PURPOSE AND SCOPE:

　　The Nursing student 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.

　　The Nursing student functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).

　　DUTIES / ACTIVITIES:

　　Nursing students must adhere to all facility and FMCNA policies and procedures.

　　Based on the length of the clinical placement, the student nurses may perform all or some of the duties as time allows after they receive training in the specific functional area. Under the direction and visual supervision of an RN-P, the Student may:

　　During Clinical placements for less than 3 months duration:

　　Required Education:

　　eLearning: Infection Control; Intro to Basic Dialysis; Intro to Water self-study, Blood Glucose Monitoring

　　PREP Classes : Infection Control, Evaluating and Monitoring the Patient, Foot checks, water class

　　Allowable Duties:

　　Escort patients to and from the scale

　　Assist patient with washing access

　　Vital signs, including weight

　　Attend daily huddles

　　Surface disinfection stations/machines

　　Hand crank in emergency

　　Lab preparation

　　Internal machine disinfection

　　Check for residual bleach

　　Mix bleach water

　　Check blood sugars

　　Administer ONSP per order

　　Pre initiation safety check

　　RN Assessment/POC in tandem with preceptor RN

　　Attend Care plan meeting

　　Crash cart, AED, refrigerator daily checks

　　Medication review with preceptor

　　Attend QAI Meeting

　　Attend POC Meeting

　　Foot checks with RN preceptor

　　Access assessment with RN preceptor

　　Obtain pH and conductivity of machine

　　Observe in Home Therapies

　　Attend a clinic day in HT

　　Attend a day at the access center

　　During Clinical placement for 3-6 months duration:

　　Required Education:

　　PREP Class: Basic Access, Emergency Preparedness, Safety, Complications, Machine DayAllowable Duties:

　　Machine Set up

　　Machine tear down

　　Post treatment emptying

　　Water checks

　　Draw blood cultures and labs

　　Lead a daily huddle

　　Initiate or terminate a treatment on a patient with a mature fistula or graft only (preceptor to cannulate)

　　Medication administration: heparin, lidocaine, and NS

　　Assist on QAI team project with preceptor RN

　　Preparation of dialysate

　　Qualifications - External

　　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.

　　Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.

　　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.

　　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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

　　EDUCATION:

　　An individual who has successfully completed the following as provided by the academic program:

　　• Three quarters of the ADN program, or

　　• Junior year of a BSN program, or

　　• Two years of a nursing school program

　　• Other programs require approval from Clinical Services and Education

　　Note: If a student nurse has completed an approved PCT certification program, please refer to PCT Student Clinical placement Policy that outlines allowable duties for students enrolled in a PCT certification program.

　　EXPERIENCE AND REQUIRED SKILLS

　　Preferred outstanding customer service to all external and internal customers. Possess the desire to deliver superior care to our patients and embrace Fresenius’ mission and values.

　　RELATIONSHIPS:

　　The clinical placement student cannot work under the supervision of a family member.

　　The student cannot care for a patient who is a family member. If the student’s family member is a patient at the facility in which they work, the student will be scheduled to work on days the patient is not in the facility or will be assigned to another patient.

　　SUPERVISION:

　　Will be supervised by a Clinical Manager and Preceptor.

　　Preceptor: An individual who directly supervises the work of the Nursing student in the dialysis facility.

　　OTHER:

　　Performs additional duties as assigned.

　　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.*