Azura - Vascular Access Registered Nurse - RN - Per Diem

Fresenius Medical Care Miami, FL

Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FVC/FMCNA Compliance Program, including following all regulatory and FVC/FMS policy requirements.

Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures.


* As a skilled specialist, completes (insert) tasks in resourceful and effective ways which include, but are not limited to:

* Works on assignments requiring considerable judgment and initiative. Understands implications of work and makes recommendations for solutions.

* Contacts are frequently with individuals representing outside organizations, and/or individuals of significant importance within the company. Contacts involve planning and preparation of the communications; requires skill, tact, persuasion and/or negotiation to accomplish the objectives of the communications.

* Acts as a subject matter expert.

* Determines methods and procedures on new assignments.

* May act as an informal team leader and provides assistance to A1, A2, and A3 with support tasks that require considerable judgment and initiative.

* Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.

* May escalate difficult/complex issues to supervisor for resolution, as deemed necessary.

* Assist with various projects as assigned by direct supervisor.


* Responsible for supporting and driving FVC quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of FVC/FMS CQI tools.

* Assists with implementation of FVC quality goals and facility specific action plans in order to achieve FVC quality standards.

* Accountable for outstanding quality of patient care, as defined by the FVC quality goals, to ensure that FVC/FMC policies and procedures are followed.

* Responsible for addressing and acting on adverse events and action thresholds in collaboration with facility management.

* Maintains integrity of medical records and other FVC administrative and operational records.

* Complies with all data collection and auditing activities.

* Maintains facility environmental integrity and safety.


* Obtains necessary medical history, discusses procedure and answers questions, and performs nursing assessment on the day of the procedure.

* Provides education to patients and patient's family regarding post procedure care of vascular access.

* Monitors patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions.

* Acts as a resource for the patient to address patient concerns and questions.

* Identifies and communicates patient related issues to facility management, as needed.

* Completes documentation of patient information from admission to discharge in an accurate manner.

* Confirm written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions; delivery to appropriate labs; reporting and forwarding of lab results to appropriate physician.

* Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures, as needed.

* Administers medications and IV moderate sedation to patients as directed per physician's orders, and in compliance with FVC, company, federal, state and local regulations.

* Acts as scrub technologist to assist the physician during procedure as needed; maintaining a sterile technique.

* Assists with patient workflow by transporting patients as needed.

* Performs point – of – care laboratory testing as directed per physician's orders and in compliance with FVC, company, federal, state and local regulations.

* Performs IV insertion as per physician orders.

* Performs additional tasks as designated by Physician, practicing in compliance with state regulations.


* Provides regular and effective communication with physicians on an as needed basis.

* Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings.

* Attends and participates in CQI meetings with physicians, reporting on assigned topics.

* May assist facility management in working with the physicians and staff to verify all necessary instruments and equipment.

* Assists the physician in completing and reporting state required adverse event reports and reporting internally as per FVC/FMC policy and procedure.


* Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner.

* Inspects operation of all facility equipment and reports malfunctions, and maintenance needs to ensure the safe and effective operation of all vascular access equipment.

* Inspects operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility and reports any issues to the Facility Manager.

* Ensures a clean, safe and sanitary environment in the vascular access facility at all times.

* Ensures all blood spills are immediately addressed according to the FVC/FMCNA Bloodborne Pathogen Control Policies.


* Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the FVC/FMS formularies.

* May assist in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement.

* Assists with Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required.

* Assists with maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law.

* Completes usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law.

* Assists with maintaining facility supply inventory, including ordering and restocking of supplies as needed.

* Examines emergency equipment and supplies, including stocking of the crash cart on a regular basis.

* Completes medical records in an accurate manner in compliance with FVC policies and procedures prior to discharge of the patient. Perform chart audits on a regular basis.

* May participate in facility regulatory and accreditation surveys and action plans to address any deficiencies.

* Completes state required records for all implanted devices in an accurate and timely manner and in accordance with FVC/FMS records management guidelines.

* Participates in staff meetings, training and orientation as assigned.

* Complies with HIPPA policies and standards regarding patient information and medical records.

* Assist with various projects as assigned by direct supervisor.