PURPOSE AND SCOPE:

The Inpatient Services Charge Nurse is an additional “responsibility” assigned to the Inpatient Services RN, for a limited period of time, and for specific additional duties, as assigned by the Program Manager.

The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within assigned hospitals/facilities by coordinating, scheduling, and directing Acute Patient Care staff and by performing Acute treatments as needed or directed by Program manager. Assumes the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy, as well as regulations set forth by the company, state and federal agencies.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Under limited supervision, applies considerable complex knowledge to perform a broad range of tasks which include but are not limited to the following:

• Acts as a subject matter expert and resource for staff members on assigned Inpatient Center treatment floor.
• Normally receives no instruction on routine daily work, and general instructions on newly introduced assignment, but may escalate issues to Program Manager for resolution, as deemed necessary.
• Coordinate and schedule direct patient care staff to provide coverage of Acute Dialysis treatments in contracted hospitals/facilities and ensure efficient patient scheduling and staff utilization in accordance with the TAP scheduling tool.
• Maintain and review the daily TAP tool for all hospitals/facilities under their direct supervision and submit results to the Program Manager for review.
• Ensure all Acute treatments are performed in contracted hospitals/facilities according to the established policies and procedures, and in compliance, with all applicable regulatory requirement. Ensure accurate documentation of information related to patient treatment is entered into ACES during the time of treatment.
• Monitor on a daily basis ACES compliance.
• Perform Quality Assessment and Improvement (QAI) Program audits as directed to ensure the provision of quality patient care and compliance with all Joint Commission requirements.
• Participate in QAI meetings as requested by the Program Manager to assure proper reporting of QAI activities
• Assess daily patient care needs and communicate concerns to attending physician. Implement changes in patient care/treatment as directed and in collaboration with prescribing physicians.
• Perform Acute treatments according to current Charge Nurse Guidance recommendations and oversee all dialysis related medical and emergency functions.
• Communicates with the physician and other members of the healthcare team to interpret, adjust, triage and complete patient care plans in the most efficient and safe manner.
• Coordinate with appropriate technical staff to ensure preventative maintenance program for routine machine maintenance, to ensure the timely repair of disabled machines, to coordinate infection control measures, routine water culturing, water testing, logging of results, transportation of equipment and supplies, and communicate technical information to the staff.
• Serve as liaison between the administrative staff of each hospital/facility and the Program Manager.
• Practice cost containment strategies in all areas including medical supply inventory and personnel.
• Reviews 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 the Program Manager.
• Other 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 these essential functions.
• Day-to-day work includes desk and personal computer work, interaction with patients, facility staff and physicians.
• The position requires travel between assigned facilities and various locations within the community. (Travel to 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 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. There is a two-person assist program and “material assist” devices for the heavier items.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

SUPERVISION:

• Inpatient Services RN’s, Inpatient Services PCT’s  at assigned facilities

EDUCATION:

• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification
• Must meet the practice requirements in all states employed

EXPERIENCE AND REQUIRED SKILLS:    

• Minimum of 9 months nursing experience; plus 3 months of specialized experience providing clinical nursing care to dialysis patients in an Acute or Chronic setting required.
• 6 months dialysis experience in an Acute setting preferred
• Demonstrated leadership competencies and skills for the position, including continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making.
• Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients..
• Excellent communication (written and verbal) interpersonal and customer service skills.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.