NUTRICIONISTA

Nutricionista - Support FMCNA''s commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction. Actively participate in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Supports FMCNA''s mission vision values and customer service philosophy. Adhere to all requirements of the FMCNA Compliance Program and FMS patient care and administrative policies. **PRINCIPAL DUTIES AND RESPONSIBILITIES**:General and Staff Related:- Directs Patient Care Technician''s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals as well as regulations set forth by the corporation state and federal agencies. - Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs Patient Care Technicians and Dialysis Assistants. - Ensures adequate staffing through daily management of staff scheduling when appropriate. - Assesses daily patient care needs and develops appropriate patient care assignments. - Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. - Assists Clinical Manager with staff performance evaluations. - Participates in staff training and orientation of new staff as assigned. - Participates in all required staff meetings as scheduled. - Functions as Team Leader. - Enforces all company approved policies and procedures as well as regulations set forth by state and federal agencies and departments. - Maintains overall shift operation in a safe efficient and effective manner. - Act as a resource for other staff members. - Routinely meets with the Clinical Manager to discuss personnel and patient care status issues and information. - Collaborate and communicate with physicians and other members of the healthcare team to interpret adjust and coordinate care provided to the patient. - Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. - Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. - Oversees all documentation of patient information. - Maintains facility drug list for all required stock medications. - Maintains competency with all emergency operational procedures and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. - Ensures verification and availability of adequate emergency equipment. - Ensures provision of appropriate vaccinations immunizations and annual Tuberculosis (TB) testing. - Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification if indicated. - Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. - Maintains appropriate recording of controlled substances as required by law. - Assists with the coordination of patient transportation if necessary. Patient Care Education:- Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). - Provides ongoing education to patients regarding their renal disease vascular access and dialysis therapy and other related health conditions. - Discusses with patient and records education related to diet/fluid and medication compliance. - Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM). - Ensures transplant awareness modality awareness and drive catheter reduction. - Educates patients regarding laboratory values and the relationship to adequate dialysis therapy compliance with treatment schedule medications and fluid. Dialysis Treatment:- Provides safe and effective delivery of care to patients with ESRD. - Accurately implements treatment prescriptions including Sodium (Na) modeling prescription and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. - Assesses patients'' responses to hemodialysis treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Clinical Manager or physician. - Identifies and communicates patient related issues to the Clinical Manager or physician. - Initiates Initial and Annual Nursing Assessment and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. - Actively participates in the pre-evaluation initiation monitoring termination access homeostasis and post