Apheresis Registered Nurse - RN - Fresenius Medical Care
Company: Fresenius Medical Care
Location: Lyons
Posted on: April 24, 2024
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Job Description:
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: 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.
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. 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.
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. Ensures adequate
coverage of patient treatments and customer needs through
appropriate scheduling. Travels outside regional area as necessary
to help with coverage of patient treatments to perform Apheresis or
other extra-corporeal therapies. Maintains a safe environment for
self, patients and staff by following universal infection control
precautions in performing patient care and handling of equipment.
Maintains current knowledge of the advancements in the Therapeutic
Apheresis by ensuring that the apheresis LMS modules are reviewed
and completed. Patient Care: 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. Assesses patients pre, during and post treatment to
detect mild, moderate and severe Apheresis and non-Apheresis
related complications, notifying the appropriate hospital
personnel. 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. 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. Accurately documents all pertinent treatment
information in the individual patient's record (ACES) and the
hospital record, as needed. Completes appropriate training programs
to successfully deliver specific patient care to a variety of
patients. 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. Implements physician's orders and follows through
appropriately. Ensures patient confidentiality. Assists in the
evacuation of patients in the event of emergency, fire or disaster
according to company and hospital policy and procedures. 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. Conducts all tasks necessary for
preparation for apheresis treatments or collections and documents
where appropriate. Sets-up, monitors and discontinues use of
Apheresis equipment, blood warmer and other equipment used for
related procedures according to established standard operating
procedure. Assists with inventory control according to corporate
and department policy, manufacturer recommendations and regulatory
agency guidelines. Manages and maintains supply inventory in an
efficient and cost-effective manner, documenting all inventory
control. Performs all required pre-treatment apheresis machine
alarm testing and documents information and equipment maintenance
according to policy. Operates all related equipment appropriately
and safely and provides minor trouble shooting when necessary;
efficiently utilizes supplies to prevent waste. 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. Maintains a safe, neat, and adequately stocked
supply and equipment area. Reports all equipment and supply
problems to repair personnel. Staff Related: Completes and
documents ongoing participation in QAI activities. 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. Acts as a resource for other
staff members. Participates in staff meetings and mandatory
continuing education as scheduled and participates in staff
training and orientation as assigned. Communicates effectively with
physicians, supervisors, hospital staff, coworkers, patients and
families. Recognizes and utilizes opportunities for patient and
family education specific to individual and family needs. Maintains
a positive working relationship with all company and hospital staff
members to ensure effective and efficient treatments. Other: Review
and comply with the Code of Business Conduct and all applicable
company policies and procedures, local, state and federal laws and
regulations. Assist with various projects as assigned by direct
supervisor. Other duties as assigned. Additional responsibilities
may include focus on one or more departments or locations. See
applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and
work environment characteristics described here are representative
of those an employee encounters while performing the essential
functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential
functions. 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 requires travel between assigned facilities and
various locations within the community. Position requires on-call
rotation including night, day, weekend, and holidays. The work
environment is characteristic of a health care facility with air
temperature control and moderate noise levels. May be potential for
exposure to infectious and contagious diseases/materials. Position
provides direct patient care which regularly involves heavy
lifting, moving of patient and/ or equipment > 200-lbs (with
mechanical assistance). SUPERVISION: None EDUCATION: Current
appropriate state licensure. Must meet the practice requirements in
the state in which employed. Certification in Apheresis Nursing is
highly encouraged. Peripheral vein cannulation abilities preferred.
Maintains acquired knowledge and remains current in advancements of
therapeutic apheresis, relative to inpatient care for hospitalized
patients requiring varied treatment modalities. EXPERIENCE AND
REQUIRED SKILLS: One year of RN experience required. One-year of
Apheresis or ICU/CCU/ED experience preferred. Demonstrated strong
assessment skills related to the critically ill patient. Successful
completion of competency training course in theory and practice of
Therapeutic Apheresis and related procedures. BLS CPR Recognition.
ACLS CPR Recognition preferred, but not required. Demonstrates
organizational and time management skills, and a competency toward
completing continuing and ongoing apheresis education. Displays
leadership skills and ability to direct and supervise others (such
as Technical, Clerical Staff). Valid driver's license.
Keywords: Fresenius Medical Care, DeKalb , Apheresis Registered Nurse - RN - Fresenius Medical Care, Healthcare , Lyons, Illinois
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