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<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

U.S. Renal Care

Dialysis Registered Nurse

Dialysis Registered Nurse - RN Chronic In-center

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.<h4>What you'll be doing</h4>Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

Dialysis Patient Care Technician

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job Summary<ul><li>Responsible for directing and coordinating all nursing care based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes.&nbsp;</li></ul>Essential Functions<ul><li>Ability to practice nursing as described by the following definition: “The diagnosis and treatment of human responses to actual or potential health alterations.” Ability to utilize the nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers, and providing education to patients and/or significant others. The successful candidate will be required to pass competencies for this position. Involves discretion and independent action within prescribed limits.</li><li>Collects patient health data<ul><li>Determines the priority of data collection based on the patient’s immediate condition or needs.</li><li>Collects pertinent data using appropriate assessment techniques.</li><li>Involves the patient, significant others, and health care providers in data collection when appropriate.</li><li>Ensures that the data collection process is systematic and ongoing.</li><li>Documents relevant data in the medial record according to hospital standards.</li></ul></li><li>Analyzes the assessment data in determining diagnoses/patient problems.<ul><li>Derives diagnoses/patient problems from the assessment data.</li><li>Validates diagnoses/patient problems with the patient, significant other, and health care providers, when possible.&nbsp;</li><li>Documents diagnoses/patient problems in a manner that facilitates the determination of expected outcomes and plan.</li></ul></li><li>Identifies expected outcomes individualized to the patient.<ul><li>Derives outcomes from the diagnoses/patient problems.</li><li>Documents outcomes as measurable goals.</li><li>Formulates outcomes mutually with the patient and health care providers, when possible.</li><li>Ensures outcomes are realistic in relation to the patient’s present and potential capabilities.&nbsp;</li><li>Ensures outcomes are attainable in relation to resources available to the patient.</li><li>Ensures outcomes include a time estimate for attainment.</li><li>Ensures outcomes provide direction for continuity of care. Anticipates potential problems situations and intervenes to offset any adverse impact.</li></ul></li><li>Develops a plan of care that prescribes interventions to attain expected outcomes.&nbsp;<ul><li>Individualizes the plan to the patient’s condition or need.</li><li>Develops the plan with the patient, significant others, and health care providers, when appropriate.&nbsp;</li><li>Ensures the plan reflects current nursing practice.</li><li>Documents the plan.</li><li>Provides continuity of care in the plan.</li></ul></li><li>Implements the interventions identified in the plan of care.<ul><li>Establishes interventions that are consistent with the plan of care.</li><li>Implements interventions in a safe and appropriate manner.</li><li>Documents interventions.</li></ul></li><li>Evaluates the patient’s progress toward attainment of outcomes.<ul><li>Ensures evaluation is systematic and ongoing.</li><li>Documents patient’s responses to interventions.</li><li>Evaluates the effectiveness of interventions in relation to outcomes.</li><li>Utilizes ongoing assessment data to revise diagnoses/patient problems, outcomes, and the plan of care, as needed.&nbsp;</li><li>Documents revisions in diagnoses/patient problems, outcomes, and the plan of care.</li><li>Involves the patient, significant others, and health care providers in the evaluation process, when appropriate.</li></ul></li><li>Participates in quality-of-care activities as appropriate to include but not limited to:&nbsp;<ul><li>Identification of aspects of care important for quality monitoring.</li><li>Identification of indicators used to monitor quality and effectiveness of nursing care.</li><li>Collection of data to monitor quality and effectiveness of nursing care.</li><li>Analysis of quality data to identify opportunities for improving care.&nbsp;</li><li>Formulation of recommendations to improve nursing care or patient outcomes.</li><li>Implementation of activities to enhance the quality of nursing practice.</li><li>Utilizes the results of quality-of-care activities to initiate changes in practice.</li></ul></li><li>Other duties as assigned.</li></ul> QualificationsEducation<ul><li>Bachelor’s Degree preferred</li><li>Graduate of an accredited school of professional nursing</li></ul>Licenses/Certifications<ul><li>Current RN license in the state of practice or compact state required</li></ul>Experience<ul><li>Minimum of one year of hospital clinical experience preferred</li></ul>

St. Francis-Emory Healthcare

Registered Nurse OR

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job Summary<ul><li>Under the direction of the Clinical Coordinator and/or Nursing Unit Director, perform nursing patient care duties for the assigned unit or department. Plan, provide, and evaluate total nursing care in accordance with the established patient care philosophy. Facilitate individualized, goal-directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Relate effectively with other shifts for continuity of care, maintain satisfactory relations with other departments and nursing units; and participate in all phases of education.</li></ul>Essential Functions<ul><li>Identifies existing and potential problems and seek or implement appropriate solutions</li><li>Performs plan of care interventions, including specimen collection and wound care</li><li>May administer medication</li><li>Documents patient care given</li><li>Provides nursing care through planning, organizing, and facilitating the nursing function for assigned patients</li><li>Assists patients with performing activities of daily living, including personal hygiene, elimination, nutrition, and ambulation</li><li>Monitors, documents, and communicates patient's status and reactions to interventions with RN, physician, patient, and families</li><li>Works as an advocate for the physical and emotional well-being of the patient</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision</li><li>Must be able to work in a stressful environment and take appropriate action</li></ul> QualificationsEducation<ul><li>Associates degree in Nursing Required</li><li>Bachelors degree in Nursing Preferred</li></ul>Licenses/Certifications<ul><li>Basic Life Support (BLS)-Required</li><li>ACLS within 6 months of hire</li><li>PALS within 6 months of hire</li><li>Handle with Care Certification within 6 months</li><li>Valid licensure in the State as a Registered Nurse (RN)</li></ul>Experience<ul><li>Six (6) months of experience as a Registered Nurse (RN) in a direct patient care setting unless entering into the Nurse Residency Program</li></ul>

Registered Nurse (RN), Emergency Department, PRN T3, Nights

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job Summary<ul><li>The Registered Nurse (RN) – Emergency Department provides direct and indirect patient care in a high-acuity emergency care setting. The RN utilizes the nursing process of assessment, planning, intervention, and evaluation to provide safe and effective care for patients across the lifespan. Collaborates with the interdisciplinary team and contributes to quality outcomes through clinical excellence, compassionate service, and adherence to regulatory standards.</li></ul>Essential Functions<ul><li>Performs triage and prioritizes patient care based on acuity</li><li>Conducts age-appropriate assessments and reassessments of all patients</li><li>Administers medications, performs procedures, and manages critical drips</li><li>Assists physicians with exams and procedures in the emergency department</li><li>Monitors hemodynamic status and interprets cardiac rhythms</li><li>Documents care, treatment, assessments, and education accurately and timely</li><li>Applies infection control and sterile technique practices consistently</li><li>Educates patients and families about care plans and discharge instructions</li><li>Collaborates with providers and interdisciplinary team for optimal care delivery</li><li>Responds calmly and professionally in high-stress, life-threatening situations</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Knowledge of emergency nursing protocols, trauma care, and critical interventions</li><li>Skilled in interpreting ECGs, managing IVs, and operating emergency equipment</li><li>Strong interpersonal, communication, and time management skills</li><li>Ability to adapt to rapidly changing clinical situations and multitask effectively</li><li>Proficient in EMR systems and clinical documentation tools</li><li>Able to lift up to 50 lbs and perform extended standing, walking, bending, and reaching</li><li>Demonstrates professionalism, clinical judgment, and a commitment to continuous learning</li></ul> QualificationsEducation<ul><li>Associate degree in Nursing required</li><li>Bachelor of Science in Nursing (BSN) preferred</li><li>Graduation from an accredited Nursing Diploma program accepted.</li></ul>Licenses/Certifications<ul><li>Current state RN license or compact state equivalent required</li><li>Basic Life Support (BLS) required within time frame stated in facility policy</li><li>Advanced Cardiovascular Life Support (ACLS) required within time frame stated in facility policy</li><li>Pediatric Advanced Life Support (PALS) required within time frame stated in facility policy</li><li>Crisis Prevention Intervention (CPI) required within time frame stated in facility policy</li><li>NIH Stroke Scale Certification required within time frame stated in facility policy</li><li>Trauma Nursing Core Course (TNCC) preferred or required within time frame stated in facility policy</li><li>Advanced Stroke Life Support (ASLS) preferred</li></ul>Experience<ul><li>Emergency nursing experience in an acute care setting preferred</li><li>Demonstrated ability to function under pressure and respond effectively to critical situations</li></ul>

Registered Nurse (RN), Emergency Department, 1:00PM-1:00AM

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

Dialysis Registered Nurse PRN

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li>Demonstrate effective use of supplies and staff labor hours.</li><li>May assist with billing log preparation and updates.</li><li>Perform duties as assigned to meet the patient care or operational needs of the clinic</li><li>Obtain blood samples for laboratory analysis as required to complete physician orders.</li><li>Complete and document monthly review of patient medication profiles.</li><li>Knowledge of and comply with applicable health care professionals practice act requirements.</li><li>Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations</li><li>Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports.</li><li>Report any significant information or change in patient condition to the Charge Nurse.</li><li>Report machine problems to Biomedical Technician and Administrator.</li><li>Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.</li><li>Assist with staff training as requested.</li></ul>

Dialysis Licensed Practical Nurse - PRN

SUMMARYThe Acute Registered Nurse provides acute dialysis care and treatment to patients within a hospital environment. This position performs duties as assigned by the Charge Nurse or Acute Manager, including assisting and supervising Patient Care Technicians and Licensed Vocational Nurses. Acute nurses may report directly to an Acute Manager, Administrator or the first line of regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.GROWTH· Assist with clinical and operational processes to improve patient health and minimize hospitalizations and rehospitalization.· Ensure patient and treatment charge information and other related data are accurate and submitted appropriately. · Demonstrate effective use of supplies and staff labor hours.· May participate in inventory management, including end-of-month inventory reporting and adherence to company purchasing protocols.· Perform duties as assigned to meet the patient care or operational needs.OUTCOMES· Administer medications as ordered by the physician..· Provide patient education and follow up as needed.· Assist with program's target goals in meeting quality metrics for patient outcomes in accordance with quality patient care and Company goals.OPERATIONALREADINESS· Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements.· Perform duties at all times within limitations established by and in accordance with company policy and procedures, hospital policy, applicable state and federal laws and regulations.· Complete water quality verification and equipment safety checks prior to each treatment, to include second verification as required.· Complete pre and post treatment physical assessments.· Complete pre and post Handoff Communication with hospital nurses.· Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites.· Set up dialysis machines; report machine problems to biomedical technician and/or Acute Manager as appropriate.· Clean, disinfect and provide quality control of dialysis machines as required by policy and procedures.· Participate in infection control monitoring, implementation, and recording as requested.· Use personal protective equipment as necessary.· Be familiar with emergency equipment and all emergency operational procedures, as required by hospital.OPERATIONALREADINESS (cont.)· Demonstrate effective staffing based on acuity, skill mix and company guidelines.· Ensure provision of dialysis related services such as Hemodialysis, Peritoneal dialysis, Continuous Renal Replacement Therapy (CRRT) and Plasmapheresis (TPE) if contracted to do so.· Participate in all surveys as required.· Ensure nursing care is carried out as directed and treatment is administered in accordance with physician orders.· Ensure appropriate and required information is documented in patient records.· Inform Supervisor, Medical Director or Physician and Hospital Liaison of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy.· Prepare and maintain dialysis machines and systems per policy: maintain dialysis records, prepare dialysis water treatment system for use according to established procedure and understand technical operations to troubleshoot problems independently.· Notify Bio-Medical Technician regarding machine or water treatment malfunctions, values out of parameters and document as required. PARTNERSHIPS· Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician.· Maintain collaborative working relationship with physicians, nurse practitioners, and other hospital healthcare professionals.· Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.· Address patient concerns timely and professionally; following hospital policy.STAFF DEVELOPMENT/ RETENTION· Participate in staff meetings as required. Attend and complete all company and hospital required in-service and continuing education.· May delegate tasks to competent licensed and unlicensed staff per applicable state practice act.· Assist with staff training as requested.· Lead staff in team concepts and promote a team effort.

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