Licensed Practical Nurse - LPN - Dialysis - at Fresenius Medical Care North America
Company: Health eCareers
Location: Athens
Posted on: September 3, 2024
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Job Description:
Purpose And ScopeFunctions as a member of the hemodialysis
health care team in providing safe and effective dialysis therapy
for patients under the direct supervision of a registered nurse in
accordance with Fresenius Kidney Care (FKC) policies, procedures,
and training and in compliance with regulations set forth by the
corporation, state, and federal agencies. Assists with clinical
orientation precepting and on-going training of all appropriate
direct patient care personnel as well as the orientation of all
facility staff to FKC. Participates in the implementation and
evaluation of patient care. Promote and assist in the maintenance
of a safe and clean working environment. Supports the FKC
commitment to the Quality Enhancement Program (QEP) and Quality
Assurance Indicators (QAI) activities, including those related to
patient satisfaction and actively participates in process
improvement activities that enhance the likelihood that patients
will achieve the FKC Quality Enhancement Goals (QEP).Principal
Duties And ResponsibilitiesSTAFF RELATEDParticipates 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
FKC.Functions as preceptor in direct patient care training programs
to support the delivery of quality patient care as per the
standards set forth in the FKC Clinical Services Clinical Training
Manual(s), FKC policies and procedures, and FKC training
standards.Delivers and maintains on-going competency
evaluations/audits to ensure ongoing performance of other LPNs and
PCTs.Collaborates with the Clinical Manager and Education
Coordinator in driving FKC quality standards through education
regarding all Chronic Kidney Disease (CKD) regulatory and legal
requirements and the practice of Continuous Quality
Improvement.Assists in training of applicable direct patient care
staff on appropriate programs.Provides coaching and developmental
support to applicable clinical and facility
staff.Education/CommunicationPartners 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 direct patient care staff
including contests and other team-based programs.Monitors processes
in the delivery of patient care through regular Quality Assurance
Indicator (QAI) activities.Ensures all FKC business policies,
procedures and systems are incorporated into training, including
compliance with ethical business practices.Education**PATIENT
RELATED:**Assists 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.TreatmentWelcomes assigned
patients and inquire as to their well-being since their last
treatment.Evaluates vascular access for patency.Obtains necessary
pre- and post -treatment vital signs and weight.Performs vascular
access evaluation pre-treatment.Performs vascular access
cannulation.Performs administration of Heparin, as delegated or as
allowed by state law.Responsible for the setup and operation of
hemodialysis machines.Initiates dialysis treatment according to
prescribed orders including blood flow (QB) and dialysate flow
(QD).Evaluates intradialytic problems and provides intervention as
prescribed by physician order or as directed.Monitors patients'
response to dialysis therapy.Obtains vital signs prior to
reinfusion; performs all relevant functions necessary for the
discontinuation of treatmentDiscontinues dialysis treatment
according to established procedures.Evaluates patient prior to
termination of venous access - standing & sitting blood
pressure.Obtains Hemostasis and applies appropriate
dressings.Evaluates the patient prior to discharge.Performs and
records 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.Records 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.Reports directly to the nurse supervisor.Responsible for
reporting and documenting any significant information and/or change
in patient condition, all new or unusual incidents, information,
complaints, or problems to the nurse supervisor.Observes patient,
and conducts machine safety checks according to facility policy.
Reports any change or unusual findings to the nurse
supervisor.Performs and documents any intervention for unusual
patient status and document patients' response to
intervention.Evaluates patients' vascular access during treatment
including arterial and venous monitoring pressures; provides
appropriate intervention as needed, documents and reports any
unusual findings to the nurse supervisor.Obtains all prescribed
laboratory testing and prepare specimens for collection.Assists in
developing and following the teaching plan to educate the patient
and family regarding end stage renal disease, dialysis therapy,
diet, and medications.Assists with all emergency operational
procedures.Administers medications including intravenous in
accordance with physician orders and state nurse practice
laws.Initiates basic CPR measures in the event of cardiac and/or
pulmonary arrest and respond to emergency situations related to
dialysis treatment.
Keywords: Health eCareers, Athens , Licensed Practical Nurse - LPN - Dialysis - at Fresenius Medical Care North America, Healthcare , Athens, Georgia
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