Vascular Access Charge Registered Nurse - RN 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
FVC/FMCNA 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: * A
seasoned, experienced professional with a full understanding of area of
specialization; resolves a wide range of issues in creative ways. (This
job is the fully qualified, career-oriented, journey-level position.) *
Responsible for supporting and driving FVC quality standards through
meeting regulatory requirements and the practice of Continuous Quality
Improvement (CQI), including use of FVC/FMS CQI tools. * Accountable for
outstanding quality of patient care, as defined by the FVC quality
goals, by working with the Vice President of Quality and other FVC
management to ensure that FVC/ASC policies and procedures are followed.
- Responsible for aggressively addressing and acting on adverse events
and action thresholds. * Complies with all data collections and auditing
activities and maintains integrity of medical records and other FVC
administrative and operational records. * 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. * Identifies and
communicates staff related issues to the Facility Manager. * Assigns and
delegates tasks to all direct patient care staff, including Staff RNs,
Radiology Technologists, Front Desk Coordinator and Porter. * Ensures
adequate staffing through daily management of staffs schedule, including
breaks. * Assess daily patient needs and develop/distribute patient care
assignments appropriately. * Routinely monitors patient care staff for
appropriate techniques and adherence to facility policy and procedures
and assist as necessary. * Recommends and initiates disciplinary action
in conjunction with the Facility Manager. * Assists Facility Manager
with staff performance evaluations. * Participates in selection,
orientation and training of staff as assigned. * Performs and sets-up
in-services regarding equipment, supplies and clinical for all staff. *
Coordinates all aspects of patient care with the appropriate staff
members, from admission through discharge. * Ensures patients and
patients families are educated regarding pre and post procedure care of
vascular access. * Ensures patients procedures are scheduled in a timely
manner and the facility capacity is utilized efficiently. * As needed,
assist with patient workflow, including providing direct patient care
and monitoring pre, intra and post procedure. * Oversees and ensures
accurate and complete documentation of patient treatments from admission
to discharge. * 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. * Assumes primary responsibility in an emergency situation
and must maintain competency with all emergency operational procedures,
and initiate CPR and emergency measures as needed. * Administers
medications and IV conscious sedation to patients as directed per
physicians orders, and in compliance with FVC, company, federal, state
and local regulations. * 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. * Ensures appropriate operation of facility equipment and
technology, including but not limited, patient monitors, defibrillators,
medical recording devices and computers. * Ensures the inspection of all
facility equipment on a regular basis. Report any malfunctions or
maintenance issues immediately. * Ensures the inspection of all facility
operating systems, including temperature checks in appropriate areas and
inspect the physical structure of the facility. * Maintains a clean,
safe and sanitary environment in the entire vascular access facility at
all times. * Ensures all blood spills are immediately addressed
according to the FVC/FMCNA Bloodborne Pathogen Control Policies. *
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
FVC/FMS formularies. * Assists in the development and revision of any
applicable policies and procedures for the facility as directed to
ensure continuous process improvement. * Initiates, documents and
completes ongoing Continuous Quality Improvement (CQI) activities
including monthly reports and attend meetings as required. * Manages
medications, including ordering, receiving, and inventory control and
checking for expired medications, including appropriate recording of
controlled substances as required by law. * Oversees maintenance of
usage logs for all medications with appropriate documentation, as well
as, records of drug disposal. * Communicates with the pharmacist to
assure medication accuracy, including appropriate recording of
controlled substances as required by law. * Ensures medical records are
accurate, complete and in compliance with FVC policies and procedures
prior to discharge of the patient. Performs chart audits on a regular
basis. * Along with Facility Manager, coordinates the annual medical
testing and competency testing for all facility staff. * Participates in
all facility regulatory and accreditation surveys and action plans to
address any deficiencies identified. * Verifies records for all
implanted devices are completed accurately, timely and maintained
according to records management guidelines. * Coordinates the collection
and forwarding of all vendor invoices to the FVC accounting department.
- Acts as the Facility Manager in the absence of the manager or at the
direction of FVC management. * Ensure nurses progress notes are accurate
and complete. * Acts as the Patient Safety Officer and conducts
quarterly patient safety meetings and fire drills. * Complies with HIPPA
policies and standards regarding patient information and medical
records. * Maintain CLIA license with Facility Administrator. * Other
duties as assigned, within the scope of practice and state regulations.
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. * Day to day work
includes desk and personal computer work and interaction with patients,
facility staff and physicians. The position requires travel between
assigned facilities and various locations within the community. Travel
to regional, Business Unit and Corporate meetings may be required. * The
work environment is characteristic of a health care facility with air
temperature control and moderate noise levels. May be exposed to
infectious and contagious diseases/materials. SUPERVISION: *
Facility direct patient care staff (Staff RNs, LPNs, Radiology
Technologist, Front Desk Coordinator, Porter) EDUCATION: * Graduate
of an accredited School of Nursing (R.N.) * Current appropriate state
licensure and ACLS certification. * ASC certification preferred
EXPERIENCE AND REQUIRED SKILLS: * Minimum of three years experience
in an Ambulatory Surgical Center/Vascular Access Lab, or a combination
of ASC, surgical, Interventional Radiology and ICU/CCU experience. *
Minimum of three years of Interventional Radiology, scrub experience
preferred. * Supervisory or management experience within a medical or
vascular access environment preferred. * Proficiency with the Microsoft
office suite is necessary. Experience with Medical database software. *
Demonstrated management skills necessary to provide leadership and
supervision of facility personnel and to ensure the delivery of maximum
quality care to all patients. * Good communication skills verbal and
written. * Certified in CPR or successfully complete course in CPR
certification. EO/AA Employer:
Minorities/Females/Veterans/Disability/Sexual Orientation/Gender
Identity **Primary Location: **United States-New Jersey-Union **Work
Locations: ** **Job: **Medical **Organization: **Fresenius Medical Care
**Schedule: **Full-time **Shift: **Day Job