Acute Dialysis Licensed Practical or Vocational Nurse - LPN LVN
Company: Fresenius Medical Care North America
Posted on: January 9, 2022
**Job ID** 21000QUX
**Available Openings** 1
**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:**
+ Provides patientcare under the direct supervision of Hemodialysis
Registered Nurse for assigned patient(s)in the acute setting
excluding Intensive Care Units as permitted by state
+ Performs all technical aspectsof dialysis procedures for
assignedpatients as prescribed to administer and monitor treatments
in accordance with currenttreatment plan under the direction of the
Hemodialysis RN. Responsible for reporting and documenting all new
and unusual incidences, information, complaints, or problems to the
+ Provides treatments for assignedpatients as assignedto promote
and assist in the maintenance of a safe and clean working
environment. Supportsthe FMCNA commitment to the QualityEnhancement
Program (QEP) and Quality Assessment and Performance Improvement
(QAI) Activities; including those related to patient satisfaction
and actively participates in process improvement activities that
enhancethe likelihood that patientswill achieve the FMCNA
QualityEnhancement Goals (QEP).
+ With documented competency and proficiency, the LPN/LVN may set
up and prime equipment as directed by the Hemodialysis RN for renal
replacement therapies (hemodialysis, continuous renal replacement,
and peritoneal dialysis therapies).
+ Evaluates vascular accessfor patency; obtainsnecessary pre and
post treatment vital signs and weight; performsvascular access
cannulation as defined by the state and reports any difficulties or
unusual findings to the Hemodialysis RN.
+ Responsible for accuratedocumentation of information related to
the patient treatment.This information is documented appropriately
in the individual patient record to include the hospitalElectronic
Medical System (EMS) and the Acute Care Electronic System
+ Responsible for reporting any significant information, change in
patient condition, or equipment problemsto the Hemodialysis RN.
+ Responsible for ensuringappropriate safety alarms are being used
for every treatment.
+ Records accurate and timelyinformation regarding vital signs and
treatment parameters onto the Hemodialysis Treatment recorded in
the EMS and ACES.
+ Initiates renal replacement treatment according to prescribed
ordersincluding setting bloodflow rate (QB) and dialysate flow rate
+ Collects, labels specimens and ensurestimely delivery of
laboratory per facilitypolicy.
+ Identifies intradialytic problems and provides intervention as
prescribed by physician's order or as directed by Hemodialysis
+ Performs and documents any interventions for the patient,
documentspatients' response to intervention, and reports any
changes or unusual findingsto the Hemodialysis RN.
+ Evaluates patient's vascular access during treatment
includingarterial and venous monitoringpressures, provides
appropriate intervention as needed, documents,discontinues
dialysistreatment according to established procedures and reports
any unusual findingsto the Hemodialysis RN.
+ Evaluates patient prior to termination of venous access - obtains
blood pressureprior to termination of venous access; obtains
hemostasis and appliesappropriate dressings; evaluatesthe patient
prior to dischargeand reports any unusual findings to the
+ Performs pre and post dialysis evaluation, weight and vital signs
with initial identification and reports findings to RN for
documentation and any necessary follow up.
+ Initiates basic CPR measuresin the event of cardiacand/or
pulmonary arrest and respond to emergency situations related to
dialysis treatment. Responsible for re-enforcing education the
patientsreceived by the RN.
+ Safely operates dialysis related equipmentaccording to the proper
+ Provides trouble shootingwhen necessary.
+ Ensures a clean, safe and sanitaryenvironment in the
dialysisfacility treatment area.
+ Ensures blood spills are immediately addressed according to FMCNA
Bloodborne Pathogen Control Policies.
+ Operates all emergency equipment effectively and efficiently in
accordance to the standard operationprocedures.
+ Participates in staff meetingsas scheduled.
+ Participatesin staff trainingand orientation of new employees as
+ Acquires information and knowledge in currentpractice relatedto
dialysis principals and technique by participating in scheduled
+ Performs additional duties as assignedby Program Manager.
**PHYSICALDEMANDS AND WORKINGCONDITIONS:**
+ The physical demandsand work environment characteristics
described here are representative of those an employee encounters
while performing the essential functionsof this job. Reasonable
accommodations may be made to enable individuals with disabilities
to performthe essential functions.
+ Day to day work includes desk and personal computerwork and
interaction with patients, facility staff and physicians.
+ This position requires frequent,prolonged periods of standingand
the employee must be able to bend over.
+ The positionprovides direct patient care that regularlyinvolves
heavy lifting and moving of patients, and assistingwith
ambulation.Equipment aids and/or coworkers may provide assistance.
The employeemay occasionally be requiredto move, with assistance,
machinesand equipment of up to 200 lbs., and may lift chemical and
water solutions of up to 30 lbs.
+ The work environment is characteristic of a health care facility
with air temperature control and moderatenoise levels. May be
exposedto infectious and contagious diseases/materials.
+ The positionrequires travel betweenassigned locations and various
locations within the community.
+ Travel to meetingsmay be required.
+ Graduate of an accredited School of Practical Nursing (LPN,
+ Current appropriate state licensure.
**EXPERIENCE AND REQUIRED SKILLS:**
+ Minimum of one year medical-surgical nursingexperience. Six
monthsof hemodialysis experience preferred but not required.
+ Successful completion of a training coursein theory and
+ Successful completion of CPR Certification.
+ Certified ClinicalHemodialysis Certification preferred or
obtained within first year of employment.
+ Employees are requiredto take the Ishihara's Color Blindness test
as a condition of employment. Note that: Failing the Ishihara Test
for Color Blindnessdoes not preclude employment. The Company will
consider whetherreasonable accommodations can be made.
+ Effective communication skills - both verbal and written.
**EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual
**Fresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state
Keywords: Fresenius Medical Care North America, Kennewick , Acute Dialysis Licensed Practical or Vocational Nurse - LPN LVN, Healthcare , Kennewick, Washington
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