. Collect, label, appropriately prepare and store lab samples according required laboratory specifications. Ensure collection of lab specimens by appropriate lab courier. INFECTION CONTROL: Assists in collecting information for infection control audits. Supports staff and patient Adherence to infection control practices. Follows infection control Policies and Procedures Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. TRANSITIONAL CARE UNIT: Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care Reinforces all education and care related matters as it relates to the new patient as allowed by state law Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. Sets and preforms a treatment on all machines used in the transitional care unit. Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. Assists with coordination of transition to patient’s modality choice. Assists with supply ordering and inventory for TCU 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. 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 accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. 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 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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items. EDUCATION AND LICENSES: High School diploma or G.E.D. required. Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. All appropriate state licensure, education, and training (if any) required. Demonstrated commitment to organization culture, values, and customer service standards EXPERIENCE AND REQUIRED SKILLS: Previous patient care experience in a hospital setting or a related facility preferred. Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization 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 organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES:Patient Related Education: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.Treatment: Welcome assigned patients and inquire as to their wellbeing since their last treatment.Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatmentInitiate 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. Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressureObtain Hemostasis and apply appropriate dressings. Evaluate the patient prior to discharge.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; and UF modeling as prescribed. Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.Perform and document any intervention for unusual patient status and document patients' response to intervention.Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.Obtain all prescribed laboratory testing and prepare specimens for collection. Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. Monitors patients performing self-care under the supervision of RN.Staff Related Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.Education/Communication: Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).Initiate Solution Delivery System (SDS) system. RECORD KEEPING: Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. Enters all treatment data into the designated clinical application in an accurate and timely manner. Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. Collect, label, appropriately prepare and store lab samples according required laboratory specifications. Ensure collection of lab specimens by appropriate lab courier. INFECTION CONTROL: Assists in collecting information for infection control audits. Supports staff and patient Adherence to infection control practices. Follows infection control Policies and Procedures Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. TRANSITIONAL CARE UNIT: Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care Reinforces all education and care related matters as it relates to the new patient as allowed by state lawLiaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.Sets and preforms a treatment on all machines used in the transitional care unit. Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.Assists with coordination of transition to patient’s modality choice. Assists with supply ordering and inventory for TCU PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employeeencounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. 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 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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items. EDUCATION AND LICENSES:High School diploma or G.E.D. required.Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.All appropriate state licensure, education, and training (if any) required.Demonstrated commitment to organization culture, values, and customer service standards EXPERIENCE AND REQUIRED SKILLS:Previous patient care experience in a hospital setting or a related facility preferred.Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. ACKNOWLEDGEMENT:I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. Employee Name (Please Print): Employee Signature: Date: ADDENDUM(S):Home Therapies Program (Not Home Assist) This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN) and in compliance with state laws. May assist HT RN on Home Visit as directed Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law Schedules and contacts patients regarding appointments Weigh patient and obtain vital signs Collect patient’s treatment records and review for completion. Notify RN of incomplete / missing records. Cleaning and prepping treatment room; preparing charts prior to clinic visit Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) Clerical duties as assigned (faxing, mailing to physician offices etc.) Set-up of the home hemodialysis machine and PD Cycler Assist with exit site care when directed by HT RN Warm dialysate solution when directed by the HT RN Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RNCreates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review) Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements Maintains logs as directed and applicableSupport patient registration and use of connected healthProvide patient home support as indicated and permissible under state law and applicable regulationsInventory of Home Program Maintains par levels of home department supplies Files home patient packing slips/invoices Inventory for Patients Assists patient with supply management and contacting customer service Employee Name (Please Print): Employee Signature: Date: EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 for health care team participates in staff training and orientation of new staff as assigned.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.Required to complete CAP requirements to 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 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/LPNs/LVNs/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 9 months experience as a RN. 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 less than 1 year of Nephrology Nursing experience in the last two years as a RN. Minimum of 9 months experience as a Registered Nurse (preferred).Chronic/acute hemodialysis experience (preferred). EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. " EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

RN—ClinicalAbout this role: 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. How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. 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. As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff. Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.Adjusts or modify the treatment plan as indicated and notify supervisor as needed.Provides initial and ongoing education to patient and family. Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.Initiates or assist with emergency response measures.Ensures correct laboratory collection, processing, and shipping procedures are performed.Collaborates with the Interdisciplinary Team on the patient care plan.Ensures patient awareness related to transplant and treatment modality options.Completes CAP requirements to either maintain or advance within the program. Makes referrals to Social Worker and Registered Dietitian as appropriate.Ensures patient awareness related to transplant and treatment modality options. 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 SKILLS: Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable.Experience as a Registered Nurse (preferred but not required).Chronic/acute hemodialysis experience (preferred but not required).Successfully pass the Ishihara Color Blind Test. 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, 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.EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. " EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 for health care team, participates in staff training and orientation of new staff as assigned.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.Required to complete CAP requirements to 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, 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.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: Assigned oversight of Patient Care Technicians/LPNs/LVNs/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 9 months experience as a RN.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 less than 1 year of Nephrology Nursing experience in the last two years as a RN.Minimum of 9 months experience as a Registered Nurse (preferred).Chronic/acute hemodialysis experience (preferred). EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse (Home Therapy CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement from CAP RN 1. The CAP RN 2 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of home therapy patients. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 2 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 Program Manager and with guidance from the Educator, Preceptor or a Home Therapy CAP RN 2,3, 4 or 5 for the first 3 months of employment. Required to complete CAP program requirements to either maintain the CAP RN 2 level or advance to CAP RN 3. Performs ongoing, systematic review and analysis of dialysis data for Home Therapy patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Supervisor/ Manager or physician as needed. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. Assesses assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness Ensures correct patient laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record Initiates or assists with emergency response measures. Delegates appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. Promotes infection control, equipment and environmental safety. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner/ family readiness and ability to perform dialysis treatments in the home. Admits new Home Therapy patients using the appropriate processes per Fresenius Kidney Care policy and procedure. Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through a formal standardized Home Dialysis Training Program. Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols. Communicates patient related issues to the physician as needed. Serves as a 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. May serve as a Preceptor to new employees. As a Preceptor fulfills the following: Demonstrates, reinforces, and encourages attitudes and actions which are consistent with FKC Mission and Core Values. Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting. Seeks opportunities for new employees and communicates progress to Program Manager. Provides feedback about new employee's progress to the PM and the Education Department using evaluation tools and direct communication. Completes all documentation in a timely manner. Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and PM. Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills Performs essential functions of a designated Nurse in charge as assigned by Supervisor. Collaborates with the interdisciplinary team in the assessment and development of patient plans of care. Ensures patient awareness related to transplant and treatment modality options. Makes referrals to Social Worker and Registered Dietitian as appropriate. Checks availability of adequate emergency equipment and supplies daily as assigned. Assists with medication tracking and inventory as assigned. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Participates in all required staff meetings as scheduled. Supports and promotes the Fresenius Kidney Care mission, vision, values, and customer service philosophy. Provides education to staff members regarding updates to policy and procedures as directed by Supervisor/ Manager. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. 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 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. 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. Rotates coverage with other licensed home therapy staff as assigned to ensure reliable and adequate coverage. Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs). May be asked to provide essential functions of this position at other locations with the same physical demands and working conditions as described above including travel to patient's homes. SUPERVISION: Assigned oversight of patient care technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: Successful completion of all FKC education and training requirements for new employees plus Must have a minimum of 3 months experience in chronic home dialysis and/ or home hemodialysis plus Achieve and maintain all CAP RN 2 level criteria. EDUCATION: 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 REQUIRED SKILLS: Entry level for RNs with 2 years or more of nephrology nursing experience within the last two years or BSN plus 1 year of nephrology nursing experience within the last two years.Chronic home dialysis or hemodialysis experience (preferred).Successful completion of FKC Education and Training requirements for new employees.Successful completion and maintenance of CPR BLS Certification.Meet all conditions of employment including Ishihara's Color Blindness Test.Successful completion of all annual required education/training/competencies.Successful completion of on-going training and education as assigned or required. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.Participate in patient care plan meetings.Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.Train and orient staff as necessary.Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.Maintain overall shift operation in a safe, efficient, and effective matter.With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.Supervise all documentation of patient information.Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.Assess daily patient care needs and develop and distribute patient care assignments appropriately.Assume primary responsibility in an emergency situation.Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.Monitor and supervise all patient care activity during dialysis and assist as necessary.Collaborate with direct patient care team in making decisions to benefit patient care.Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.Administer medications to patients per physician’s orders.Act as the subject matter expert and as a resource for staff members.Supervise and participate in completion of short and long term care plans.Admit new patients according to facility procedure.Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.Supervise the safe and effective use of all equipment involved in direct patient care.Operate all dialysis related and emergency equipment safely and efficiently when needed.Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.Complete Nurse’s Technical Training Program/Water Quality FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote efficient use of medical supplies.Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. 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.Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.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 theIshihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. Travel to regional, Business Unit and Corporate meetings may be required.SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION: Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.