21 Recent Graduate jobs in Denver

**Be the** **Nurse You Always Wanted to be at BAYADA**
We want you to flourish here - learning new skills, growing with every challenge, succeeding in each assignment, and advancing in your nursing career.
**BAYADA Offers** :
+ One on one Private Duty nursing
+ Flexible scheduling around your availability
+ Paid Time Off (PTO)
+ Weekly Pay
+ Electronic charting using CubHub
+ In-depth paid training from day one
+ Award-winning adult and pediatric Simulation labs
+ Short commute times working close to home
+ Around the clock clinical support
+ $1,200 nurse referral bonuses
**What** **Sets BAYADA Apart:**
BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).
As a non-profit organization, our focus is always on quality care for our clients. Our Clinical Managers take their time with each new nurse to be sure you enter the field comfortable and confident in your skills. We care for people of all ages, diagnoses, and acuity levels, giving you the chance to explore your passions.
**Why You'll Love our York Skilled Nursing team:**
Our brand new Skilled Nursing office supports all ages (pediatrics-adults) within one location servicing York and Adams Counties in a one-to-one setting.
Our team is a mix of new and tenured BAYADA employees and we are continuing to build our Nursing team with newly licensed nurses like YOU!
**Benefits Include:**
+ Preventive Care Coverage for ALL employees (PRN included)
+ Medical, Dental, and Vision benefits
+ Company-paid life insurance
+ Employee Assistance Program
+ Public Service Loan Forgiveness Partner
+ 401K
**Requirements:**
+ Current valid nursing license in U.S. and graduation from a qualified nursing program
+ CPR in good standing
**Apply now and ask your recruiter about our Live Info Sessions to learn more!**
MAR-CPA
**As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.**
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here ( .
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

**Be the** **Nurse You Always Wanted to be at BAYADA**
We want you to flourish here - learning new skills, growing with every challenge, succeeding in each assignment, and advancing in your nursing career.
**BAYADA Offers** :
+ One on one Private Duty nursing
+ Flexible scheduling around your availability
+ Paid Time Off (PTO)
+ Weekly Pay
+ Electronic charting using AlayaCare
+ In-depth paid training from day one
+ Award-winning adult and pediatric Simulation labs
+ Short commute times working close to home
+ Around-the-clock clinical support
+ $1,200 nurse referral bonuses
**What** **Sets BAYADA Apart:**
BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).
As a non-profit organization, our focus is always on quality care for our clients. Our Clinical Managers take their time with each new nurse to be sure you enter the field comfortable and confident in your skills. We care for people of all ages, diagnoses, and acuity levels, giving you the chance to explore your passions.
**Why You'll Love our Lancaster/Reading Skilled Nursing teams:**
Our brand new Skilled Nursing office supports all ages (pediatrics-adults) within one location servicing Berks, Lancaster, and Lebanon Counties in a one-to-one setting.
Our team is a mix of new and tenured BAYADA employees and we are continuing to build our Nursing team with newly licensed nurses like YOU!
**Benefits Include:**
+ Preventive Care Coverage for ALL employees (PRN included)
+ Medical, Dental, and Vision benefits
+ Company-paid life insurance
+ Employee Assistance Program
+ Public Service Loan Forgiveness Partner
+ 401K
**Requirements:**
+ Current valid nursing license in U.S. and graduation from a qualified nursing program
+ CPR in good standing
**Apply now and ask your recruiter about our Live Info Sessions to learn more!**
MAR-CPA
**As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.**
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here ( .
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

Be the nurse you always wanted to be at BAYADA

We want you to flourish here - learning new skills, growing with every challenge, succeeding in each assignment, and advancing in your nursing career.

Our Nurse Residency Program is a 4-6 week program, combination of class, sim lab, and field precepting - all designed to prepare you to work independently with our clients.

BAYADA Offers :

• One on one patient care

• Flexible scheduling around your availability

• Paid Time Off (PTO)

• Weekly pay

• Electronic charting using AlayaCare

• In-depth paid training from day one

• Awarding-winning adult and pediatric Simulation labs

• Short commute times working close to home

• Around the clock clinical support

• $1,200 nurse referral bonuses

What Sets BAYADA Apart:

BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).

As a non-profit organization, our focus is always on quality care for our clients. Our Clinical Managers take their time with each new nurse to be sure you enter the field comfortable and confident in your skills. We care for people of all ages, diagnoses, and acuity levels, giving you the chance to explore your passions.

Benefits Include:

• Preventive Care Coverage for ALL employees (PRN included)

• Medical, Dental, and Vision benefits

• Company-paid life insurance

• Employee Assistance Program

• Public Service Loan Forgiveness Partner

• 401K

Requirements to enroll:

• Current valid nursing license and graduation from a qualified nursing program

• CPR in good standing

Apply to join our talent network and ask your recruiter about our Live Info Sessions to learn about our upcoming cohorts!

MAR-EPA-RX

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here ( .

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

**Be the nurse you always wanted to be at BAYADA**
We want you to flourish here - learning new skills, growing with every challenge, succeeding in each assignment, and advancing in your nursing career.
Our Nurse Residency Program is a 4-6 week program, combination of class, sim lab, and field precepting - all designed to prepare you to work independently with our clients.
**BAYADA Offers** :
+ One on one patient care
+ Flexible scheduling around your availability
+ Paid Time Off (PTO)
+ Weekly pay
+ Electronic charting using AlayaCare
+ In-depth paid training from day one
+ Awarding-winning adult and pediatric Simulation labs
+ Short commute times working close to home
+ Around the clock clinical support
+ $1,200 nurse referral bonuses
**What Sets BAYADA Apart:**
BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).
As a non-profit organization, our focus is always on quality care for our clients. Our Clinical Managers take their time with each new nurse to be sure you enter the field comfortable and confident in your skills. We care for people of all ages, diagnoses, and acuity levels, giving you the chance to explore your passions.
**Benefits Include:**
+ Preventive Care Coverage for ALL employees (PRN included)
+ Medical, Dental, and Vision benefits
+ Company-paid life insurance
+ Employee Assistance Program
+ Public Service Loan Forgiveness Partner
+ 401K
**Requirements to enroll:**
+ Current valid nursing license and graduation from a qualified nursing program
+ CPR in good standing
**Apply to join our talent network and ask your recruiter about our Live Info Sessions to learn about our upcoming cohorts!**
**MAR-EPA-RX**
**As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.**
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here ( .
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

**Be the nurse you always wanted to be at BAYADA**
We want you to flourish here - learning new skills, growing with every challenge, succeeding in each assignment, and advancing in your nursing career.
Our Nurse Residency Program is a 4-6 week program, combination of class, sim lab, and field precepting - all designed to prepare new nursing graduates to work independently with our clients.
**BAYADA Offers** :
+ One on one patient care
+ Flexible scheduling around your availability
+ Paid Time Off (PTO)
+ Weekly pay
+ Electronic charting using AlayaCare
+ In-depth paid training from day one
+ Awarding-winning adult and pediatric Simulation labs
+ Short commute times working close to home
+ Around the clock clinical support
+ $1,200 nurse referral bonuses
**What Sets BAYADA Apart:**
BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).
As a non-profit organization, our focus is always on quality care for our clients. Our Clinical Managers take their time with each new nurse to be sure you enter the field comfortable and confident in your skills. We care for people of all ages, diagnoses, and acuity levels, giving you the chance to explore your passions.
**Benefits Include:**
+ Preventive Care Coverage for ALL employees (PRN included)
+ Medical, Dental, and Vision benefits
+ Company-paid life insurance
+ Employee Assistance Program
+ Public Service Loan Forgiveness Partner
+ 401K
**Requirements to enroll:**
+ Current valid nursing license and graduation from a qualified nursing program
+ CPR in good standing
**Apply to join our talent network and ask your recruiter about our Live Info Sessions to learn about our upcoming cohorts!**
**MAR-EPA-RX**
**As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.**
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here ( .
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

PURPOSE AND SCOPE:

Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

STAFF RELATED:

• Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.

• Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.

• Assesses daily patient care needs and develops appropriate patient care assignments.

• Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.

• Participates in staff training and orientation of new staff as assigned

• Participates in all required staff meetings as scheduled.

PATIENT RELATED:

Education:

• Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).

• Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.

• Discusses with patient, and records education related to diet/fluid and medication compliance.

• Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).

• Ensures transplant awareness, modality awareness, and drive catheter reduction.

• Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.

Dialysis Treatment:

• Provides safe and effective delivery of care to patients with ESRD.

• Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.

• Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.

• Identifies and communicates patient related issues to Team Leader or physician.

• Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.

• Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.

• Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.

• Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.

• Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.

• Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.

Laboratory-related:

• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.

• Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.

• Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.

• Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.

• Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.

• Ensures that all labs are directed and delivered to appropriate labs.

• Reports alert/panic and abnormal labs results to appropriate physician.

• Ensures lab results are forwarded to physicians as requested.

General duties:

• Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.

• Maintains overall shift operation in a safe, efficient, and effective manner.

• Act as a resource for other staff members.

• Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.

• Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.

• Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.

• Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.

• Oversees all documentation of patient information.

• Maintains facility drug list for all required stock medications.

• Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.

• Ensures verification and availability of adequate emergency equipment.

• Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.

• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.

• Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.

• Maintains appropriate recording of controlled substances as required by law.

• Assists with the coordination of patient transportation if necessary.

MAINTENANCE/TECHNICAL:

• Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.

• Ensures competency in the operation of all dialysis-related equipment safely and effectively.

• Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.

• Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.

MEDICAL RECORDS & DOCUMENTATION:

General

• Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.

• Ensures all appropriate patient related treatment data is entered into the Medical Information System.

• Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.

• Ensures and verify accuracy of Patient Care Technician documentation.

Daily

• Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.

• Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.

Monthly

• Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.

• Completes monthly nurses' progress note.

• Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).

• Reviews transplant status and follows established procedure regarding appropriate action to be taken.

• Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.

• Completes any long-term programs that are due. Annually

• Completes initial and annual Nursing History and Assessment physical.

• Ensures completion of Annual Standing Order Review with each physician as required.

OTHER:

• As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.

• Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.

• Maintain regular and punctual attendance.

• Perform other related duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 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. up 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.

• 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:

• None

EDUCATION :

• Graduate of an accredited School of Nursing.

• Current appropriate state Temporary Permit.

• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS :

• 0 - 1 year's related experience.

ACKNOWLEDGEMENT:

I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.

ADDENDUM:

Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: . For additional information please contact your Regional Education Coordinator.

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

PURPOSE AND SCOPE:

Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

STAFF RELATED:

• Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.

• Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.

• Assesses daily patient care needs and develops appropriate patient care assignments.

• Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.

• Participates in staff training and orientation of new staff as assigned

• Participates in all required staff meetings as scheduled.

PATIENT RELATED:

Education:

• Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).

• Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.

• Discusses with patient, and records education related to diet/fluid and medication compliance.

• Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).

• Ensures transplant awareness, modality awareness, and drive catheter reduction.

• Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.

Dialysis Treatment:

• Provides safe and effective delivery of care to patients with ESRD.

• Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.

• Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.

• Identifies and communicates patient related issues to Team Leader or physician.

• Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.

• Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.

• Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.

• Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.

• Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.

• Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.

Laboratory-related:

• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.

• Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.

• Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.

• Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.

• Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.

• Ensures that all labs are directed and delivered to appropriate labs.

• Reports alert/panic and abnormal labs results to appropriate physician.

• Ensures lab results are forwarded to physicians as requested.

General duties:

• Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.

• Maintains overall shift operation in a safe, efficient, and effective manner.

• Act as a resource for other staff members.

• Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.

• Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.

• Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.

• Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.

• Oversees all documentation of patient information.

• Maintains facility drug list for all required stock medications.

• Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.

• Ensures verification and availability of adequate emergency equipment.

• Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.

• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.

• Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.

• Maintains appropriate recording of controlled substances as required by law.

• Assists with the coordination of patient transportation if necessary.

MAINTENANCE/TECHNICAL:

• Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.

• Ensures competency in the operation of all dialysis-related equipment safely and effectively.

• Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.

• Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.

MEDICAL RECORDS & DOCUMENTATION:

General

• Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.

• Ensures all appropriate patient related treatment data is entered into the Medical Information System.

• Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.

• Ensures and verify accuracy of Patient Care Technician documentation.

Daily

• Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.

• Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.

Monthly

• Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.

• Completes monthly nurses' progress note.

• Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).

• Reviews transplant status and follows established procedure regarding appropriate action to be taken.

• Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.

• Completes any long-term programs that are due. Annually

• Completes initial and annual Nursing History and Assessment physical.

• Ensures completion of Annual Standing Order Review with each physician as required.

OTHER:

• As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.

• Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.

• Maintain regular and punctual attendance.

• Perform other related duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 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. up 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.

• 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:

• None

EDUCATION :

• Graduate of an accredited School of Nursing.

• Current appropriate state Temporary Permit.

• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS :

• 0 – 1 year’s related experience.

ACKNOWLEDGEMENT:

I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.

ADDENDUM:

Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: . For additional information please contact your Regional Education Coordinator.

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

Job Type

Full-time

Description

Spotts, Stevens and McCoy is currently recruiting for a Graduate/Junior Structural Engineer to join our Facilities Engineering team to develop solutions and designs for a wide variety of building projects in the industrial, research, and municipal construction sectors. Working collaboratively with our Civil, Mechanical and Electrical Engineers on multi-discipline studies, the structural department investigates existing building structural systems, components, building envelopes, on planning, design and construction documentation of new and older structures. You will work on many diverse projects, both large, complex projects with a seasoned team, and small projects where you'll be encouraged to work independently under the mentorship of senior engineers. Our team rarely works on "cookie-cutter" projects, relying on creative solutions for unique challenges.

Primary Responsibilities

• Visit project sites to review and document existing conditions as appropriate to facilitate the design of improvements.
• Develops structural engineering project planning and design with an understanding of construction.
• Specifies structural components needed; responsible for managing all phases of project development through construction.
• Reviews and analyzes structural project requirements as indicated in engineering sketches, drawings, and notes.
• Reviews recommendations of the project team and/or devises improvements in method and use of materials.
• Coordination across engineering disciplines within the company to achieve project goals.
• Prepares proposals, cost estimates, engineering reports, feasibility studies, bidding documents, and specifications.
• Reviewing and editing project specifications.
• May conduct field observations of completed work or work in progress to document conformity with project documents.
• Mentors Graduate Engineers in the fundamentals and practice of engineering.
• Occasional travel out of the area.

Requirements

• B.S. in Civil/Structural or Architectural Engineering from an ABET Accredited School.
• 3-8 years' structural engineering experience and knowledge of applicable codes.
• EIT or PE preferred.
• Proficiency in Microsoft Office, including Teams.
• Strong written and verbal communication skills.
• Ability to manage multiple projects simultaneously.
• Working knowledge of AutoCAD; Revit knowledge a plus.
• Knowledge of modeling and design software as applicable.

This position is based out of our Reading PA office; however, there my be flexibility for a hybrid-remote work model.

About the Firm

Spotts, Stevens and McCoy, Inc. is a family-owned regional engineering, environmental and surveying firm headquartered in Reading PA with offices in Lancaster, West Chester and Lehigh Valley. We serve local and global clients from large, regional and national companies in the manufacturing, processing and high tech sectors to public municipalities and authorities. We engineer solutions for a better world by helping our clients plan, design, build, operate, and protect their infrastructure, assets, and resources. We keep our schools and community buildings safe from environmental hazards. We support our growing and expanding businesses and hospitals. We help municipalities to prepare and protect their infrastructure and resources. We keep water fresh and we keep air clean. We bring old buildings back to life with cutting-edge technology and leading-edge designs. We evaluate; we collaborate; we innovate.

What We Offer

• Competitive compensation package
• Cafeteria-style benefits package, including medical, vision, dental, health savings and flexible spending accounts
• Life and disability insurance
• 401(k) plan
• Flexible work schedule, paid holidays, and paid time-off
• Hybrid work environment
• Free snacks & coffee
• Professional development assistance
• Wellness initiatives

SSM is unable to sponsor, or take over sponsorship of, an employment visa (e.g. H-1B visa) for this role.

**PURPOSE AND SCOPE:**
Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
**STAFF RELATED:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
**PATIENT RELATED:**
Education:
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
Dialysis Treatment:
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
Laboratory-related:
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
General duties:
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
**MAINTENANCE/TECHNICAL:**
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
**MEDICAL RECORDS & DOCUMENTATION:**
General
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
Daily
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
Monthly
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due. Annually
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
**OTHER:**
+ As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.
+ Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.
+ Maintain regular and punctual attendance.
+ Perform other related duties as assigned.
**_Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions._**
**PHYSICAL DEMANDS AND WORKING CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ 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. up 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.
+ 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:**
+ None
**EDUCATION** **:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state Temporary Permit.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ 0 - 1 year's related experience.
**ACKNOWLEDGEMENT:**
I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.
**ADDENDUM:**
Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: . For additional information please contact your Regional Education Coordinator.
**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**