University of Cincinnati
Cincinnati, Ohio
Current UC employees must apply internally via SuccessFactors Next Lives at the University of Cincinnati Founded in 1819, the University of Cincinnati ranks among the nation's best urban public research universities. Home to more than 53,600 students, 12,000 faculty and staff, and over 360,000 living alumni, UC, a Carnegie 1 institution, combines research prowess with a physical setting The New York Times has called "the most ambitious campus design program in the country." UC's momentum has never been stronger as the anchor of the Cincinnati Innovation District, the oldest cooperative education (co-op) program in the country with students earning $94 million annually through paid experiences, an academic health system, and as a member of the Big 12 Conference. The university contributes $10.6 billion in economic impact to the city and $22.7 billion to the state of Ohio. At UC, next is all of us. Learn more at uc.edu . UC is a mission-driven organization where we are committed to student success and positively transforming the community through scholarship and service. We thrive on innovation, making an impact, and fostering an environment where staff and faculty are key contributors to UC's success. Job Overview Install, support, monitor, maintain, repair and test university fire alarm systems. Essential Functions Install, repair, replace, service and test various types of fire system components in accordance with applicable codes, standards and policies. Performs component-level repairs or makes modifications of equipment. May perform some fabrication of parts. Monitor systems, participate in troubleshooting/problem determination and make repairs or refer problem to appropriate party. Inspect equipment, perform preventive maintenance and provide appropriate documentation for maintenance activities. Monitor parts inventory and requests additional parts. Perform preventative maintenance and service on campus fire alarm systems and provide appropriate documentation for activities related to the campus fire alarm system operation. Act as emergency responder liaison during non-business hour and during campus emergency closures. Designated as "Essential Personnel" you will be required to work nights, weekends, holidays, and emergency campus closures. Work schedule (10 hour shift/4 days per week) currently rotates between day and night shifts between the hours of 0630 and 0200. Subject to being on call or called back to work. Required to work flexible hours and/or overtime during weekdays, evenings, nights, and weekends as needed. May also be required to work large scale campus events such as commencement and/or athletic events. Perform related duties based on departmental need. This job description can be changed at any time. Required Education Vocational or technical training or degree in electrical technology or related field. Two (2) years of relevant work experience and/or other specialized training can be used in lieu of education requirement. Required Trainings/Certifications Must have current valid state operator's license with acceptable driving record. Must obtain/possess a current Ohio Fire License within one (1) year of employment. Must pass a complete background check and polygraph examination. Required Experience Must have at least two (2) years of experience in maintenance and repair fire alarm systems. Must be able to understand and interpret industry codes and standards. Specifically, NFPA 72 and Ohio Fire Code. Must be able to safely and effectively use general hand tools. Physical Requirements/Work Environment Sitting - Continuously Repetitive hand motion (such as typing) - Often Hearing, listening - Often Talking - Often Walking - Often Bending - Often Stooping - Often Climbing stairs/ladders - Often Kneeling, squatting - Often Crouching - Often Crawling - Often Reaching overhead - Often Pulling, pushing - Often Lifting - up to 20 pounds - Often Lifting - up to 50 pounds - Often Lifting - over 50 pounds - Often Shoveling - Seldom Outdoor Environment: Employees work outdoors and may not be protected from weather conditions. Hazards: Includes a variety of physical conditions, such as proximity to moving mechanical parts of machinery or tools used to perform work, moving vehicles, electrical current, working on scaffolding and high places, or exposure to chemicals. Atmospheric Conditions: Conditions that affect the respiratory system, such as fumes, odors, dusts, mists, gases, or poor ventilation. Close Quarters: Employees are frequently required to work in crawl spaces, shafts, manholes, sewage and water line pipes, and other areas that could cause claustrophobia. Compensation and Benefits UC offers an exceptional benefits package designed to support your well-being, financial security, and work-life balance. ( UC Benefits Link ) Highlights include: Salary/Hourly Pay Rate Information: Comprehensive Tuition Remission UC provides tuition remission for you and your eligible dependents, covering tuition costs for nearly all undergraduate and graduate programs offered by the university. Robust Retirement Plans As a UC employee, you won't contribute to Social Security (except Medicare). Instead, you'll choose between state pension plans (OPERS, STRS) or an Alternative Retirement Plan (ARP), with UC contributing 14-18% of your salary based on position. Real Work-Life Balance UC prioritizes work-life balance with a generous time-off policy, including: Vacation and sick time 11 paid holidays and additional end-of-year paid time off (Winter Season Days) 6 weeks of paid parental leave for new parents Additional Benefits Include: Competitive salary based on experience Comprehensive health coverage (medical, dental, vision, prescription) Flexible spending accounts & wellness programs Professional development & mentorship opportunities To learn more about why UC is a great place to work, please visit our careers page at UC is an E-Verify employer. If hired into this position, you will be required to provide satisfactory proof of employment eligibility by providing acceptable, original forms of identification for employment verification via the Federal I-9 employment verification process. A list of acceptable documents can be seen here: Important : To apply you must create a profile and submit a complete job application through the UC applicant portal. We are unable to consider "easy apply" applications submitted via other websites. For questions about the UC recruiting process or to request accommodations with the application, please contact Human Resources at . Equal Opportunity Employer. Building a workplace where all qualified applicants will receive consideration for employment, including Individuals with Disabilities and Protected Veterans. REQ: 101500 SF:OMJ SF:RM SF:HEJ, SF:INS SF:HERC SF:DIV SF:LJN SF:IHE
Current UC employees must apply internally via SuccessFactors Next Lives at the University of Cincinnati Founded in 1819, the University of Cincinnati ranks among the nation's best urban public research universities. Home to more than 53,600 students, 12,000 faculty and staff, and over 360,000 living alumni, UC, a Carnegie 1 institution, combines research prowess with a physical setting The New York Times has called "the most ambitious campus design program in the country." UC's momentum has never been stronger as the anchor of the Cincinnati Innovation District, the oldest cooperative education (co-op) program in the country with students earning $94 million annually through paid experiences, an academic health system, and as a member of the Big 12 Conference. The university contributes $10.6 billion in economic impact to the city and $22.7 billion to the state of Ohio. At UC, next is all of us. Learn more at uc.edu . UC is a mission-driven organization where we are committed to student success and positively transforming the community through scholarship and service. We thrive on innovation, making an impact, and fostering an environment where staff and faculty are key contributors to UC's success. Job Overview Install, support, monitor, maintain, repair and test university fire alarm systems. Essential Functions Install, repair, replace, service and test various types of fire system components in accordance with applicable codes, standards and policies. Performs component-level repairs or makes modifications of equipment. May perform some fabrication of parts. Monitor systems, participate in troubleshooting/problem determination and make repairs or refer problem to appropriate party. Inspect equipment, perform preventive maintenance and provide appropriate documentation for maintenance activities. Monitor parts inventory and requests additional parts. Perform preventative maintenance and service on campus fire alarm systems and provide appropriate documentation for activities related to the campus fire alarm system operation. Act as emergency responder liaison during non-business hour and during campus emergency closures. Designated as "Essential Personnel" you will be required to work nights, weekends, holidays, and emergency campus closures. Work schedule (10 hour shift/4 days per week) currently rotates between day and night shifts between the hours of 0630 and 0200. Subject to being on call or called back to work. Required to work flexible hours and/or overtime during weekdays, evenings, nights, and weekends as needed. May also be required to work large scale campus events such as commencement and/or athletic events. Perform related duties based on departmental need. This job description can be changed at any time. Required Education Vocational or technical training or degree in electrical technology or related field. Two (2) years of relevant work experience and/or other specialized training can be used in lieu of education requirement. Required Trainings/Certifications Must have current valid state operator's license with acceptable driving record. Must obtain/possess a current Ohio Fire License within one (1) year of employment. Must pass a complete background check and polygraph examination. Required Experience Must have at least two (2) years of experience in maintenance and repair fire alarm systems. Must be able to understand and interpret industry codes and standards. Specifically, NFPA 72 and Ohio Fire Code. Must be able to safely and effectively use general hand tools. Physical Requirements/Work Environment Sitting - Continuously Repetitive hand motion (such as typing) - Often Hearing, listening - Often Talking - Often Walking - Often Bending - Often Stooping - Often Climbing stairs/ladders - Often Kneeling, squatting - Often Crouching - Often Crawling - Often Reaching overhead - Often Pulling, pushing - Often Lifting - up to 20 pounds - Often Lifting - up to 50 pounds - Often Lifting - over 50 pounds - Often Shoveling - Seldom Outdoor Environment: Employees work outdoors and may not be protected from weather conditions. Hazards: Includes a variety of physical conditions, such as proximity to moving mechanical parts of machinery or tools used to perform work, moving vehicles, electrical current, working on scaffolding and high places, or exposure to chemicals. Atmospheric Conditions: Conditions that affect the respiratory system, such as fumes, odors, dusts, mists, gases, or poor ventilation. Close Quarters: Employees are frequently required to work in crawl spaces, shafts, manholes, sewage and water line pipes, and other areas that could cause claustrophobia. Compensation and Benefits UC offers an exceptional benefits package designed to support your well-being, financial security, and work-life balance. ( UC Benefits Link ) Highlights include: Salary/Hourly Pay Rate Information: Comprehensive Tuition Remission UC provides tuition remission for you and your eligible dependents, covering tuition costs for nearly all undergraduate and graduate programs offered by the university. Robust Retirement Plans As a UC employee, you won't contribute to Social Security (except Medicare). Instead, you'll choose between state pension plans (OPERS, STRS) or an Alternative Retirement Plan (ARP), with UC contributing 14-18% of your salary based on position. Real Work-Life Balance UC prioritizes work-life balance with a generous time-off policy, including: Vacation and sick time 11 paid holidays and additional end-of-year paid time off (Winter Season Days) 6 weeks of paid parental leave for new parents Additional Benefits Include: Competitive salary based on experience Comprehensive health coverage (medical, dental, vision, prescription) Flexible spending accounts & wellness programs Professional development & mentorship opportunities To learn more about why UC is a great place to work, please visit our careers page at UC is an E-Verify employer. If hired into this position, you will be required to provide satisfactory proof of employment eligibility by providing acceptable, original forms of identification for employment verification via the Federal I-9 employment verification process. A list of acceptable documents can be seen here: Important : To apply you must create a profile and submit a complete job application through the UC applicant portal. We are unable to consider "easy apply" applications submitted via other websites. For questions about the UC recruiting process or to request accommodations with the application, please contact Human Resources at . Equal Opportunity Employer. Building a workplace where all qualified applicants will receive consideration for employment, including Individuals with Disabilities and Protected Veterans. REQ: 101500 SF:OMJ SF:RM SF:HEJ, SF:INS SF:HERC SF:DIV SF:LJN SF:IHE
City of North Kansas City
Kansas City, Missouri
Summary of Duties Responds to both emergency and non-emergency situations and performs firefighting, rescue, emergency medical procedures, hazardous material and technical response, fire safety presentations, fire code inspections, vehicle and equipment maintenance, and other related duties. Essential Duties and Responsibilities Protects life and property by controlling, extinguishing, and preventing fire, and working at the task level within the Incident Command System Provides basic life support at an emergency medical scene following direction from Paramedic, per medical protocol; Performs routine and special inspection and maintenance activities on all EMS apparatus and fire equipment to ensure proper working order, including trucks, personal protective gear, hoses, nozzles, power tools, extrication tools, ladders, axes, pike poles, radios, lighting, etc.; Cleans and maintains stations to ensure sanitary and livable conditions for fire crews on staff; Ensure that the appropriate quality and quantity of ambulance supplies are stocked and ready after each medical call; Participate in fire suppression, emergency medical service, and rescue trainings and drills to ensure a state of readiness and maintain professional licensure requirements; Required to drive ambulances and, in emergencies may be required to drive fire apparatus; Participate in community events to promote fire prevention and safety, including station tours, parades, and school presentations; Assists with special projects and performs other similar assignments. Supervisory Responsibilities None Budgetary Responsibilities None Minimum Qualifications Must possess a high school diploma or equivalent; Must possess and maintain certifications and qualifications necessary to meet NFPA 1001 and 1002 standards; Must possess and maintain Firefighter I and II certifications and HAZMAT Operations and Awareness Certification. Must possess and always maintain a valid driver's license. Must possess and maintain an EMT-B License with Missouri State Certification; Must possess and maintain current American Heart Association Advanced Cardiac Pulmonary Resuscitation or Red Cross CPR Certifications; Must maintain physical fitness and be able to pass annual physical exam as prescribed by NFPA 1582, and is subject to random drug screening. Must obtain certification as a Car Seat Technician within the probationary period and keep accreditation for a period of 2 years. Knowledge, Skills, Abilities, and Competencies Proficiency in grammar, spelling, punctuation, and simple mathematical functions such as addition, subtraction, multiplication, division, percentages, ratios, etc., including basic proficiency in Microsoft Office, Target Solutions, Mobile Patrol, and other specialty software applications; Knowledge of applicable State laws and City and Departmental orders, rules, regulations, and policies; Knowledge of fire ground tactics, hazardous materials operations, technical rescue operations, and prevention techniques, including understanding hazards involved with electrically energized equipment, and ability to work in dangerous work areas. Knowledge of the hazards, use, and maintenance of Self-Contained Breathing Apparatus, including use and maintenance of various types of personal protective equipment. Knowledge of emergency medical methods and techniques, including understanding and implementing the department's medical protocols; Knowledge of the City geography; Knowledge of building construction, including understanding building ingress and egress design, locks and security measures, and understanding how to force entry through those portals. Interpersonal skills necessary to develop and maintain adequate and appropriate working relationships with the public, co-workers, and representatives of other agencies, including collaboration within various committees and project teams; Ability to explain policies, processes, regulations, and applicable laws within the area of expertise in layman's terms; Ability to understand and operate advanced radio communications equipment, apply appropriate communications model. Specialized skills such as a certified Missouri Car Seat Technician, Tactical Medic, Instructor, Haz Mat Technician, etc. Ability to maintain composure during an emergency and make decisions of a serious nature under varying degrees of physical and mental stress; Ability to operate hand and power tools safely and proficiently under high stress conditions. Ability to understand and utilize a personnel accountability system. Ability to use sound judgment to detect unusual, harmful, or emergency situations, and act accordingly; Ability to comprehend, process, and apply both verbal and written skills appropriate to the job; Ability to perform basic fire code compliance inspections in various types of buildings in the city as assigned; Ability to raise, lower, extend, and manipulate ladders up to 35' in length to access otherwise inaccessible areas, to rescue stranded victims, and to construct bridging and restraint systems. Ability to maintain confidentiality of information and professional boundaries; Ability to perform basic fire code compliance inspections in various types of buildings in the city as required. Ability to use City resources effectively and efficiently. Ability to execute other duties as assigned. Work Environment, Physical Demands, and Other Requirements May be required to climb, reach with hands and arms, sit, stand, stoop, kneel, crouch, crawl, talk or hear, smell, and use hands to finger, handle, or feel. Demonstrate physical endurance, agility, strength, and stamina under emergency situations. At times, sustained performance of moderately demanding work, typically involving climbing and balancing, stooping, kneeling, crouching, crawling, and may include the lifting, carrying, pushing, and/or pulling of moderately heavy objects and materials (up to 90 pounds). Perform duties requiring frequent pulling of 50 pounds or more, such as removing hoses from the apparatus, pulling ceilings, starting power equipment, and opening doors on the apparatus Use appropriate Personal Protection Equipment (PPE), including a self-contained breathing apparatus (SCBA), weighing 60 pounds for a duration of 1 hour, which requires the ability to tolerate increased respiratory workloads while performing tasks in environments that may be immediately dangerous to life (IDLH). At times perform rescue duties requiring searching, finding, and rescue-dragging or carrying victims that can weigh over 200 pounds to safety. Must be able to distinguish colors, smells, and sounds. Position frequently works in an outdoor environment with exposure to weather-related heat and cold, rain, wind, and related elements. May be exposed to working in extreme heat and cold (not weather related), close quarters, high and precarious places, moving mechanical parts, risk of electrical shock, vibration, fumes or airborne particles, and infectious diseases. May be required to work long or require irregular hours without breaks and be required to serve in an "on-call" capacity. The City of North Kansas City, MO is an Equal Opportunity Employer (EEO) and does not discriminate based on age, sex, marital status, race, color, creed, mental or physical disability, religion, national origin, familial status, sexual orientation, gender identity, source of income, or any other status protected by local, state, or federal law, in the admission or access to, or employment in, its programs or activities. Compensation details: 20.97 Hourly Wage PI2c01b7c42cd3-3167
Summary of Duties Responds to both emergency and non-emergency situations and performs firefighting, rescue, emergency medical procedures, hazardous material and technical response, fire safety presentations, fire code inspections, vehicle and equipment maintenance, and other related duties. Essential Duties and Responsibilities Protects life and property by controlling, extinguishing, and preventing fire, and working at the task level within the Incident Command System Provides basic life support at an emergency medical scene following direction from Paramedic, per medical protocol; Performs routine and special inspection and maintenance activities on all EMS apparatus and fire equipment to ensure proper working order, including trucks, personal protective gear, hoses, nozzles, power tools, extrication tools, ladders, axes, pike poles, radios, lighting, etc.; Cleans and maintains stations to ensure sanitary and livable conditions for fire crews on staff; Ensure that the appropriate quality and quantity of ambulance supplies are stocked and ready after each medical call; Participate in fire suppression, emergency medical service, and rescue trainings and drills to ensure a state of readiness and maintain professional licensure requirements; Required to drive ambulances and, in emergencies may be required to drive fire apparatus; Participate in community events to promote fire prevention and safety, including station tours, parades, and school presentations; Assists with special projects and performs other similar assignments. Supervisory Responsibilities None Budgetary Responsibilities None Minimum Qualifications Must possess a high school diploma or equivalent; Must possess and maintain certifications and qualifications necessary to meet NFPA 1001 and 1002 standards; Must possess and maintain Firefighter I and II certifications and HAZMAT Operations and Awareness Certification. Must possess and always maintain a valid driver's license. Must possess and maintain an EMT-B License with Missouri State Certification; Must possess and maintain current American Heart Association Advanced Cardiac Pulmonary Resuscitation or Red Cross CPR Certifications; Must maintain physical fitness and be able to pass annual physical exam as prescribed by NFPA 1582, and is subject to random drug screening. Must obtain certification as a Car Seat Technician within the probationary period and keep accreditation for a period of 2 years. Knowledge, Skills, Abilities, and Competencies Proficiency in grammar, spelling, punctuation, and simple mathematical functions such as addition, subtraction, multiplication, division, percentages, ratios, etc., including basic proficiency in Microsoft Office, Target Solutions, Mobile Patrol, and other specialty software applications; Knowledge of applicable State laws and City and Departmental orders, rules, regulations, and policies; Knowledge of fire ground tactics, hazardous materials operations, technical rescue operations, and prevention techniques, including understanding hazards involved with electrically energized equipment, and ability to work in dangerous work areas. Knowledge of the hazards, use, and maintenance of Self-Contained Breathing Apparatus, including use and maintenance of various types of personal protective equipment. Knowledge of emergency medical methods and techniques, including understanding and implementing the department's medical protocols; Knowledge of the City geography; Knowledge of building construction, including understanding building ingress and egress design, locks and security measures, and understanding how to force entry through those portals. Interpersonal skills necessary to develop and maintain adequate and appropriate working relationships with the public, co-workers, and representatives of other agencies, including collaboration within various committees and project teams; Ability to explain policies, processes, regulations, and applicable laws within the area of expertise in layman's terms; Ability to understand and operate advanced radio communications equipment, apply appropriate communications model. Specialized skills such as a certified Missouri Car Seat Technician, Tactical Medic, Instructor, Haz Mat Technician, etc. Ability to maintain composure during an emergency and make decisions of a serious nature under varying degrees of physical and mental stress; Ability to operate hand and power tools safely and proficiently under high stress conditions. Ability to understand and utilize a personnel accountability system. Ability to use sound judgment to detect unusual, harmful, or emergency situations, and act accordingly; Ability to comprehend, process, and apply both verbal and written skills appropriate to the job; Ability to perform basic fire code compliance inspections in various types of buildings in the city as assigned; Ability to raise, lower, extend, and manipulate ladders up to 35' in length to access otherwise inaccessible areas, to rescue stranded victims, and to construct bridging and restraint systems. Ability to maintain confidentiality of information and professional boundaries; Ability to perform basic fire code compliance inspections in various types of buildings in the city as required. Ability to use City resources effectively and efficiently. Ability to execute other duties as assigned. Work Environment, Physical Demands, and Other Requirements May be required to climb, reach with hands and arms, sit, stand, stoop, kneel, crouch, crawl, talk or hear, smell, and use hands to finger, handle, or feel. Demonstrate physical endurance, agility, strength, and stamina under emergency situations. At times, sustained performance of moderately demanding work, typically involving climbing and balancing, stooping, kneeling, crouching, crawling, and may include the lifting, carrying, pushing, and/or pulling of moderately heavy objects and materials (up to 90 pounds). Perform duties requiring frequent pulling of 50 pounds or more, such as removing hoses from the apparatus, pulling ceilings, starting power equipment, and opening doors on the apparatus Use appropriate Personal Protection Equipment (PPE), including a self-contained breathing apparatus (SCBA), weighing 60 pounds for a duration of 1 hour, which requires the ability to tolerate increased respiratory workloads while performing tasks in environments that may be immediately dangerous to life (IDLH). At times perform rescue duties requiring searching, finding, and rescue-dragging or carrying victims that can weigh over 200 pounds to safety. Must be able to distinguish colors, smells, and sounds. Position frequently works in an outdoor environment with exposure to weather-related heat and cold, rain, wind, and related elements. May be exposed to working in extreme heat and cold (not weather related), close quarters, high and precarious places, moving mechanical parts, risk of electrical shock, vibration, fumes or airborne particles, and infectious diseases. May be required to work long or require irregular hours without breaks and be required to serve in an "on-call" capacity. The City of North Kansas City, MO is an Equal Opportunity Employer (EEO) and does not discriminate based on age, sex, marital status, race, color, creed, mental or physical disability, religion, national origin, familial status, sexual orientation, gender identity, source of income, or any other status protected by local, state, or federal law, in the admission or access to, or employment in, its programs or activities. Compensation details: 20.97 Hourly Wage PI2c01b7c42cd3-3167
Fresenius Medical Care
Sullivan, Missouri
Sullivan, MO Location PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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. 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. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. 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. 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' response 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 Team Leader or physician. Identifies and communicates patient related issues to Team Leader 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 evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. 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. Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. Performs additional duties as assigned. 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. up as high as 5 feet. . click apply for full job details
Sullivan, MO Location PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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. 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. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. 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. 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' response 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 Team Leader or physician. Identifies and communicates patient related issues to Team Leader 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 evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. 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. Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. Performs additional duties as assigned. 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. up as high as 5 feet. . click apply for full job details
