Licensed Practical or Vocational Nurse Preceptor - LPN LVN
Posted on: November 19, 2021
Job Description Location: Waco, Texas, , United States Job ID:
59534287 Posted: 2021-11-03 Position Title: Licensed Practical or
Vocational Nurse Preceptor - LPN LVN Company Name: Fresenius
Sector: Other Job ID 21000HEL Available Openings 1 PURPOSE AND
SCOPE: Functions as a member of the hemodialysis health care team
in providing safe and effective dialysis therapy for patients under
the direct supervision of a registered nurse in accordance with
Fresenius Kidney Care (FKC) policies, procedures, and training and
in compliance with regulations set forth by the corporation, state,
and federal agencies. Assists with clinical orientation precepting
and on-going training of all appropriate direct patient care
personnel as well as the orientation of all facility staff to FKC.
Participates in the implementation and evaluation of patient care.
Promote and assist in the maintenance of a safe and clean working
environment. Supports the FKC commitment to the Quality Enhancement
Program (QEP) and Quality Assurance Indicators (QAI) activities,
including those related to patient satisfaction and actively
participates in process improvement activities that enhance the
likelihood that patients will achieve the FKC Quality Enhancement
Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: STAFF RELATED
Participates in the recruitment process for new clinical staff.
Assists with clinical orientation and on-going training of all
appropriate direct patient care personnel as well as the
orientation of all facility staff to FKC. Functions as preceptor in
direct patient care training programs to support the delivery of
quality patient care as per the standards set forth in the FKC
Clinical Services Clinical Training Manual(s), FKC policies and
procedures, and FKC training standards. Delivers and maintains
on-going competency evaluations/audits to ensure ongoing
performance of other LPNs and PCTs. Collaborates with the Clinical
Manager and Education Coordinator in driving FKC quality standards
through education regarding all Chronic Kidney Disease (CKD)
regulatory and legal requirements and the practice of Continuous
Quality Improvement. Assists in training of applicable direct
patient care staff on appropriate programs. Provides coaching and
developmental support to applicable clinical and facility staff.
Education/Communication: Partners with RN and IDT staff to educate
the appropriate personnel regarding the integrity and safety of the
facility water systems, as allowed by local regulations. Partners
with RN and IDT staff to educate the appropriate personnel
regarding the maintenance of environmental integrity, including
patient and staff safety, of the facility. Ensures a strong
communication process between the Clinical Managers, Education
Coordinators, direct patient care staff, and all support staff at
the facility regarding appropriate training and organizational
development programs and initiatives. Participates in implementing
and potentially designs creative educational programs for direct
patient care staff including contests and other team-based
programs. Monitors processes in the delivery of patient care
through regular Quality Assurance Indicator (QAI) activities.
Ensures all FKC business policies, procedures and systems are
incorporated into training, including compliance with ethical
business practices. PATIENT RELATED: Education: Assists other
health care members in providing patient specific detailed
education regarding adequacy measures where appropriate - Online
Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea
Kinetic Modeling (UKM), and regarding disease process/access.
Treatment: Welcomes assigned patients and inquire as to their
well-being since their last treatment. Evaluates vascular access
for patency. Obtains necessary pre - and post - treatment vital
signs and weight. Performs vascular access evaluation
pre-treatment. Performs vascular access cannulation. Performs
administration of Heparin, as delegated or as allowed by state law.
Responsible for the setup and operation of hemodialysis machines.
Initiates dialysis treatment according to prescribed orders
including blood flow (QB) and dialysate flow (QD). Evaluates
intradialytic problems and provides intervention as prescribed by
physician order or as directed. Monitors patients' response to
dialysis therapy. Obtains vital signs prior to reinfusion; performs
all relevant functions necessary for the discontinuation of
treatment Discontinues dialysis treatment according to established
procedures. Evaluates patient prior to termination of venous access
- standing & sitting blood pressure. Obtains Hemostasis and applies
appropriate dressings. Evaluates the patient prior to discharge.
Performs and records pre and post dialysis evaluation, weight and
vital signs with initial identification. Responsible for
calculating and entry of individual patients' dialysis machine
programming for Ultrafiltration (UF) goal; treatment time; Sodium
(Na) modeling; and UF modeling as prescribed. Responsible for
ensuring appropriate safety alarms are enabled, including Narrow
Venous Limits, (NVL) 160. Records accurate and timely information
regarding vital signs and treatment parameters onto the
Hemodialysis Treatment Sheet with initial identification.
Responsible for accurate documentation of information related to
patient treatment, including completion of Hemodialysis Treatment
Sheet and, if applicable, progress notes. Reports directly to the
nurse supervisor. Responsible for reporting and documenting any
significant information and/or change in patient condition, all new
or unusual incidents, information, complaints, or problems to the
nurse supervisor. Observes patient, and conducts machine safety
checks according to facility policy. Reports any change or unusual
findings to the nurse supervisor. Performs and documents any
intervention for unusual patient status and document patients'
response to intervention. Evaluates patients' vascular access
during treatment including arterial and venous monitoring
pressures; provides appropriate intervention as needed, documents
and reports any unusual findings to the nurse supervisor. Obtains
all prescribed laboratory testing and prepare specimens for
collection. Assists in developing and following the teaching plan
to educate the patient and family regarding end stage renal
disease, dialysis therapy, diet, and medications. Assists with all
emergency operational procedures. Administers medications including
intravenous in accordance with physician orders and state nurse
practice laws. Initiates basic CPR measures in the event of cardiac
and/or pulmonary arrest and respond to emergency situations related
to dialysis treatment. INFECTION CONTROL SPECIALIZATION: Assists
with facility Quality Assurance Indicators (QAI) infection control
audits. Acts as a change agent for infection control practices
within clinic. Under the direction of the CM or designee, monitors
staff and patient adherence to infection control practices.
Reinforces new hire employee adherence to infection control
Policies and Procedures. Supports ongoing staff and patient
engagement on infection control practices under the direction of CM
or designee for example participation in patient lobby days and
staff meetings to reinforce infection control practice. Quarterly
and under the direction of the CM reinforces patient and staff
adherence to infection control Policies and Procedures through
visual media such as posters, flyers or bulletin boards. Under the
direction of the Education Department, participates in education
response to internal and external facility surveys. Participates in
and reinforces infection control education of new patients and
families under the direction of the CM or designee.
MAINTENANCE/TECHNICAL: Maintains environmental integrity and
aesthetics; ensures all areas are safe and clean. Cleans and
disinfects dialysis machine surface, chair, equipment, and
surrounding area between treatments according to facility policy.
Conducts all tasks necessary for preparation for dialysis treatment
and document where appropriate. Performs all required pretreatment
dialysis machine alarm testing including Pressure Holding (PHT).
Initiates Solution Delivery System (SDS) system. Ensures that all
blood spills are immediately cleaned with appropriate disinfectant
according to facility policy. Prepares, organizes, and efficiently
utilizes supplies and equipment to prevent wastage. RECORD KEEPING:
Completes and documents ongoing participation in Quality Assurance
Indicators (QAI) activities. Enters all treatment data into the
designated clinical application in an accurate and timely manner.
Reviews treatment sheets for completeness, ensure nursing
signatures are documented, and ensure omitted entries are completed
or corrected where appropriate. Prepares initial patient chart for
admission and compile paperwork for appropriate placement in chart.
Prepares lab requisitions for prescribed or stat Lab specimens
according to laboratory destination. Collects, labels,
appropriately prepares and stores lab samples according required
laboratory specifications. Ensures collection of l
Keywords: Fresenius, Waco , Licensed Practical or Vocational Nurse Preceptor - LPN LVN, Healthcare , Waco, Texas
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