Fresenius Medical Care Windsor, LLC jobs in Birmingham, AL - 26 jobs

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. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: * 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. * Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. * Evaluate vascular access for patency and report any unusual findings to nurse supervisor. * Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. * Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. * Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. * Perform administration of Heparin as delegated or as allowed by state law. * Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). * Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. * Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. * Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. * Discontinue dialysis treatment according to established procedures * Evaluate patient prior to termination of venous access - standing & sitting blood pressure. * Obtain Hemostasis and apply appropriate dressings. * Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. * Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. * Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling 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 nurse supervisor. * Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse 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 nurse supervisor. * Obtain all prescribed laboratory testing and prepare specimens for collection. MAINTENANCE/TECHNICAL: * 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. * Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). * Initiate Solution Delivery System (SDS) system. * 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. CLERICAL & ADMINISTRATIVE: * Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. * Enters all treatment data into the designated clinical application accurately and in a timely manner. * Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. * Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. * Prepare 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. OTHER: * Perform additional duties as assigned. ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: * May assist HT RN on Home Visit as directed * Reinforces PD / HHD education under supervision of qualified HT RN * Schedules and contacts patients regarding appointments * Weigh patient and obtain vital signs * Collect treatment records and review for completion. Notify RN of incomplete / missing records. * Cleaning and prepping treatment room; prep charts * 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.) * Obtain home hemo water sampling as directed by the HT RN * Set-up of the home hemo machine and PD Cycler. * Assist with exit site care when directed by HT RN. * Warm dialysate solution when directed by the HT RN * Draw dialysate solution for testing as directed by the HT RN * Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review) * Assembles/breaks down charts/thins charts * Maintains logs as directed and applicable * Inventory 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 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 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 * Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. * All appropriate state licensure education and training (if any) required. EXPERIENCE AND REQUIRED SKILLS * Previous patient care experience in a hospital setting or related facility preferred. * Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as indicated. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility/primary Nurse. Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. Performs 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. Administers medications as prescribed and documents medical justification and effectiveness. Initiates and assists with emergency response measures. Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, Supervisors and the company at the facility and area level. May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually. May be assigned to assist in an Outpatient facility on an as needed basis. May serve as a Preceptor to new employees. Required to complete CAP requirements to maintain or advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position requires travel to training/meeting sites and between assigned facilities. Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. 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 designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and modality specific training requirements. 6 months experience in acute dialysis as a RN. EDUCATION AND LICENSURE: Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in all states employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with minimum 2 years or more of Nephrology Nursing experience in the last 2 years as a RN. Acute dialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the USV/FMCNA Compliance Program, including following all regulatory and USV/FMS policy requirements. Under the direct supervision of the Facility Manager or Chief Radiology Technologist, performs scrub and circulating duties during interventional procedures according to USV/FMS policies and procedures. Assists with preparation of procedure room, inventory of supplies and stocking of supplies in the procedure room and stock room. PRINCIPAL DUTIES AND RESPONSIBILITIES: Assists with the maintenance and setting up of the procedure room in compliance with FMCNA/USV policies and procedures and state and federal regulations. Stocks procedure room and procedure trays with all needed supplies and interventional equipment prior to procedure. Cleans the procedure room including the equipment and machinery post procedure. May assist with preparing the patient for the surgical procedure by positioning, shaving and prepping. Performs additional tasks as designated by Physician, practicing in compliance with state regulations Prepares and administers medications within the scope of practice and state regulations Performs patient transfers and positioning of patients and transports patient to and from procedure room. Acts as scrub assistant assisting the physician during interventional procedures under fluoroscopy; maintaining a sterile technique according to the established company policies and procedures and state and federal regulations. Draws up intravenous medication and labels as per Medication Labeling Policy, and Medication in the Sterile Field Competency. Performs circulating duties in the procedure room. Complies with HIPAA policies and standards in regards to patient confidentiality. Assists with maintaining environmental integrity and aesthetics. Ensures all areas are clean, sanitary and safe on a daily basis Ensures all facility equipment and instruments are in proper working condition by inspecting equipment on a daily basis before and after procedures. May perform minor equipment repairs and general upkeep. Communicate problems to supervisor and document issues in the communications log. Assists with disposal of hazardous waste materials, dirty linen and rugs. May assist with instrument sterilization and packaging of surgical instruments. Assists with preparing, organizing, and efficiently utilizing supplies and equipment to prevent wastage. Provides outstanding quality of patient care by supporting and driving USV quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of USV/FMS CQI tools. Assists with implementing USV quality goals and facility specific action plans in order to achieve USV quality standards. Maintains integrity of medical records and other USV administrative and operational records. Complies with all data collection and auditing activities. Provides clerical and practical support to physicians and staff: Works with the physicians and staff to have all necessary instruments and equipment are on hand. May print images and send to the physician. May assist with training and orienting new employees on the medical equipment. Files paperwork in patient files according to policies and procedures. Assists with inventory, ordering of supplies and re-stocking of supplies. May process x-ray images after acquisitions. May archive patient images to a CD or DVD to comply with USV policies and procedures for patient medical records and state regulations. Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. 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. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. 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. Must be able to lift, push and pull up to 50 pounds. Must be able to stand in a protective apron for up to 45-60 minutes. EDUCATION: High School Diploma required Surgical Technologist Certification as required by state regulation All appropriate state licensure, and or certification education and training (if any) required. EXPERIENCE AND REQUIRED SKILLS: 1 - 2 years' related experience. Previous patient care experience preferred. Working knowledge of interventional equipment (including C-Arm and Ultrasound equipment), procedures and materials/supplies needed for each procedure. Knowledge of sterile techniques. Experience with special procedures utilizing a C-Arm preferred. Knowledge of universal precautions and personal protective devices to be utilized when operating radiology systems. Successfully complete BLS certification. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. 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. PRINCIPAL DUTIES AND RESPONSIBILITIES: General and Staff Related: • 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 Clinical Manager 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 in clinics with more than 100 patients. • Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager 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 Clinical Manager 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 Clinical Manager 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. Patient Care: • 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. Technical: • 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 Facility Training. Other: • Assist with special projects or other duties as assigned by the Clinical Manager • Assist with the interviewing of potential direct patient care staff as requested. • Promote efficient use of medical supplies. • Attend and participate in monthly Quality Assurance meetings. • Other duties as assigned. Relationships: • Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP) • External Contacts: Physicians, Back-up Hospitals Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. The duties 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. 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. SUPERVISION: • Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: • Graduate of an accredited school of Nursing (R.N.) • Current appropriate state licensure. EXPERIENCE AND REQUIRED SKILLS: • Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis • RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience. • Supervisory or management experience preferred. • Successfully completea training course in the theory and practice of hemodialysis. • Good communication skills - verbal and written. • Must meet appropriate state requirements (if any). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

PURPOSE AND SCOPE: The registered professional nurse Home Therapies 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. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. 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 with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. * Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies 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 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. * 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. * 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. * Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. * 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 equipment, 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 therapies staff as assigned to ensure reliable and adequate coverage. * Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. * The position may require travel to training sites, other facilities or patient homes. * May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. * Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants 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 12 months experience as a RN. * Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis. 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 2 years of Nephrology Nursing experience as a Registered Nurse. * Minimum of 1-year experience as a Registered Nurse (preferred) * Home dialysis therapy experience (preferred). Fresenius Medical Care 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. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: Responsible for driving the FMS culture through values and customer service standards. Accountable for outstanding customer service to all external and internal customers. Develops and maintains effective relationships through effective and timely communication. Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: 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. Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. Evaluate vascular access for patency and report any unusual findings to nurse supervisor. Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. Perform administration of Heparin as delegated or as allowed by state law. Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. Discontinue dialysis treatment according to established procedures Evaluate patient prior to termination of venous access - standing & sitting blood pressure. Obtain Hemostasis and apply appropriate dressings. Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling 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 nurse supervisor. Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse 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 nurse supervisor. Obtain all prescribed laboratory testing and prepare specimens for collection. MAINTENANCE/TECHNICAL: 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. Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). Initiate Solution Delivery System (SDS) system. 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. CLERICAL & ADMINISTRATIVE: Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. Enters all treatment data into the designated clinical application accurately and in a timely manner. Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. Prepare 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. OTHER: Perform additional duties as assigned. ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: May assist HT RN on Home Visit as directed Reinforces PD / HHD education under supervision of qualified HT RN Schedules and contacts patients regarding appointments Weigh patient and obtain vital signs Collect treatment records and review for completion. Notify RN of incomplete / missing records. Cleaning and prepping treatment room; prep charts 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.) Obtain home hemo water sampling as directed by the HT RN Set-up of the home hemo machine and PD Cycler. Assist with exit site care when directed by HT RN. Warm dialysate solution when directed by the HT RN Draw dialysate solution for testing as directed by the HT RN Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review) Assembles/breaks down charts/thins charts Maintains logs as directed and applicable Inventory 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 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 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 Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. All appropriate state licensure education and training (if any) required. EXPERIENCE AND REQUIRED SKILLS Previous patient care experience in a hospital setting or related facility preferred. Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. 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. PRINCIPAL DUTIES AND RESPONSIBILITIES: General and Staff Related: 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 Clinical Manager 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 in clinics with more than 100 patients. Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager 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 Clinical Manager 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 Clinical Manager 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. Patient Care: 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. Technical: 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 Facility Training. Other: Assist with special projects or other duties as assigned by the Clinical Manager Assist with the interviewing of potential direct patient care staff as requested. Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Other duties as assigned. Relationships: Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP) External Contacts: Physicians, Back-up Hospitals Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. The duties 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. 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. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.) Current appropriate state licensure. EXPERIENCE AND REQUIRED SKILLS: Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience. Supervisory or management experience preferred. Successfully completea training course in the theory and practice of hemodialysis. Good communication skills - verbal and written. Must meet appropriate state requirements (if any). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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. Assists patients in performing self-care as applicable Staff Related Participates in the recruitment process for new clinical staff Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization. Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards. Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's. Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement. Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. Provides developmental support to applicable clinical and facility staff. Education/Communication: Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations. Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility. Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs. Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed. Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities. Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices MAINTENANCE/TECHNICAL: 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 with facility QAI infection control audits. Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices. Reinforces new hire employee adherence to infection control Policies and Procedures Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice. Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards. Under the direction of the Education Dept. participates in education response to internal and external facility surveys. 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. Bachelor's degree preferred Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS) All appropriate state licensure, education, and training (if any) required. Demonstrated commitment to organization culture, values, and customer service standards Attendance and active participation in all applicable preceptor training programs as established by education leadership Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager. EXPERIENCE AND REQUIRED SKILLS: At least five years 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

PURPOSE 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 Kidney Disease health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care and applicable contractual service policy, procedures, standards of nursing practice, state and federal regulations. * Performs all essential functions under the direction of the Program Manager (PM) and with guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2, 3, 4 or 5 for the first 6 months of employment. * Expected to complete requirements to advance to the next Inpatient 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 treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient's primary nurse and others as may be indicated. * Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to manager, appropriate physician, and acute primary nurse. * Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. * Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. * Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care. * Administers medications as prescribed and in accordance with contractual agreement. * Ensures nephrology physician orders for assigned patients are received and entered in the Medical Record. * Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner. * Performs 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. * Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist 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. * Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies. * Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients. * Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee. * 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. * May be assigned to assist in an Outpatient facility on an as needed basis. * Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. * Performs all other duties as assigned by manager within state, federal and contractual standards. 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. * Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis. * 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. * May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. * Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required. * Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs). SUPERVISION: * Assigned oversight of Patient Care Technicians/LPNs as a designated Nurse in charge, after the following: * Successful completion of all FKC education and modality specific training requirements for new employees plus * Must have a minimum of 9 months experience as an RN plus * 6 months experience in dialysis EDUCATION: * Graduate of an accredited School of Nursing. * Current appropriate state licensure. * Must meet the practice requirements in all states 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). * Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN * 6 months dialysis experience required to be on-call. * Hemodialysis and/or ICU 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 Fresenius Medical Care 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations. * Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. * Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. * Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. * Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. * Initiates or assists with emergency response measures. * Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility, and area level. * Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. * Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. * Ensures patient awareness related to transplant and treatment modality options. * Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. * May serve as a Preceptor to new employees. * Required to complete CAP requirements to maintain or advance. * Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. * This position requires frequent, prolonged periods of standing and the employee must be able to bend over. * The employee may occasionally be required to move, with assistance, machines, and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. * May be exposed to infectious and contagious diseases/materials. * Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. * The position may require travel to training sites or other facilities. * May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: * Assigned oversight of Patient Care Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: * Successful completion of all FKC education and training requirements for new employees. * Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: * Graduate of an accredited School of Nursing. * Current appropriate state licensure. * Current or successful completion of CPR BLS Certification * Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: * Entry level for RNs with minimum of 2 years of Nephrology Nursing experience 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. Assists patients in performing self-care as applicable Staff Related * Participates in the recruitment process for new clinical staff * Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization. * Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards. * Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's. * Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement. * Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. * Provides developmental support to applicable clinical and facility staff. Education/Communication: * Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations. * Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility. * Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives * Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs. * Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed. * Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities. * Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices MAINTENANCE/TECHNICAL: * 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 with facility QAI infection control audits. * Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices. * Reinforces new hire employee adherence to infection control Policies and Procedures * Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice. * Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards. * Under the direction of the Education Dept. participates in education response to internal and external facility surveys. * 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. Bachelor's degree preferred * Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS) All appropriate state licensure, education, and training (if any) required. * Demonstrated commitment to organization culture, values, and customer service standards * Attendance and active participation in all applicable preceptor training programs as established by education leadership * Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager. EXPERIENCE AND REQUIRED SKILLS: * At least five years 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations. * Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. * Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. * Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. * Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. * Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. * Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. * Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. * Performs 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. * Administers medications as prescribed and documents appropriate medical justification and effectiveness. * Initiates and assists with emergency response measures. * Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. * May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. * May be assigned to assist in an Outpatient facility on an as needed basis. * 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. * May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. * Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. * The position requires travel to training/meeting sites and between assigned facilities. * Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: * Successful completion of all FKC education and modality specific training requirements for new employees. * Must have a minimum of 9 months experience as a RN. * 6 months experience in acute dialysis 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 all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: * Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN * Minimum 9 months experience as a Registered Nurse, 12 months (preferred). * 6 months acute dialysis experience (preferred) * Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . 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 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 Fresenius Medical Care 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. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: * 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. * Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. * Evaluate vascular access for patency and report any unusual findings to nurse supervisor. * Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. * Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. * Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. * Perform administration of Heparin as delegated or as allowed by state law. * Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). * Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. * Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. * Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. * Discontinue dialysis treatment according to established procedures * Evaluate patient prior to termination of venous access - standing & sitting blood pressure. * Obtain Hemostasis and apply appropriate dressings. * Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. * Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. * Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling 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 nurse supervisor. * Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse 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 nurse supervisor. * Obtain all prescribed laboratory testing and prepare specimens for collection. MAINTENANCE/TECHNICAL: * 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. * Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). * Initiate Solution Delivery System (SDS) system. * 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. CLERICAL & ADMINISTRATIVE: * Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. * Enters all treatment data into the designated clinical application accurately and in a timely manner. * Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. * Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. * Prepare 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. OTHER: * Perform additional duties as assigned. ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: * May assist HT RN on Home Visit as directed * Reinforces PD / HHD education under supervision of qualified HT RN * Schedules and contacts patients regarding appointments * Weigh patient and obtain vital signs * Collect treatment records and review for completion. Notify RN of incomplete / missing records. * Cleaning and prepping treatment room; prep charts * 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.) * Obtain home hemo water sampling as directed by the HT RN * Set-up of the home hemo machine and PD Cycler. * Assist with exit site care when directed by HT RN. * Warm dialysate solution when directed by the HT RN * Draw dialysate solution for testing as directed by the HT RN * Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review) * Assembles/breaks down charts/thins charts * Maintains logs as directed and applicable * Inventory 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 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 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 * Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. * All appropriate state licensure education and training (if any) required. EXPERIENCE AND REQUIRED SKILLS * Previous patient care experience in a hospital setting or related facility preferred. * Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations. * Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse. * Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as indicated. * Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. * Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility/primary Nurse. * Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. * Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. * Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. * Performs 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. * Administers medications as prescribed and documents medical justification and effectiveness. * Initiates and assists with emergency response measures. * Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, Supervisors and the company at the facility and area level. * May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually. * May be assigned to assist in an Outpatient facility on an as needed basis. * May serve as a Preceptor to new employees. * Required to complete CAP requirements to maintain or advance. * Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. * This position requires frequent, prolonged periods of standing and the employee must be able to bend over. * The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. * May be exposed to infectious and contagious diseases/materials. * May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. * Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. * The position requires travel to training/meeting sites and between assigned facilities. * Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. * 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 designated Nurse in Charge, after meeting all the following: * Successful completion of all FKC education and modality specific training requirements. * 6 months experience in acute dialysis as a RN. EDUCATION AND LICENSURE: * Current appropriate state licensure. * Current or successful completion of CPR BLS Certification * Must meet the practice requirements in all states employed. EXPERIENCE AND REQUIRED SKILLS: * Entry level for RNs with minimum 2 years or more of Nephrology Nursing experience in the last 2 years as a RN. * Acute dialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Per Diem.

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. · Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. · Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. · Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. · Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. · Performs 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. · Administers medications as prescribed and documents appropriate medical justification and effectiveness. · Initiates and assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. · May be assigned to assist in an Outpatient facility on an as needed basis. · 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. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. · Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position requires travel to training/meeting sites and between assigned facilities. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · 6 months experience in acute dialysis 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 all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN · Minimum 9 months experience as a Registered Nurse, 12 months (preferred). · 6 months acute dialysis experience (preferred) · Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . 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 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 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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). Fresenius Medical Care 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 2 years of Nephrology Nursing experience as a Registered Nurse. * Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.