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PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. <ul><li> Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nurses. </li><li> Performs ongoing systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. </li><li> Assesses collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. </li><li> Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. </li><li> Initiates or assists with emergency response measures. </li><li> Serves as a resource for health care team participates in staff training and orientation of new staff as assigned. </li><li> Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </li><li> Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. </li><li> Ensures patient awareness related to transplant and treatment modality options. </li><li> Required to complete CAP requirements to advance. </li><li> Performs all other duties as assigned by Supervisor. </li></ul> 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. <ul><li> The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. </li><li> This position requires frequent prolonged periods of standing and the employee must be able to bend over. </li><li> The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. </li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li> May be exposed to infectious and contagious diseases/materials. </li><li> Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians. </li><li> The position may require travel to training sites or other facilities. </li><li> May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. </li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following: <ul><li> Successful completion of all FKC education and training requirements for new employees. </li><li> Must have a minimum of 9 months experience as a RN. </li><li> Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. </li></ul> EDUCATION and LICENSURE: <ul><li> Graduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Current or successful completion of CPR BLS Certification. </li><li> Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN. </li><li> Minimum of 9 months experience as a Registered Nurse (preferred). </li><li> Chronic/acute hemodialysis experience (preferred). </li></ul>Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

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Outpatient Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. &bull; Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. &bull; Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. &bull; Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. &bull; Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. &bull; Initiates or assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. &bull; Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. &bull; Ensures patient awareness related to transplant and treatment modality options. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &bull; The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position may require travel to training sites or other facilities. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: &bull; Successful completion of all FKC education and training requirements for new employees. &bull; Must have a minimum of 9 months experience as a RN. &bull; Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification. &bull; Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. &bull; Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysis healthcare, we form bonds that enable the best possible outcomes and professional satisfaction. While our extensive organization continues to grow, so do opportunities for our professionals to learn, grow, and advance. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: <ul><li> Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. </li><li> Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. </li><li> Superior training, UltraCare&reg; quality control, and certification procedures ensure your potential to succeed and advance as a professional. </li><li> Competitive compensation and exceptional benefits. </li><li> Outstanding tuition reimbursement program. </li><li> Recognized among Fortune's World's Most Admired Companies in 2011. </li><li> National Safety Award from CNA insurance companies for 11 consecutive years. </li><li> Opportunities to give back by participating in philanthropy and community outreach programs. </li></ul> PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Responsible for reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes and assists in the maintenance of a sage and clean work environment. DUTIES / ACTIVITIES : CUSTOMER SERVICE: <ul><li> Responsible for driving the FMCNA culture through values and customer service standards. </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES: Patient Related: <ul><li> Provide direct patient care for assigned patient(s). </li><li> Perform all technical aspects of dialysis procedures for assigned patients as prescribed. Administer and monitor treatments in accordance with current treatment plan or as directed by the supervisor. </li><li> Monitor and document dialysis treatment parameters on dialysis flow sheets. Document other information related to the care of the patient in the individual patient record. </li><li> Responsible for reporting any significant information, change in patient condition, or equipment problems to the supervisor. </li><li> Assist in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet and medications. </li><li> Assist with all emergency operational procedures. </li><li> Administer intravenous medication in accordance with physician orders and state nurse practice laws. </li><li> Perform and document pre, interim, and post treatment review of patient condition. </li><li> Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment. </li></ul> Technical: <ul><li> Safely operate all dialysis related equipment according to the proper procedures. </li><li> Provide minor troubleshooting when necessary. </li><li> Ensure a clean, safe and sanitary environment in the dialysis facility treatment area. </li><li> Ensure all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Operate all emergency equipment effectively in accordance to the standard operation procedures. </li></ul> Staff Related: <ul><li> Participate in staff meetings as scheduled. </li><li> Assist in short term and long term patient care plan meetings. </li><li> Acquire information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes. </li><li> Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician, Dietitian and Social Worker. </li><li> Other duties as assigned. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility, staff and physicians. The position 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 weighing up to 200lbs., and may lift chemical water solutions of up to 30lbs., up as high as 5 feet. 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 noises levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: <ul><li>Graduate of an accredited School of Practical Nursing (LPN, LVN)</li><li>Current appropriate State licensure. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>One year medical-surgical nursing experience preferred.</li><li>Hemodialysis experience preferred but not required.</li><li>ICU experience preferred but not required.</li><li>Successfully complete a training course in the theory and practice of hemodialysis.</li><li>Successfully complete CPR Certification.</li><li>Must complete the Nurses Technical Training Program upon hire or soon thereafter.</li><li>Ability to provide coverage at area facilities during times of short-staffing or as required.</li><li>Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.</li><li>Good communication skills, both verbal and written.</li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Licensed Practical Nurse - LPN

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

Acute Inpatient Registered Nurse - RN - Dialysis

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: <ul><li>Responsible for driving the FMS culture through values and customer service standards.</li><li>Accountable for outstanding customer service to all external and internal customers.</li><li>Develops and maintains effective relationships through effective and timely communication.</li><li>Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.</li></ul> PATIENT CARE: <ul><li>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.</li><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment. Report any complaints or observations to the nurse supervisor.</li><li>Evaluate vascular access for patency and report any unusual findings to nurse supervisor.</li><li>Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.</li><li>Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.</li><li>Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.</li><li>Perform administration of Heparin as delegated or as allowed by state law. </li><li> Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).</li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.</li><li>Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.</li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.</li><li>Discontinue dialysis treatment according to established procedures.</li><li>Evaluate patient prior to termination of venous access - standing & sitting blood pressure.</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge and report any unusual findings to nurse supervisor.</li><li>Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.</li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.</li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.</li><li>&bull;Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.</li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.</li><li>Report any significant information and/or change in patient condition directly to the nurse supervisor. </li><li>Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor.Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the nurse supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection.</li></ul>MAINTENANCE/TECHNICAL:<ul><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.</li><li>Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.</li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.</li></ul> CLERICAL & ADMINISTRATIVE: <ul><li>Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li>Enter all treatment data into the designated clinical application accurately and in a timely manner.</li><li>Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate.</li><li>Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.</li><li>Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.</li><li>Collect, label, appropriately prepare and store lab samples according required laboratory specifications.</li><li>Ensure collection of lab specimens by appropriate lab courier.</li></ul> OTHER: Perform additional duties as assigned. EDUCATION: (as of April 14, 2010)<ul><li>Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High school diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.</li><li>All appropriate state licensure, education and training (if any) required.</li></ul> EXPERIENCE: <ul><li>Previous patient care experience in a hospital setting or related facility preferred.</li><li>Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.</li><li>Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.</li></ul>The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $23 - $29." Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Patient Care Technician - PCT

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>Provides patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN. Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN.</li><li>Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). </li><li> Promotes and assists in meeting Total Area Productivity goals (TAP).</li><li> With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies). </li><li> Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN. </li><li> Evaluates vascular access for patency and reports any unusual findings to FMCNA RN. </li><li> Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN. </li><li> (Stated above)Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to FMCNA RN. </li><li> Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. </li><li> Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160). </li><li> Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. </li><li> Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysate flow rate (QD) or peritoneal dialysis as prescribed by the attending nephrologist. </li><li> Collects, labels specimens and ensures timely delivery to laboratory per facility policy. </li><li> Evaluates intradialytic problems and provides intervention as prescribed by physician's order or as directed by FMCNA RN. Monitors patient's response to dialysis therapy and report any unusual findings to FMCNA RN. </li><li> Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation. </li><li> Reports any change or unusual findings to FMCNA RN. </li><li> Performs and document any intervention for unusual patient status and document patients' response to intervention. </li><li> Evaluates patients' vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents and reports any unusual findings to the FMCNA RN. </li><li> Discontinues dialysis treatment according to established procedures. </li><li> Evaluates patient prior to termination of venous access - standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN </li><li> Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification. </li><li> Other duties as required. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS : <ul><li> 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. </li><li> Day-to-day work includes desk and personal computer work, interaction with patients, facility staff and physicians. </li><li> The position requires travel between assigned facilities and various locations within the community. (percentage of travel) </li><li> Travel to meetings may be required. </li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li> May be exposed to infectious and contagious diseases/materials. </li><li> 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. </li><li> This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to assist in moving 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. </li><li> There is a two-person assist program and material assist devices for the heavier items. </li></ul> EDUCATION : High School Diploma required EXPERIENCE AND REQUIRED SKILLS: <ul><li> 1 - 2 years' related experience. </li><li> Certified Clinical Hemodialysis Certification (CCHT) certification. </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Acute Patient Care Technician - PCT CCHT

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. &bull; Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. &bull; Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. &bull; Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. &bull; Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. &bull; Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. &bull; Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. &bull; Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. &bull; Administers medications as prescribed and documents appropriate medical justification and effectiveness. &bull; Initiates and assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. &bull; May be assigned to assist in an Outpatient facility on an as needed basis. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &bull; The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. &bull; Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position requires travel to training/meeting sites and between assigned facilities. &bull; Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: &bull; Successful completion of all FKC education and modality specific training requirements for new employees. &bull; Must have a minimum of 9 months experience as a RN. &bull; 6 months experience in acute dialysis as a RN. EDUCATION and LICENSURE: &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification &bull; Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN &bull; Minimum 9 months experience as a Registered Nurse, 12 months (preferred). &bull; 6 months acute dialysis experience (preferred) &bull; Hemodialysis and/or ICU experience (preferred). 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 The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $35.00 - $59.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. This position will cover - Cape Cod Hospital, Falmouth Hospital, and Spaulding rehab Cape Cod <ul><li>America's 'Most Loved Workplaces' by Newsweek</li><li>Major holidays off!</li><li>No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator</li><li>70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America</li><li>Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories</li><li>Up to $4,400 tuition reimbursement per calendar year</li></ul>

Acute Inpatient Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li>Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.</li><li>Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.</li><li>Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> 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.<ul><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position may require travel to training sites or other facilities.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li><li>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.</li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:<ul><li>Successful completion of all FKC education and training requirements for new employees.</li><li>Must have a minimum of 9 months experience as a RN.</li><li>Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 9 months experience as a Registered Nurse (preferred).</li><li>Chronic/acute hemodialysis experience (preferred).</li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Registered Nurse

PURPOSE AND SCOPE : The Apheresis RN spends 80% or more of their time providing Apheresis treatments providing direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, therapeutic plasma exchange, RBC exchange and depletion, PLT and WBC depletions, PBSC and WBC collections, Photopheresis, and LDL apheresis. The Apheresis RN will partner with the hospital or outpatient facility to provide quality care to the patient and deliver care that provides a positive patient experience. PRINCIPAL DUTIES AND RESPONSIBILITIES : General: <ul><li>Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to apheresis.</li><li>Responsible for direct patient care of assigned patients in the hospital or outpatient location, providing the appropriate treatment technique for assigned patients or donors as prescribed in all apheresis modality procedures, as appropriately defined, therapeutic plasma exchange, RBC exchange or depletion, WBC and PLT depletions, PBSC and all types of WBC collections, Photopheresis, LDL apheresis, and therapeutic phlebotomy.</li><li>Performs scheduled, un-scheduled and emergency Apheresis treatments and other extra-corporeal therapies (Therapeutic and Donor) in the assigned hospital(s) or outpatient locations, establishing priority of care. Initiates, monitors, and discontinues prescribed treatments and medication according to established FMCNA policies and procedures. </li><li>Gives organized, concise shift reports for patients on as assigned. Apply high level thinking skills to patient schedules to meet needs of more critical patients due to labs, MD orders, availability of access/replacement products or patient assessment.</li><li>Ensures adequate coverage of patient treatments and customer needs through appropriate scheduling.</li><li>Travels outside regional area as necessary to help with coverage of patient treatments to perform Apheresis or other extra-corporeal therapies.</li><li>Maintains a safe environment for self, patients and staff by following universal infection control precautions in performing patient care and handling of equipment.</li><li>Maintains current knowledge of the advancements in the Therapeutic Apheresis by ensuring that the apheresis LMS modules are reviewed and completed.</li></ul> Patient Care: <ul><li>Assesses patients' responses to therapeutic apheresis making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated.</li><li>Assesses patients pre, during and post treatment to detect mild, moderate and severe Apheresis and non-Apheresis related complications, notifying the appropriate hospital personnel. </li><li>Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed treatment modality, including appropriate notification of adverse reactions to physician and blood supplier.</li><li>Delivers safe, effective care in a timely and efficient manner. Reports all new or unusual incidents, information, complaints or problems to the applicable Apheresis Managers and/or hospital personnel, tracking and documenting all adverse events in accordance with the Variance Reporting guidelines.</li><li>Accurately documents all pertinent treatment information in the individual patient's record (ACES) and the hospital record, as needed.</li><li>Completes appropriate training programs to successfully deliver specific patient care to a variety of patients.</li><li>Utilizes the principles of growth and development to assess patient's status, identifying each patient's relative requirements, providing recommendations for the patient's plan of care.</li><li>Implements physician's orders and follows through appropriately.</li><li>Ensures patient confidentiality.</li><li>Assists in the evacuation of patients in the event of emergency, fire or disaster according to company and hospital policy and procedures.</li></ul><ul><li>Assists with, and performs all equipment preventative maintenance date confirmations, cleans and disinfects machine surface, chair, equipment, and surrounding areas between treatments according to inpatient policies and procedures.</li><li>Conducts all tasks necessary for preparation for apheresis treatments or collections and documents where appropriate.</li><li>Sets-up, monitors and discontinues use of Apheresis equipment, blood warmer and other equipment used for related procedures according to established standard operating procedure.</li><li>Assists with inventory control according to corporate and department policy, manufacturer recommendations and regulatory agency guidelines.</li><li>Manages and maintains supply inventory in an efficient and cost-effective manner, documenting all inventory control.</li><li>Performs all required pre-treatment apheresis machine alarm testing and documents information and equipment maintenance according to policy.</li><li>Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.</li><li>Understands, conducts, and documents appropriately Apheresis machine safety tests/alarms tests, equipment calibration, machine safety tests, functional testing, and internal and external disinfection on all machines and complies with the documentation/notification standard per FMCNA polices.</li><li>Maintains a safe, neat, and adequately stocked supply and equipment area.</li><li>Reports all equipment and supply problems to repair personnel.</li></ul> Staff Related: <ul><li>Completes and documents ongoing participation in QAI activities.</li><li>Responsible for reporting all new or unusual incidents, information, complaints, or problems to the Inpatient Program Manager and other parties per the Adverse Event Reporting requirements. May be assigned to other in-patient care on as needed basis.</li><li>Acts as a resource for other staff members.</li><li>Participates in staff meetings and mandatory continuing education as scheduled and participates in staff training and orientation as assigned.</li><li>Communicates effectively with physicians, supervisors, hospital staff, coworkers, patients and families.</li><li>Recognizes and utilizes opportunities for patient and family education specific to individual and family needs.</li><li>Maintains a positive working relationship with all company and hospital staff members to ensure effective and efficient treatments. </li></ul> Other: <ul><li>Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.</li><li>Assist with various projects as assigned by direct supervisor.</li><li>Other duties as assigned.</li></ul> 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 :<ul><li>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. </li></ul><ul><li>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. </li><li>The position requires travel between assigned facilities and various locations within the community. </li><li>Position requires on-call rotation including night, day, weekend, and holidays.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li>May be potential for exposure to infectious and contagious diseases/materials. </li><li>Position provides direct patient care which regularly involves heavy lifting, moving of patient and/ or equipment > 200-lbs (with mechanical assistance). </li></ul> SUPERVISION :<ul><li>None</li></ul> EDUCATION :<ul><li>Current appropriate state licensure.</li><li>Must meet the practice requirements in the state in which employed.</li><li>Certification in Apheresis Nursing is highly encouraged. </li><li>Peripheral vein cannulation abilities preferred.</li><li>Maintains acquired knowledge and remains current in advancements of therapeutic apheresis, relative to inpatient care for hospitalized patients requiring varied treatment modalities.</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li>One year of RN experience required.</li><li>One-year of Apheresis or ICU/CCU/ED experience preferred.</li><li>Demonstrated strong assessment skills related to the critically ill patient.</li><li>Successful completion of competency training course in theory and practice of Therapeutic Apheresis and related procedures.</li><li>BLS CPR Recognition.</li><li>ACLS CPR Recognition preferred, but not required.</li><li>Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing apheresis education.</li><li>Displays leadership skills and ability to direct and supervise others (such as Technical, Clerical Staff).</li><li>Valid driver's license.</li></ul>The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $39.00 - $60.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. <ul><li>This position will be onsite at Boston Medical Center</li></ul>

Acute Inpatient Registered Nurse - RN -  Apheresis

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: <ul><li>Responsible for driving the FMS culture through values and customer service standards.</li><li>Accountable for outstanding customer service to all external and internal customers.</li><li>Develops and maintains effective relationships through effective and timely communication.</li><li>Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.</li></ul> PATIENT CARE: <ul><li>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.</li><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment. Report any complaints or observations to the nurse supervisor.</li><li>Evaluate vascular access for patency and report any unusual findings to nurse supervisor.</li><li>Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.</li><li>Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.</li><li>Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.</li><li>Perform administration of Heparin as delegated or as allowed by state law. </li><li> Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).</li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.</li><li>Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.</li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.</li><li>Discontinue dialysis treatment according to established procedures.</li><li>Evaluate patient prior to termination of venous access - standing & sitting blood pressure.</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge and report any unusual findings to nurse supervisor.</li><li>Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.</li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.</li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.</li><li>&bull;Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.</li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.</li><li>Report any significant information and/or change in patient condition directly to the nurse supervisor. </li><li>Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the nurse supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection.</li></ul>MAINTENANCE/TECHNICAL:<ul><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.</li><li>Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.</li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.</li></ul> CLERICAL & ADMINISTRATIVE: <ul><li>Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li>Enter all treatment data into the designated clinical application accurately and in a timely manner.</li><li>Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate.</li><li>Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.</li><li>Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.</li><li>Collect, label, appropriately prepare and store lab samples according required laboratory specifications.</li><li>Ensure collection of lab specimens by appropriate lab courier.</li></ul> OTHER: Perform additional duties as assigned. EDUCATION: (as of April 14, 2010)<ul><li>Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High school diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.</li><li>All appropriate state licensure, education and training (if any) required.</li></ul> EXPERIENCE: <ul><li>Previous patient care experience in a hospital setting or related facility preferred.</li><li>Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.</li><li>Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.</li></ul>The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $23 - $29." Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Job Description PURPOSE AND SCOPE: Responsible for driving commercial vehicle to deliver products to customers. Ensures accuracy of all paperwork related to the job. Responsible for safety of fellow employees and the public while operating company vehicles and/or performing any company activity. Responsibilities include driving a commercial vehicle rotating stock and inventory checks. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Delivers and picks up products from home patients and clinics according to established safety procedures and guidelines.</li><li>Ensures good customer relations by consistently delivering orders on time and behaving with integrity in a courteous and professional manner</li><li>May take note of and possibly resolve customer complaints. Reports more complex issues and complaints to DC staff or Customer Service for resolution Observe and reports any pertinent anomalies at customer sites</li><li>May set up product and/or place product on shelves or racks at customer sites</li><li>Performs all duties and functions with the goal to achieve OSHA-related targets for recordable incidents and lost time incidents</li><li>Performs rotation and inventory checks of existing product ensuring that an adequate inventory is available for customers</li><li>Obtains customer signature for pickup and delivery of dialysis product</li><li>Adheres to all federal and state specific DOT regulations including but not limited to GVW (Gross Vehicle weight) and hours of service</li><li>Identify and recommend options for route improvements to management as appropriate</li><li>Vehicle related responsibilities include but are not limited to:<ul><li>Performing pre and post trip Inspections of assigned vehicle</li><li>Identify problems and address appropriately</li><li>May perform routine maintenance on vehicle</li><li>Unloading and loading freight as required according to specified procedures and regulations</li><li>Maintaining cleanliness of vehicle</li></ul></li><li>Participates in monthly/quarterly/annual training for Good Manufacturing Practices Health & Safety and Compliance.</li><li>Remains updated with all annually revised regulatory standards.</li><li>Maintains a satisfactory driving record</li><li>Operates material-handling equipment safely and efficiently according to established procedures as required</li><li>Performs functions that require full knowledge of general aspects of the job.</li><li>Escalates issues to supervisor for resolution as deemed necessary.</li><li>Assist with various projects as assigned by direct supervisor.</li><li>Other duties as assigned.</li></ul>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 :<ul><li>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.<ul><li>Heavy work with frequent lifting and carrying of objects 25 -75 pounds on a repetitive basis required. Some deliveries may require carrying product up multiple flights of stairs.</li><li>Requires extended periods of sitting standing and walking. Operation of commercial vehicle may average 6 to 11 hours per day.</li></ul></li></ul> SUPERVISION: <ul><li>None</li></ul> EDUCATION: <ul><li>High School Diploma GED or equivalent work experience required.</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li>Minimum 1 - 2 years of related experience.</li><li>1 year free of OSHA recordables DOT accidents quality issues roadside inspection violations DOT major logbook violations and significant property damage.</li><li>Must have and maintain a satisfactory driving record.</li><li>Ability to operate material handling equipment.</li><li>Must possess a Class A or Class B commercial license</li><li>Prefer possession of a HazMat endorsement.</li><li>Experience with on-board computers paperless DOT logs and/or electronic capture applications preferred.</li><li>Experience with Routing software/fleet management and on-board fleet management systems.</li><li>Strong communication skills and a professional demeanor at all times.</li><li>Strong customer service skills.</li></ul>Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Driver II CDL

PURPOSE AND SCOPE: Utilizes knowledge of the clinics, the admissions process and the various supporting programs to promote these to the patient as well as to external customers, including hospital discharge planners, referring physicians and other personnel making decisions regarding patient placement within an assigned market geography. Works with the Central Admissions Office staff to facilitate admissions, ensuring each patient receives a superior admission experience and is placed in the appropriate clinic, preferably with a desirable treatment shift schedule. Additional responsibilities within FMCNA-affiliated Acute Programs. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>Grows clinic patient census/treatment volume and to improve commercial mix by providing superior customer service and admission support to referral sources and patients.</li><li>Builds, establishes and maintains referral source relationships. Develops and maintains strong relationships with new and existing partners to build the referral base.</li><li>Conducts one on one contacts with patients identified for admission to facilities in order to market our services and facilitate the admission.</li><li>Facilitates and coordinates the admission process for all patients being referred for Dialysis Services and provides outreach to hospitals and physician offices in the defined market to facilitate a timely admission.</li><li>Collaborates with appropriate physicians and hospital staff to obtain information necessary for outpatient placement.</li><li>Escalates admissions issues and problems according to the established procedures to ensure timely resolution.</li><li>Works with the applicable clinical manager(s) to accommodate shift requests as appropriate.</li><li>Exhibits knowledge of all insurers and private pay business. Assures that patients and families understand payer benefits.</li><li>Develops and maintains an extensive knowledge of the dialysis business and the support services provided by the clinics and within the community.</li><li>Maintains knowledge of the local market as well as industry trends in order to monitor and quickly react to changes which may impact the company and the patient services provided. Provides regular communication to management regarding program status, customer service issues, and obstacles affecting the referral and admissions process.</li><li>Conducts market analysis and develops, implements, and evaluates effective weekly, monthly and quarterly marketing plans. Meets regularly with management to review and revise these plans.</li><li>Consistently meets sales & marketing call objectives as established by management. Maintains accurate and timely account data and completes call reports as required.</li><li>Conducts professional sales presentations to all customers.</li><li>Participates in community outreach programs as determined by marketing plan.</li><li>Determines referral source satisfaction with admissions process and dialysis services. Collaborates with internal customers to effect positive customer service changes where required.</li><li>Collaborates with internal and external resources to provide new patients and referral source partners with renal education as requested by the referral source or patient.</li><li>Conducts the following l responsibilities and services in FMCNA-affiliated Acute Programs:</li><li>Develops and maintains an in-depth knowledge of the admissions processes for the local dialysis market to include all area dialysis providers.</li><li>Facilitates the placement of all in-patient dialysis (FMCNA -affiliated AND non-affiliated) patients into the out-patient setting, coordinating with the patient and discharge planners to identify appropriate placement for outpatient dialysis services according to the patient preferences, physician orders, and capacity of outpatient dialysis facilities within the market.</li><li>Collaborates with outpatient dialysis staff and hospital staff/partners to resolve issues relating to the placement of patients into the outpatient setting. Assesses related customer service issues reported by the referral source.</li><li>Focuses on decreasing the hospital length of stay by intervening early in the discharge process to impact timely discharge, discharge to vs. after dialysis, and readmissions.</li><li>Facilitates and coordinates the provision of renal services for pre-ESRD and ESRD patients by collaborating with the appropriate clinicians to provide services such as: renal education; treatment option education; vascular access education; insurance and financial education, etc.</li><li>Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.</li><li>May refer to senior level staff for assistance with higher level problems that may arise.</li><li>Escalates issues to supervisor/manager for resolution, as deemed necessary.</li><li>Assist with various projects as assigned by direct supervisor.</li><li>Other duties as assigned.</li></ul>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. EDUCATION: Bachelor's Degree required EXPERIENCE AND REQUIRED SKILLS: <ul><li>2 - 5 years' related experience; or an advanced degree without experience; or equivalent directly related work experience.</li><li>Excellent oral and written communication skills with ability to communicate to all levels of personnel.</li><li>Detail oriented with excellent customer service, organizational and interpersonal skills. Professional appearance required.</li><li>Good computer skills with proficiency in Microsoft Office applications.</li><li>Completion of and compliance with the Marketing and Business Development Functional Compliance Program</li></ul>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.

Hospital & Patient Services Manager

PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with organization policies, procedures and training. Provides nursing support to patients and staff. Assist with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Responsible for supporting and driving Organization quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of Organization CQI tools. </li><li> Accountable for outstanding quality of patient care, as defined by the organization quality goals, by working with the Vice President of Quality and other organization management to ensure that organization/ASC policies and procedures are followed. </li><li> Responsible for aggressively addressing and acting on adverse events and action thresholds. </li><li> Complies with all data collections and auditing activities and maintains integrity of medical records and other organization administrative and operational records. </li><li> Supervises and directs facility staff in providing safe and effective vascular access procedures to patients in compliance with standards outlined in the facility policy and procedures manuals, as well as regulations set forth by the company, federal and state agencies. </li><li> Assigns and delegates tasks to all direct patient care staff, including Staff RNs, Radiology Technologists, Front Desk Coordinator. </li><li> Ensures adequate staffing through daily management of staff's schedule, including breaks. </li><li> Assess daily patient needs and develop/distribute patient care assignments appropriately. </li><li> Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures and assist as necessary. </li><li> Recommends and initiates disciplinary action in conjunction with the Facility Manager. </li><li> Assists Facility Manager with staff performance evaluations. </li><li> Participates in selection, orientation and training of staff as assigned. </li><li> Performs and sets-up in-services regarding equipment, supplies and clinical for all staff. </li><li> Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge. </li><li> Ensures patients and patient's families are educated regarding pre and post procedure care of vascular access. </li><li> Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently. </li><li> As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure. </li><li> Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge. </li><li> Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician. </li><li> Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed. </li><li> Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with company, federal, state and local regulations. </li><li> Attends and participates in Governing Body and CQI meetings with physicians, assisting with meeting agenda and gathering of data/material for meetings and reporting on assigned topics. </li><li> Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers. </li><li> Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times through regular inspection of facility equipment and operation systems, reporting any malfunctions or maintenance issues. </li><li> Ensures all blood spills are immediately addressed according to the organization Bloodborne Pathogen Control Policies. </li><li> Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies. </li><li> Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement. </li><li> Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required. </li><li> Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law. </li><li> Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. </li><li> Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. </li><li> Ensures medical records are accurate, complete and in compliance with organization policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis. </li><li> Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. </li><li> Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines. </li><li> Acts as the Facility Manager in the absence of the manager or at the direction of organization management. </li><li> Appointed Governing Body positions, takes on primary role of certain position or oversees staff delegated to positions. </li><li> Complies with HIPPA policies and standards regarding patient information and medical records. </li><li> Maintain CLIA license with Facility Administrator. </li><li> Other duties as assigned, within the scope of practice and state regulations. </li></ul> 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: <ul><li> 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. </li><li> 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. </li><li> 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. </li></ul> SUPERVISION: <ul><li> Facility direct patient care staff (Staff RNs, LPNs, Radiology Technologist, Surgical , Front Desk Coordinator) </li></ul> EDUCATION: <ul><li> Graduate of an accredited School of Nursing (R.N.) </li><li> Current appropriate state licensure and ACLS certification. </li><li> ASC certification preferred </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Minimum of three years' experience preferred in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience. </li><li> Minimum of three years of Interventional Radiology, scrub experience preferred. </li><li> Supervisory or management experience within a medical or vascular access environment preferred. </li><li> Proficiency with the Microsoft office suite is necessary. Experience with Medical database software. </li><li> Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. </li><li> Good communication skills - verbal and written. </li><li> Certified in BLS & ACLS successfully completed course certifications. </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Charge Registered Nurse - RN

PURPOSE AND SCOPE: Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: <ul><li> Responsible for driving the FMS culture through values and customer service standards. </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: <ul><li> 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. </li><li> Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. </li><li> Evaluate vascular access for patency and report any unusual findings to nurse supervisor. </li><li> Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. </li><li> Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. </li><li> Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. </li><li> Perform administration of Heparin as delegated or as allowed by state law. </li><li> Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li> Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li> Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. </li><li> Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li> Discontinue dialysis treatment according to established procedures </li><li> Evaluate patient prior to termination of venous access - standing & sitting blood pressure. </li><li> Obtain Hemostasis and apply appropriate dressings. </li><li> Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. </li><li> Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. </li><li> Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. </li><li> Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160. </li><li> Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. </li><li> Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes. </li><li> Report any significant information and/or change in patient condition directly to the nurse supervisor. </li><li> Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor. </li><li> Perform and document any intervention for unusual patient status and document patients' response to intervention. </li><li> Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the nurse supervisor. </li><li> Obtain all prescribed laboratory testing and prepare specimens for collection. </li></ul> MAINTENANCE/TECHNICAL: <ul><li> Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. </li><li> Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy. </li><li> Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate. </li><li> Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). </li><li> Initiate Solution Delivery System (SDS) system. </li><li> Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li> Prepare organize and efficiently utilize supplies and equipment to prevent wastage. </li></ul> CLERICAL & ADMINISTRATIVE: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application accurately and in a timely manner. </li><li> Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. </li><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect label appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> OTHER: <ul><li> Perform additional duties as assigned. </li></ul> ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: <ul><li> May assist HT RN on Home Visit as directed </li><li> Reinforces PD / HHD education under supervision of qualified HT RN </li><li> Schedules and contacts patients regarding appointments </li><li> Weigh patient and obtain vital signs </li><li> Collect treatment records and review for completion. Notify RN of incomplete / missing records. </li><li> Cleaning and prepping treatment room; prep charts </li><li> Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) </li><li> Clerical duties as assigned (faxing mailing to physician offices etc.) </li><li> Obtain home hemo water sampling as directed by the HT RN </li><li> Set-up of the home hemo machine and PD Cycler. </li><li> Assist with exit site care when directed by HT RN. </li><li> Warm dialysate solution when directed by the HT RN </li><li> Draw dialysate solution for testing as directed by the HT RN </li><li> Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review) </li><li> Assembles/breaks down charts/thins charts </li><li> Maintains logs as directed and applicable </li><li> Inventory of Home Program </li><li> Maintains par levels of home department supplies </li><li> Files home patient packing slips/invoices </li><li> Inventory for Patients </li><li> Assists patient with supply management and contacting customer service </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs. and on an occasional lift basis up to 40 lbs. as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. EDUCATION <ul><li> Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. </li><li> All appropriate state licensure education and training (if any) required. </li></ul> EXPERIENCE AND REQUIRED SKILLS <ul><li> Previous patient care experience in a hospital setting or related facility preferred. </li><li> Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Why Join Our Team!<ul><li>Rated as one of Forbes' U.S. Best Employers</li><li>Paid one-on-one training</li><li>Tuition reimbursement</li><li>Competitive Pay & Benefits</li><li>Paid time off</li><li>401(K) and much more</li><li>No experience required</li></ul>

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Provides patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN. Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN.</li><li>Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). </li><li> Promotes and assists in meeting Total Area Productivity goals (TAP).</li><li>With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies).</li><li>Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN.</li><li>Evaluates vascular access for patency and reports any unusual findings to FMCNA RN.</li><li>Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN.</li><li>Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to FMCNA RN.</li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.</li><li>Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160).</li><li>Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.</li><li>Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysate flow rate (QD) or peritoneal dialysis as prescribed by the attending nephrologist.</li><li>Collects, labels specimens and ensures timely delivery to laboratory per facility policy.</li><li>Evaluates intradialytic problems and provides intervention as prescribed by physician's order or as directed by FMCNA RN. Monitors patient's response to dialysis therapy and report any unusual findings to FMCNA RN.</li><li>Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation.</li><li>Reports any change or unusual findings to FMCNA RN.</li><li>Performs and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluates patients' vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents and reports any unusual findings to the FMCNA RN.</li><li>Discontinues dialysis treatment according to established procedures.</li><li>Evaluates patient prior to termination of venous access - standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN</li><li>Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.</li><li>Other duties as required.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS :<ul><li>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.</li><li>Day-to-day work includes desk and personal computer work, int e ractio n wit h patients , facili ty staf f an d physicians .</li><li> Th e positi o n requires travel between assigned facilities and various locations w i thi n th e community .</li><li> Trave l t o meeting s ma y b e required. </li><li>The work environment is characteristic of a healt h car e facilit y wit h ai r tempera t ure control and moderate noise levels.</li><li>May be exposed to infectious and contagious disease s /materials.</li><li>The position provides direct patien t car e tha t regularl y involve s hea v y liftin g an d movin g o f patients , an d assistin g wit h ambulation . E quipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and t h e employe e mus t b e abl e t o ben d over . Th e employe e may occasionally be required to assist in moving machines an d equipmen t o f u p t o 20 0 lbs. , an d ma y lif t chemica l an d water solutions of up to 30 lbs. up as high as 5 feet. </li><li> There is a two-person assist program and material assist" devices for the heavier items. </li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION : <ul><li> High School Diploma required </li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> 1 - 2 years' related experience. </li><li> Certified Clinical Hemodialysis Certification (CCHT) certification. </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. &bull; Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. &bull; Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. &bull; Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. &bull; Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. &bull; Initiates or assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. &bull; Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. &bull; Ensures patient awareness related to transplant and treatment modality options. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &bull; The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position may require travel to training sites or other facilities. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: &bull; Successful completion of all FKC education and training requirements for new employees. &bull; Must have a minimum of 9 months experience as a RN. &bull; Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification. &bull; Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. &bull; Chronic/acute hemodialysis experience (preferred). The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $33.00 - $56.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. <ul><li>America's 'Most Loved Workplaces' by Newsweek</li><li>Major holidays off!</li><li>No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator</li><li>70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America</li><li>Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories</li><li>Up to $4,400 tuition reimbursement per calendar year</li></ul>

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