Enfermeiro Chefe

PURPOSE AND SCOPE : Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.

PRINCIPAL DUTIES AND RESPONSIBILITIES : General and Staff Related: Provides day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participates in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommends disciplinary action to Clinical Manager and initiates as appropriate. Ensures compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients. Approves or disapproves time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participates in patient care plan meetings. Maintains knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services. Trains and orients staff as necessary. Routinely observes and guides direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promotes and assists with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintains overall shift operation in a safe, efficient, and effective matter. With Clinical Manager conducts staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meets routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information. Supervises all documentation of patient information. Coordinates Charge Nurse duties with Staff RNs acting in the relief charge capacity.

Patient Care : Assesses daily patient care needs and develops and distributes patient care assignments appropriately. Assumes primary responsibility in an emergency situation. Assesses patient needs, responds to dialysis treatments, and communicates concerns to rounding physician. Implements changes in patient care/treatment as directed. Monitors and supervises all patient care activity during dialysis and assists as necessary. Collaborates with direct patient care team in making decisions to benefit patient care. Continuously monitors patient's condition with regards to problems and potential complications associated with dialysis. Administers medications to patients per physician's orders. Supervises and participates in completion of short- and long-term care plans. Admits new patients according to facility procedure. Ensures educational needs of patients are met and educates the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.

Technical : Supervises the safe and effective use of all equipment involved in direct patient care. Operates all dialysis related and emergency equipment safely and efficiently when needed. Performs required testing and verification and initials the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Completes Nurse's Technical Training Program/Water Quality Facility Training.

Other : Assists with special projects or other duties as assigned by the Clinical Manager. Assists with the interviewing of potential direct patient care staff as requested. Promotes efficient use of medical supplies. Attends and participates in monthly Quality Assurance meetings. Other duties as assigned.

Relationships : Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP). External Contacts: Physicians, Back-up Hospitals. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. The duties listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. PHYSICAL DEMANDS AND WORKING