756 Med Surg Nurse jobs in Lake Winola

Job Name: PA- RN Med/Surg Neuro D4- NIGHTS- GCMCJob Description:13 week Med/Surg Neuro traveler needed for the day shift. We have 34 beds on neuro trauma We take care of med/surgical neuro trauma, CVA, Craniotomy and trauma patients. Surgical side has 27 beds. We take care of surgical patients (Gallbladder, ortho, bowel surgeries). The floor is fast paced. We concentrate on CICARE, response to call bells, and communication.Job Summary:In accordance with the standards of care established by the State Board of Nursing, Responsible for the delivery of patient care through the nursing process of assessment, planning, implementation and evaluation. Directs and guides patient teaching and activities of ancillary personnel.Job Duties: Provides direct patient care including, treatments, medications, and diagnostic studies according to policy and procedure. Completes assessments as established by scope of practice and unit standards. Addresses physical, psychological, social, cultural, and spiritual needs of patient and family throughout the continuum of care. Formulates, coordinates, and provides plan of care as established in unit standards including, patient and family education, family needs and discharge planning throughout hospitalization with members of the interdisciplinary team. Evaluates effectiveness of nursing interventions and revises plan of care based upon patient response to interventions. Initiates collaboration with physicians, ancillary personnel, and other interdisciplinary team members and takes action to proactively resolve and facilitate patient needs. Makes assignments in collaboration with other team members. Directs and alters assignments in response to changes in patient situations. Promotes teamwork by delegating tasks to team members based on skill, expertise, time availability, acuity, and needs of the patient. Problem solves, troubleshoots and takes corrective measures in the care and handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence based practice. Actively participates as a team member working toward team goals of the unit and organization and is accountable for unit and system specific metrics. Supports and participates in initiatives that support the Magnet mission. Actively participates in patient quality and safety education programs and other activities designed to improve departmental and organizational quality and safety.Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details:Education: Graduate from Specialty Training Program-Nursing (Required)Experience: Certification(s) and License(s):Basic Life Support Certification - American Heart Association (AHA), Licensed Registered Nurse (Pennsylvania) - RN_State of PennsylvaniaSkills: Clinical Skills, Communication Skills, Interpersonal Skills, Organizational Skills, Preceptor Skills, Team PlayerOUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.SAFETY: We provide a safe environment for our patients and members and the Geisinger familySpecialty: NursingSub Specialty(s): Med-surg AdultAdditional Information And TermsCertifications/Requirements: BLS/BCLS

Job Name: PA- RN Med/Surg Neuro D4- NIGHTS- GCMCJob Description:13 week Med/Surg Neuro traveler needed for the day shift. We have 34 beds on neuro trauma We take care of med/surgical neuro trauma, CVA, Craniotomy and trauma patients. Surgical side has 27 beds. We take care of surgical patients (Gallbladder, ortho, bowel surgeries). The floor is fast paced. We concentrate on CICARE, response to call bells, and communication.Job Summary:In accordance with the standards of care established by the State Board of Nursing, Responsible for the delivery of patient care through the nursing process of assessment, planning, implementation and evaluation. Directs and guides patient teaching and activities of ancillary personnel.Job Duties: Provides direct patient care including, treatments, medications, and diagnostic studies according to policy and procedure. Completes assessments as established by scope of practice and unit standards. Addresses physical, psychological, social, cultural, and spiritual needs of patient and family throughout the continuum of care. Formulates, coordinates, and provides plan of care as established in unit standards including, patient and family education, family needs and discharge planning throughout hospitalization with members of the interdisciplinary team. Evaluates effectiveness of nursing interventions and revises plan of care based upon patient response to interventions. Initiates collaboration with physicians, ancillary personnel, and other interdisciplinary team members and takes action to proactively resolve and facilitate patient needs. Makes assignments in collaboration with other team members. Directs and alters assignments in response to changes in patient situations. Promotes teamwork by delegating tasks to team members based on skill, expertise, time availability, acuity, and needs of the patient. Problem solves, troubleshoots and takes corrective measures in the care and handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence based practice. Actively participates as a team member working toward team goals of the unit and organization and is accountable for unit and system specific metrics. Supports and participates in initiatives that support the Magnet mission. Actively participates in patient quality and safety education programs and other activities designed to improve departmental and organizational quality and safety.Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details:Education: Graduate from Specialty Training Program-Nursing (Required)Experience: Certification(s) and License(s):Basic Life Support Certification - American Heart Association (AHA), Licensed Registered Nurse (Pennsylvania) - RN_State of PennsylvaniaSkills: Clinical Skills, Communication Skills, Interpersonal Skills, Organizational Skills, Preceptor Skills, Team PlayerOUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.SAFETY: We provide a safe environment for our patients and members and the Geisinger familySpecialty: NursingSub Specialty(s): Med-surg AdultAdditional Information And TermsCertifications/Requirements: BLS/BCLS

ARMStaffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Montrose, Pennsylvania.

• Specialty:Med Surg / Telemetry
• Discipline:RN
• Start Date:07/07/2025
• Duration:13 weeks
• 36 hours per week
• Shift:12 hours, nights
• Employment Type:Travel

Travel Med Surg/Telemetry (MS/Tele) Registered Nurse (RN) – Nationwide Contracts
Assignment Type:Travel Contract/Local Contract

ARMStaffingis hiring experienced and motivatedMed Surg/Telemetry Registered Nurses (RNs)for travel assignments across the U.S. If you’re ready to provide quality care in a variety of clinical settings while exploring new locations, this opportunity is for you!

Job Description:
As aTravel MS/Tele RN, you'll care for adult patients recovering from medical conditions and surgical procedures, while closely monitoring their cardiac status. This hybrid role is ideal for nurses who thrive in fast-paced, high-acuity environments and enjoy making a meaningful impact.

Key Responsibilities:

• Deliver direct nursing care to adult patients in a Med Surg/Telemetry setting
• Monitor cardiac rhythms and respond to telemetry alerts
• Administer medications, perform assessments, and update care plans
• Collaborate with physicians and healthcare teams to ensure optimal outcomes
• Document patient status and care interventions accurately

Requirements:

• Active RN license (Compact license preferred)
• BLS and ACLS certifications required
• Minimum 1 year of recent Med Surg/Telemetry experience
• Proficiency in telemetry monitoring and rhythm interpretation
• Strong time management, adaptability, and critical thinking skills

Why Travel with ARMStaffing?

• Top Travel Pay + Tax-Free Housing & Meal Stipends
• Weekly Pay with Direct Deposit
• Free Private Housing or Housing Allowance
• Credentialing and Licensing Reimbursement Support
• 24/7 Dedicated Recruiter Support
• Full Medical, Dental & Vision Insurance Options

Join ARMStaffing and bring your MS/Tele expertise to hospitals that need you most.
Apply todayand start your next high-impact travel nursing assignment!

ARMStaffing Job ID #32482929. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:MedSurg/Tele,19:00:00-07:00:00

Allied Resources Medical Staffing (ARMStaffing) places the most qualified medical professionals in the industry, including: local and travel contract, temp-to-perm, per diem, and direct-hire personnel.

As a leader in medical staffing, we cover every segment of the healthcare market and take pride in our ability to exceed our clients' expectations. We accomplish this through our total dedication to our clients and field associates, our over 15 years of experience, a strong and diverse poor of medical professionals, and the high level of loyalty of our internal staff.

We also make it a point to develop and maintain close relationships with staffing and office managers to ensure clear communication and proper placements based on the client's criteria. This allows us to tailor our services to best suit the staffing needs of our clients, while placing our employees in positions that match their abilities and preferences.

Our goal is to offer unparalleled service to our valued healthcare clients, regardless of facility size or location, and to maintain a top-notch workforce of qualified, dedicated and medical professionals.

The Experts in Healthcare Recruiting

• Local and travel contracts
• Temp-to-perm employment
• Direct-hire personnel
• Per Diem
• Staffing for every segment of the healthcare industry including, RNs, LPNs, and CNAs, and Allied Health Professionals
• Long-term contracts, block scheduling and per diem staffing options
• 24-Hour customer service and on-call support 365 days a year
• Full-time, registered nurse on staff to provide screening, background, and reference checks
• Long-term and temporary career options with outstanding employee benefits
• Medical Benefits
• Company-matched 401K

No Dialysis experience is required. Training may take place in a facility or a training clinic other than your assigned home clinic. Potential to float to various clinics during and after your training. You must have a flexible schedule and be abl Technician, Patient Care, Patient, Healthcare, Training

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 patients 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.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof 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:

• HighSchooldiplomaorG.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.

• Allappropriatestatelicensure,education,andtraining(ifany) required.

• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS :

• Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred.

• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

This is a FLOAT position which requires dialysis experience.

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 patients 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.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof 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:

• HighSchooldiplomaorG.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.

• Allappropriatestatelicensure,education,andtraining(ifany) required.

• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS :

• Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred.

• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

Principal Duties And Responsibilities:

Patient Related

• Education: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
• Treatment: Welcome assigned patients and inquire as to their wellbeing since their last treatment. Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. Monitor patients' response to dialysis therapy. Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure Obtain Hemostasis and apply appropriate dressings. Evaluate the patient prior to discharge. Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. Perform and document any intervention for unusual patient status and document patients' response to intervention. Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor. Obtain all prescribed laboratory testing and prepare specimens for collection. Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. Monitors patients performing self-care under the supervision of RN.
• Staff Related: Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

• Follows all organization business policies, procedures, and systems incorporated into training, including compliance with ethical business practices
• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system.

Record Keeping:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff.
• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
• Ensure collection of lab specimens by appropriate lab courier.

Infection Control:

• Assists in collecting information for infection control audits.
• Supports staff and patient Adherence to infection control practices.
• Follows infection control Policies and Procedures.
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

Transitional Care Unit:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care.
• Reinforces all education and care related matters as it relates to the new patient as allowed by state law.
• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
• Sets and preforms a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
• Assists with coordination of transition to patient's modality choice.
• Assists with supply ordering and inventory for TCU.

Physical Demands And Working Conditions:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.

Education And Licenses:

• High School diploma or G.E.D. required.
• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
• All appropriate state licensure, education, and training (if any) required.
• Demonstrated commitment to organization culture, values, and customer service standards.

Experience And Required Skills:

• Previous patient care experience in a hospital setting or a related facility preferred.
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity.

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans