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Registered Nurse - RN

Fresenius Medical Care Gardendale AL, 35071

PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advanc...

Posted 5 days ago

PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 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. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 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. * Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. * Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. * Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed. * Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. * Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. * Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. * Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. * Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record * Initiates or assists with emergency response measures. * Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. * Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. * Promotes infection control, equipment and environmental safety. * Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. * Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. * Ensures patient awareness related to transplant and treatment modality options. * Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. * Checks availability of adequate emergency equipment and supplies as assigned. * Assists with medication tracking and inventory as assigned. * Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. * Participates in all required staff meetings as scheduled. * Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. * 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. * The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. * Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. * 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 as a Team Leader or designated Nurse in charge, after the following: * Successful completion of all FKC education and training requirements for new employees plus * Must have a minimum of 9 months experience as an RN plus * Successful completion of 3 months experience in chronic hemodialysis. EDUCATION: * Graduate of an accredited School of Nursing. * Current appropriate state licensure. * Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: * Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. * Minimum of 9 months experience as a Registered Nurse (preferred). * Chronic hemodialysis experience (preferred). * Successful completion of FKC Education and Training requirements for new employees. * Successful completion and maintenance of CPR BLS Certification. * Meet all conditions of employment including Ishihara's Color Blindness Test. * Successful completion of all annual required education/training/competencies. * Successful completion of on-going training and education as assigned or required. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

B

Registered Nurse RN

Brookdale Senior Living Birmingham AL, 35202

Full Time Registered Nurse RNFull Time, Part Time, PRN Registered Nurse RN All Shifts Available Per Diem RN Weekdays and Weeken...

Posted 1 week ago

Full Time Registered Nurse RNFull Time, Part Time, PRN Registered Nurse RN All Shifts Available Per Diem RN Weekdays and Weekends Galleria Woods AL 3850 Galleria Woods Drive Birmingham, AL 35244-1098 Job#:BSL7245313 Brookdale. Bringing new life to senior living. As a nurse at our senior living community you'll ensure our residents receive the best possible care by coordinating with physicians and other healthcare personnel. This position gives you the opportunity to bond with seniors who will put their trust in you. It's a chance to make deep connections while utilizing your nursing skills. You'll get to know our entire population as you make the rounds and administer prescribed medications and treatments. We offer a family-friendly schedule, opportunities for advancement and a supportive work environment. Forget the 12-hour shifts and rapid hospital pace. Make the change. Your responsibilities: * Implement and coordinate the delivery of care in collaboration with physician and resource health care personnel * Utilize the nursing process (assessment, planning, implementation, and evaluation) in applying nursing knowledge * Document all pertinent information regarding nursing care, care plans and observations * Maintain a working knowledge of facility infection control procedures * Provide functional direction and assistance to LPN's and CNA's, and complete new staff orientation as assigned * Make rounds on a timely basis to ensure continuity of care Required skills and qualifications: * Graduate of an accredited school * Current registered nurse in the state of practice * One year of nursing experience, including long-term care experience * Flexible schedule, including availability to work evenings, weekends and holidays as needed * Must enjoy working with the senior population If you're a Brookdale associate, please consider referring someone through the Good People Program! Brookdale is an EOE-(Equal Opportunity Employer) and drug-free workplace. Brookdale offers a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, educational reimbursement. All associates, age 21 and older, are eligible to participate in the 401(k) retirement savings plan.

F

Outpatient Registered Nurse - RN

Fresenius Medical Care Birmingham AL, 35202

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of qu...

Posted 5 days ago

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Supports the FMCNA's mission, vision, values, and customer service philosophy. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES STAFF RELATED: * Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies * Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants * Assesses daily patient care needs and develops appropriate patient care assignments * Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures * Participates in staff training and orientation of new staff as assigned * Participates in all required staff meetings as scheduled PATIENT RELATED: Education: * Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD) * Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions * Discusses with patient, and records education related to diet/fluid and medication compliance * Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM) * Ensures transplant awareness, modality awareness, and drive catheter reduction * Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid * Dialysis Treatment: * Provides safe and effective delivery of care to patients with ESRD * Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated * Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. * Identifies and communicates patient related issues to Team Leader or physician * Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures * Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures * Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights * Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. * Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier * Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet * Laboratory-related: * Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System * Ensures appropriate preparation of lab requisitions for Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples * Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures * Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material * Ensures that all labs are directed and delivered to appropriate labs * Reports alert/panic and abnormal labs results to appropriate physician * Ensures lab results are forwarded to physicians as requested General duties: * Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments * Maintains overall shift operation in a safe, efficient, and effective manner * Act as a resource for other staff members * Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information * Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient * Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies * Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. * Oversees all documentation of patient information * Maintains facility drug list for all required stock medications * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest * Ensures verification and availability of adequate emergency equipment * Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated * Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. * Maintains appropriate recording of controlled substances as required by law * Assists with the coordination of patient transportation if necessary MAINTENANCE/TECHNICAL: * Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area * Ensures competency in the operation of all dialysis-related equipment safely and effectively * Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately * Ensures that all blood spills are immediately addressed according to FMCNA Blood-borne Pathogen Control Policies MEDICAL RECORDS & DOCUMENTATION: General * Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System * Ensures all appropriate patient related treatment data is entered into the Medical Information System * Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented * Ensures and verify accuracy of Patient Care Technician documentation Daily * Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff * Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises Monthly * Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports * Completes monthly nurses' progress note * Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms) * Reviews transplant status and follows established procedure regarding appropriate action to be taken * Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans * Completes any long-term programs that are due Annually * Completes initial and annual Nursing History and Assessment physical * Ensures completion of Annual Standing Order Review with each physician as required OTHER: * Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. EDUCATION * Graduate of an accredited School of Nursing. * Current appropriate state licensure * Must meet the practice requirements in the state in which he or she is employed * Education and Training qualifications per UltraCare CAP program requirements. EXPERIENCE AND REQUIRED SKILLS * Minimum of one-year medical-surgical nursing experience preferred * Hemodialysis experience preferred * ICU experience preferred * Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program. * Successfully complete a training course in the theory and practice of hemodialysis * Successfully complete CPR Certification * Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training * Must meet appropriate state requirements (if any) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

F

Outpatient Registered Nurse - RN

Fresenius Medical Care Gardendale AL, 35071

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of qu...

Posted 5 days ago

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Supports the FMCNA's mission, vision, values, and customer service philosophy. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES STAFF RELATED: * Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies * Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants * Assesses daily patient care needs and develops appropriate patient care assignments * Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures * Participates in staff training and orientation of new staff as assigned * Participates in all required staff meetings as scheduled PATIENT RELATED: Education: * Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD) * Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions * Discusses with patient, and records education related to diet/fluid and medication compliance * Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM) * Ensures transplant awareness, modality awareness, and drive catheter reduction * Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid * Dialysis Treatment: * Provides safe and effective delivery of care to patients with ESRD * Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated * Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. * Identifies and communicates patient related issues to Team Leader or physician * Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures * Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures * Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights * Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. * Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier * Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet * Laboratory-related: * Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System * Ensures appropriate preparation of lab requisitions for Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples * Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures * Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material * Ensures that all labs are directed and delivered to appropriate labs * Reports alert/panic and abnormal labs results to appropriate physician * Ensures lab results are forwarded to physicians as requested General duties: * Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments * Maintains overall shift operation in a safe, efficient, and effective manner * Act as a resource for other staff members * Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information * Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient * Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies * Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. * Oversees all documentation of patient information * Maintains facility drug list for all required stock medications * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest * Ensures verification and availability of adequate emergency equipment * Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated * Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. * Maintains appropriate recording of controlled substances as required by law * Assists with the coordination of patient transportation if necessary MAINTENANCE/TECHNICAL: * Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area * Ensures competency in the operation of all dialysis-related equipment safely and effectively * Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately * Ensures that all blood spills are immediately addressed according to FMCNA Blood-borne Pathogen Control Policies MEDICAL RECORDS & DOCUMENTATION: General * Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System * Ensures all appropriate patient related treatment data is entered into the Medical Information System * Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented * Ensures and verify accuracy of Patient Care Technician documentation Daily * Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff * Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises Monthly * Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports * Completes monthly nurses' progress note * Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms) * Reviews transplant status and follows established procedure regarding appropriate action to be taken * Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans * Completes any long-term programs that are due Annually * Completes initial and annual Nursing History and Assessment physical * Ensures completion of Annual Standing Order Review with each physician as required OTHER: * Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. EDUCATION * Graduate of an accredited School of Nursing. * Current appropriate state licensure * Must meet the practice requirements in the state in which he or she is employed * Education and Training qualifications per UltraCare CAP program requirements. EXPERIENCE AND REQUIRED SKILLS * Minimum of one-year medical-surgical nursing experience preferred * Hemodialysis experience preferred * ICU experience preferred * Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program. * Successfully complete a training course in the theory and practice of hemodialysis * Successfully complete CPR Certification * Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training * Must meet appropriate state requirements (if any) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

F

Outpatient Registered Nurse - RN

Fresenius Medical Care Fairfield AL, 35064

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of qu...

Posted 5 days ago

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Supports the FMCNA's mission, vision, values, and customer service philosophy. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES STAFF RELATED: * Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies * Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants * Assesses daily patient care needs and develops appropriate patient care assignments * Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures * Participates in staff training and orientation of new staff as assigned * Participates in all required staff meetings as scheduled PATIENT RELATED: Education: * Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD) * Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions * Discusses with patient, and records education related to diet/fluid and medication compliance * Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM) * Ensures transplant awareness, modality awareness, and drive catheter reduction * Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid * Dialysis Treatment: * Provides safe and effective delivery of care to patients with ESRD * Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated * Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. * Identifies and communicates patient related issues to Team Leader or physician * Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures * Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures * Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights * Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. * Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier * Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet * Laboratory-related: * Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System * Ensures appropriate preparation of lab requisitions for Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples * Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures * Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material * Ensures that all labs are directed and delivered to appropriate labs * Reports alert/panic and abnormal labs results to appropriate physician * Ensures lab results are forwarded to physicians as requested General duties: * Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments * Maintains overall shift operation in a safe, efficient, and effective manner * Act as a resource for other staff members * Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information * Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient * Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies * Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. * Oversees all documentation of patient information * Maintains facility drug list for all required stock medications * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest * Ensures verification and availability of adequate emergency equipment * Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated * Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. * Maintains appropriate recording of controlled substances as required by law * Assists with the coordination of patient transportation if necessary MAINTENANCE/TECHNICAL: * Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area * Ensures competency in the operation of all dialysis-related equipment safely and effectively * Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately * Ensures that all blood spills are immediately addressed according to FMCNA Blood-borne Pathogen Control Policies MEDICAL RECORDS & DOCUMENTATION: General * Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System * Ensures all appropriate patient related treatment data is entered into the Medical Information System * Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented * Ensures and verify accuracy of Patient Care Technician documentation Daily * Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff * Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises Monthly * Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports * Completes monthly nurses' progress note * Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms) * Reviews transplant status and follows established procedure regarding appropriate action to be taken * Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans * Completes any long-term programs that are due Annually * Completes initial and annual Nursing History and Assessment physical * Ensures completion of Annual Standing Order Review with each physician as required OTHER: * Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. EDUCATION * Graduate of an accredited School of Nursing. * Current appropriate state licensure * Must meet the practice requirements in the state in which he or she is employed * Education and Training qualifications per UltraCare CAP program requirements. EXPERIENCE AND REQUIRED SKILLS * Minimum of one-year medical-surgical nursing experience preferred * Hemodialysis experience preferred * ICU experience preferred * Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program. * Successfully complete a training course in the theory and practice of hemodialysis * Successfully complete CPR Certification * Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training * Must meet appropriate state requirements (if any) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

B

Registered Nurse - Home Health Paid Per Visit

Brookdale Senior Living Birmingham AL, 35202

PRN Registered Nurse - Home Health Paid Per VisitPRN Registered Nurse - Home Health Paid Per Visit Birmingham, AL Job #:p...

Posted 6 days ago

PRN Registered Nurse - Home Health Paid Per VisitPRN Registered Nurse - Home Health Paid Per Visit Birmingham, AL Job #:prnRNPPVbirAL7246310 A career with Brookdale Healthcare Services has never been so rewarding! Brookdale Home Health is ranked among the Top Ten largest home heath companies in the country. Many of our agencies carry a five-star rating and are recognized by Decision Health as Home Care Elite agencies. We own and operate more than 80+ agencies nationwide, serving approximately 17,000 patients throughout our Brookdale Home Health Division. Brookdale. Bringing new life to senior living. Brookdale Healthcare Services is looking for a Home Health RN to provide services in the Birmingham area. Join a dynamic team of health care providers focused on health, wellness and prevention for all our patients. Your responsibilities: * Evaluate patient and home health environment to determine required services and involve the patient and patient's family in developing the plan of care * Develop the POC based on findings from evaluation visit * Serve as the patient's advocate and maintain ongoing communication with physician, referral sources, caregivers and facility management to facilitate coordination of care * Responsible for timely completion and synchronization of OASIS visits within the patient home via device (EMR) * Provide direct supervision of nursing clinical care team members (LPN's/LVN's & HHA's) Required skills and qualifications: * Graduate of an accredited school of professional nursing * One year of previous related experience * Licensed as an registered nurse in the state of practice * Travel is required; must have a reliable car w/current insurance coverage and a current driver's license * Experience with Electronic Medical Records (EMR) devices preferred but not required If you're a Brookdale associate, please consider referring someone through the Good People Program! Brookdale is an EOE-(Equal Opportunity Employer) and drug-free workplace.

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Registered Nurse 3P-11P

Encompass Health Birmingham AL, 35202

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patie...

Posted 1 week ago

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patients succeed in inpatient rehabilitation by supervising care and treatments provided by team members, leading patient assessments, creating personalized plans of care, communicating progress and targeting patient concerns, offering timely solutions. The Difference The importance of nursing to our rehabilitation hospitals can't be overstated. Comprehensive rehabilitation is planned and administered by a highly specialized and integrated team including physicians, nurses, physical therapists, respiratory therapists, speech therapists, occupational therapists, case managers and others. Rehabilitation nurses are a valuable resource and bring an important perspective to this interdisciplinary approach. Our rehabilitation nurses help the patients regain control of their lives and their independence, treating complex medical issues and redefining how care is provided. The Perks Only the best will do * Comprehensive medical, dental and vision plans * 401(k) * College savings plan * Employee assistance program * Pre-paid legal plan * and much more! The Patients Eighty percent of patients discharged directly home Our registered nursing teams get to know patients over two to four weeks on average, providing care for conditions such as: * Stroke * Spinal cord injury * Brain injury * Neurological disorders * Joint replacement * Amputation * Multiple trauma The Power Advanced tools to support patient progress * Advanced technologies * Evidence-based practice guidelines * Clinical outcomes to assess and improve treatment interventions * National outcomes database * Trained mentors * Internal and external education * Professional treatment teams * Multiple trauma The Basics * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred * One-year experience in inpatient rehabilitation hospital setting preferred Job Code: 100130 License or Certification: * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred Education, Training and Years of Experience: * One year of experience in inpatient hospital setting preferred * Inpatient rehabilitation experience preferred Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer Physical Requirements: * Good visual acuity and ability to communicate * Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 30 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements * Ability to withstand prolonged standing and walking * Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipment Address: 3800 Ridgeway Drive, Birmingham 35209 Shift: Day Job Job ID: 1825055

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Registered Nurse 3P-11P

Healthsouth Corporation Birmingham AL, 35202

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patie...

Posted 1 week ago

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patients succeed in inpatient rehabilitation by supervising care and treatments provided by team members, leading patient assessments, creating personalized plans of care, communicating progress and targeting patient concerns, offering timely solutions. The Difference The importance of nursing to our rehabilitation hospitals can't be overstated. Comprehensive rehabilitation is planned and administered by a highly specialized and integrated team including physicians, nurses, physical therapists, respiratory therapists, speech therapists, occupational therapists, case managers and others. Rehabilitation nurses are a valuable resource and bring an important perspective to this interdisciplinary approach. Our rehabilitation nurses help the patients regain control of their lives and their independence, treating complex medical issues and redefining how care is provided. The Perks Only the best will do * Comprehensive medical, dental and vision plans * 401(k) * College savings plan * Employee assistance program * Pre-paid legal plan * and much more! The Patients Eighty percent of patients discharged directly home Our registered nursing teams get to know patients over two to four weeks on average, providing care for conditions such as: * Stroke * Spinal cord injury * Brain injury * Neurological disorders * Joint replacement * Amputation * Multiple trauma The Power Advanced tools to support patient progress * Advanced technologies * Evidence-based practice guidelines * Clinical outcomes to assess and improve treatment interventions * National outcomes database * Trained mentors * Internal and external education * Professional treatment teams * Multiple trauma The Basics * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred * One-year experience in inpatient rehabilitation hospital setting preferred Job Code: 100130 License or Certification: * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred Education, Training and Years of Experience: * One year of experience in inpatient hospital setting preferred * Inpatient rehabilitation experience preferred Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer Physical Requirements: * Good visual acuity and ability to communicate * Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 30 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements * Ability to withstand prolonged standing and walking * Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipment

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RN - Registered Nurse - Sign ON Bonus

Brookdale Senior Living Birmingham AL, 35202

Full Time RN - Registered Nurse - SIGN ON BONUSFull Time Registered Nurse -Home Health - 10K SIGN ON BONUS! Birmingham, AL ...

Posted 4 weeks ago

Full Time RN - Registered Nurse - SIGN ON BONUSFull Time Registered Nurse -Home Health - 10K SIGN ON BONUS! Birmingham, AL Job #: RNHHbirAL71488 A career with Brookdale Healthcare Services has never been so rewarding! Brookdale Home Health is ranked among the Top Ten largest home heath companies in the country. Many of our agencies carry a five-star rating and are recognized by Decision Health as Home Care Elite agencies. We own and operate more than 80+ agencies nationwide, serving approximately 17,000 patients throughout our Brookdale Home Health Division. Brookdale. Bringing new life to senior living. Brookdale Healthcare Services is looking for a Home Health Nurse (RN) to provide services in the Birmingham area. Join a dynamic team and growing team of health care providers focused on health, wellness and prevention for all our patients. You'll connect with our senior patients in their homes and build relationships that can greatly enhance their lives while giving you a sense of purpose. You'll ensure our patients receive optimal care while collaborating with a team of compassionate clinical service providers. This position puts you in a supervisory role over home health aides and LPNs/LVNs. You'll also help develop a plan of care for each patient. We offer opportunities to grow your career, including ways to develop your leadership skills, advanced training and the ability to network with other care providers. We always look to promote from within and our home health team is rapidly expanding. This position gives you some scheduling flexibility and reimbursement of travel expenses. Your responsibilities: * Assess home care patients identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations * Complete OASIS, assessment and visit paperwork according to agency policy * Communicate significant findings, problems and changes to Manager, Clinical Services and physician, and documents all findings, communications, and appropriate interventions * Participate in interdisciplinary patient care conferences and Agency Performance Improvement processes * Assure the continuity of patient care and coordination of services through delivery of quality patient care Required skills and qualifications: * Current license as a Registered Nurse in good standing for the state * One year of home health, public nursing or acute hospital nursing experience * Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly preferred) * Acute care and home care experience are preferred * Must have valid driver's license If you're a Brookdale associate, please consider referring someone through the Good People Program! Brookdale is an EOE-(Equal Opportunity Employer) and drug-free workplace. Brookdale offers a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, educational reimbursement. All associates, age 21 and older, are eligible to participate in the 401(k) retirement savings plan.

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Nurse Healthcare Manager RN

Brookdale Senior Living Birmingham AL, 35202

Full Time Nurse Healthcare Manager RNFull Time Nurse Healthcare Manager RN Brookdale Univ Pk IL/AL/MC(AL) 400 University Par...

Posted 1 week ago

Full Time Nurse Healthcare Manager RNFull Time Nurse Healthcare Manager RN Brookdale Univ Pk IL/AL/MC(AL) 400 University Park Drive Birmingham, AL 35209 Job #:NHMSCbirmAL7245877 Brookdale. Bringing new life to senior living. Job Summary: Manages the day-to-day clinical services of the community to ensure resident's healthcare needs are met. Ensures residents are treated with respect and dignity and ensures quality care as resident's healthcare needs change. Supervises and provides leadership as well as coaching to licensed nurses and other direct care staff within the community. Your responsibilities: * Responsible for the direct supervision of community-based licensed, certified and non-certified clinical associates. * Assigns and directs work of subordinates; appraising performance; rewarding and disciplining associates; addressing complaints and resolving problems * Provides training and education to resident care associates on an ongoing basis with classroom in-services, and situation-specific training * Supervises the maintenance of resident charts and reviews documentation performed by care giving staff * As described and allowed in the Nurse Practice Act, assesses health, oversee medication administration, functional and psycho-social status of residents, initiates individualized service plans, proactively manages care and services for each resident, evaluates effectiveness and maximizes the resident's opportunity to remain in their environment * Manages the health care of residents, including the dissemination of information to families and associates. Ensures that family members are aware of resident's need for scheduled appointments * Participates in pre-admission screening of prospective new residents. Assures that required documentation is completed prior to or upon resident admission, including nursing assessments, service plans, and other assigned forms. Updates assessments as required by policy and as described/allowed in Nurse Practice Actor state regulation * Performs on-site evaluations of residents admitted to alternate care environments for treatment, and maintains contact with resident families with the intent of returning resident to Brookdale * Evaluates residents; documents changes in condition, and notifies executive director, physician, and resident's legally responsible party/family of resident's condition and reactions * Communicates with physicians regarding residents' status and condition changes. Ensures residents are prepared for physician appointments, and visits * Facilitates continuity of care for those residents receiving home health care, hospice services, and other third party healthcare- related services * Participates in or leads meetings relevant to resident care issues, such as Service Plan meetings, involving appropriate parties as needed * Ensures in-house ancillary medical services such as podiatrist, doctor visits, dental visits, psych visits, lab, X-ray, ambulance, etc. are scheduled and followed through * Participates in department quality improvement activities * Assists in keeping the environment safe for associates to reduce the occurrence of Workers' Compensation claims by appropriately evaluating resident transfer and mobility needs and involving therapy services as indicated * Shares on-call and manager on duty responsibilities/shifts as required Required skills and qualifications: * Education as required to obtain state nursing license (RN). * Preferred a minimum of 3 years clinical leadership experience. * Working knowledge of basic technology and electronic documentation * RN license required Brookdale is the largest senior living solutions company in the country, with 1,000+ communities in 46 states serving 110,000 residents around the country. That translates to lots of career opportunities for you! We offer independent living, assisted living, Memory Care, skilled nursing, continuing care retirement, in-house therapy, hospice, home health, and personalized living. If you're a Brookdale associate, please consider referring someone through the Good People Program! Brookdale is an EOE-(Equal Opportunity Employer) and drug-free workplace. Brookdale offers a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, educational reimbursement. All associates, age 21 and older, are eligible to participate in the 401(k) retirement savings plan.

Registered Nurse - RN

Registered Nurse RN

Outpatient Registered Nurse - RN

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Outpatient Registered Nurse - RN

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Registered Nurse - Home Health Paid Per Visit

Registered Nurse 3P-11P

Registered Nurse 3P-11P

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Nurse Healthcare Manager RN

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Nurse Healthcare Manager RN

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