Apheresis Registered Nurse - RN
Company: Fresenius Medical Care
Location: Elmhurst
Posted on: April 16, 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:NoneEDUCATION: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, Carol Stream , Apheresis Registered Nurse - RN, Healthcare , Elmhurst, Illinois
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