PURPOSE AND SCOPE:

The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients.

As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

• Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment.

• Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire.

• Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed.

• Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input.

• Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.

• Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients.

• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.

• Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.

• Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record

• Initiates or assists with emergency response measures.

• Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians.

• Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.

• Promotes infection control, equipment and environmental safety.

• Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.

• Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.

• Ensures patient awareness related to transplant and treatment modality options.

• Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling.

• Checks availability of adequate emergency equipment and supplies as assigned.

• Assists with medication tracking and inventory as assigned.

• Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

• Participates in all required staff meetings as scheduled.

• Supports and promotes the FMCNA’s mission, vision, values, and customer service philosophy.

• Performs all other duties as assigned by supervisor.

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.

• 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. as high as 5 feet. 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.

• Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities.

• May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

SUPERVISION:

• Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following:

  • Successful completion of all FKC education and training requirements for new employees plus

  • Must have a minimum of 9 months experience as an RN plus

  • Successful completion of 3 months experience in chronic hemodialysis.

EDUCATION:

• Graduate of an accredited School of Nursing.

• Current appropriate state licensure.

• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

• Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years.
• Minimum of 9 months experience as a Registered Nurse (preferred).
• Chronic hemodialysis experience (preferred).
• Successful completion of FKC Education and Training requirements for new employees.
• Successful completion and maintenance of CPR BLS Certification.
• Meet all conditions of employment including Ishihara’s Color Blindness Test.
• Successful completion of all annual required education/training/competencies.
• Successful completion of on-going training and education as assigned or required.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

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

About Us

One Common Unity (OCU) breaks cycles of violence and builds compassionate, healthy communities through the transformative power of music, arts, and peace education. Founded in 2000 following a string of school shootings in Washington, DC, OCU is a collaborative effort between educators, artists, and health practitioners dedicated to preventing violence and improving life outcomes for youth and families. Currently based in 23 schools throughout Washington, DC, we train the next generation of youth leaders in social emotional literacy, arts expression, and conflict transformation and support them to create positive social change and healing in their communities. Over the past 19 years, we have impacted over 32,500 youth and families, trained over 11,500 teachers, hosted over 81 public concerts and performances, and recently were awarded the Mayor’s Arts Award for Excellence in the Humanities.

 About You

• You must be licensed as a LICSW with minimum one year of consistent Clinical Supervisory experience
• You have a commitment to and understanding of One Common Unity’s mission.
• You have experience and passion for working with underserved youth (preferably in a school setting);
• You have deep understanding, training and experience in cultural competency and sensitivity
• You display an ability to communicate effectively with students, teachers, parents and members of an integrated behavioral health team;
• You are known for outstanding verbal, written, and listening skills;
• You work in an engaging and dynamic manner that demonstrates warmth and good humor when working with individuals;
• You exhibit personal qualities of maturity, humility, strong work ethic, flexibility and a roll-up-my-sleeves attitude;
• You have CPR and First Aid (WFA); Mandated Reporter training, DCPS clearance, FBI background check, and NSO registry clearance;
• It’s helpful if you have existing credentialing with AmeriHealth, other MCO's, and CAQH;
• Fluency in Spanish is preferred.

About the Position

We are seeking a LICSW to serve as Clinical Supervisor for our Mental Health Team. The Clinical Supervisor will oversee and supervise multiple clinicians across several school-sites and, as needed, remote sessions. The responsibilities include but are not limited to:

• Upholding and modelling the core values of One Common Unity;
• Conducting and documenting one-one-one supervisions sessions with clinicians once a week;
• Leading and documenting weekly group supervision meetings;
• Conducting and documenting site visits to each of the schools once a month;
• Adopting a data-driven approach to program assessment;
• Responding to feedback and program gaps;
• Monitoring accountability of risk management practices;
• Driving best-practices;
• Assisting with contract-related reporting, paperwork, and filings;
• Providing clinical supervision and consultation to support the program description, best practice standards and to support the program to remain in full compliance with licensure standards
• Providing quality clinical trainings to program staff, following agency curriculum to support quality clinical service delivery
• Oversee the completion and tabulation of client outcome data, utilizing agency-endorsed outcome measures, and proposing formal recommendations for corrective action to improve service quality
• Provide all authorized client services and provide supporting documentation for re-authorizations, as necessary, in a timely manner
• Ensure all program services are compliant with recovery principles and are culturally competent
• Provide crisis assessment and support for direct service staff, as necessary
• Coordinating data collection and ensuring privacy of record keeping policies and procedures.

Compensation and Benefits

Compensation commiserate with experience and a benefits package with health coverage, retirement benefits after first year, paid holidays, continuing education stipend, and a vacation package.  

Physical Requirement of the Job

Depending on COVID guidelines, this position may be onsite or remote.  The environmental factors and/or physical requirements of this position include the following: While performing the duties of this job, the employee is required to have ordinary ambulatory skills sufficient to visit other locations; and the ability to stand, walk, stoop, kneel, crouch, and manipulate (lift, carry, move) light to medium weights of 10-50 pounds. Requires good hand-eye coordination, arm, hand and finger dexterity, including ability to grasp, and visual acuity to use a keyboard. The employee frequently is required to be in one position for long periods of screen use, reach with hands and arms, talk and hear both in person and over devices.  The employee interacts in close spaces and frequently with other workers, vendors, and clients.  The position works in an office environment with artificial light and air.

One Common Unity is an equal opportunity, affirmative action employer and encourages applications from people of color, women, differently-abled, LGBTQIA, and other groups that have historically been subject to discrimination.

Job Reference: 311-F066-20-C

Employer:

Pennine Care NHS Foundation Trust

Department:

Occupational Therapist

Location:

Prospect Place, Birch Hill Hospital, Rochdale

Salary:

£24,907 - £30,615 per annum