Martha Serna

• Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications
• Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter
• Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care
• Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient
• Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations
• Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care
• Participate in infection control monitoring, implementation, and recording as requested
• Be familiar with emergency equipment and all emergency operational procedures
• Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home
• Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties\
• Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes
• Assist in obtaining data for the continuous quality improvement activities
• Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner
• Complete and document monthly review of patient medication profiles
• Administer medications as ordered by the physician
• Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned
• Flexible with staffing locations and hours to accommodate patient and USRC home program needs

• Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments
• Assist with planning/coordinating patient scheduling to assure timely acceptance of patients and effective staffing levels
• Demonstrate effective use of supplies and staff labor hours
• Perform duties as assigned to meet the patient care or operational needs of the clinic
• Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare
• Work with Administrator to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician, and other healthcare professionals
• Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality
• Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals
• Review all incident reports; make recommendations and act relative to incidents as appropriate; report at monthly QAPI meeting as delegated by Administrator or Management
• Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements
• Work with Administrator to assure clinic follows all applicable federal, state, and local laws and regulations
• Assist Administrator with development, implementation and follow up of Corrective Action Plans required for internal and external surveys
• May assume Charge Nurse's responsibilities as needed
• May fulfill responsibility of facility Alternate as delegated by Governing Body
• Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff as delegated
• Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly as delegated
• Assure that Quality Assessment & Performance Improvement Program is current at all times as delegated
• Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center if delegated by Administrator
• Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly
• Oversee the maintenance of equipment and supplies to meet current laws and regulations
• Responds to all emergencies in clinic
• Familiar with emergency equipment and all emergency operational procedures
• Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center
• Establish and maintain a positive relationship with all Administrators, area hospitals, agencies, vendors and the community
• Respond effectively to inquiries or complaints
• Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations
• Serves as a resource/subject matter expert for patient needs and concerns, staff education and in-service sessions as necessary
• Assists with recruitment, training, development, and supervision of all personnel
• Assists with maintaining effective personnel management and employee relations, including evaluating the performance of all personnel and counseling employees
• Uphold management goals of corporation by leading staff in team concepts and promoting a team effort
• Effectively communicate expectations; accept accountability and hold others accountable for performance

• Holds the minimum amount of one Kidney Smart classes per month to reach volume education goals
• Only uses approved Kidney Smart materials
• Ensures all Kidney Smart classes posted online for participants to find on
• KidneySmart.org/Class or DaVita.com/Class or through 1-888-MY-KIDNEY
• Adheres to all compliance guidelines and policies and procedures
• Consistently enters, or collaborates with Local KS Coordinator to enter all class data from Kidney Smart
Patient Registration Forms to Salesforce
• Commits to staying up to date with Kidney Smart changes by reading the Newsletters, attending Web-
Exs, and attending Division or Group Kidney Smart calls and meetings
• Commits to attending occasional WebEx trainings to stay up-to-date with the Kidney Smart patient education
curriculum and compliance regulations.
• Follow up with patient nephrologist after class and on a regular, ongoing basis

• Perform all essential functions under the direction of the Clinical Manager
Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis
treatment for assigned patients and documents in the patient medical record, adjusts or modifies the
treatment plan as indicated
• Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates
with appropriate health team members for input
Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as
needed
• Administers medications as prescribed or in accordance with approved algorithm, and documents appropriate
medical justification and effectiveness
• Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules
missed or insufficient laboratory collections
• Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record Initiates
or assists with emergency response measures
• Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient
Care Technicians
• Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures Promotes
infection control, equipment and environmental safety
• Assesses, collaborates and documents patient/families basic learning needs to provide initial and ongoing
education to patients and family
• Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned
patients through collaboration with the Interdisciplinary Team
• Ensures patient awareness related to transplant and treatment modality options
Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education
and counseling
• Checks availability of adequate emergency equipment and supplies as assigned
• Assists with medication tracking and inventory as assigned
• Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned
• Participates in all required staff meetings as scheduled
• Support and promote the FMCNA's mission, vision, values, and customer service philosophy

• Ensure a clean, safe and sanitary environment in the dialysis facility treatment area
• Ensure all blood spills are immediately addressed according to FMCNA Blood borne Pathogen Control
Policies
• Operate all emergency equipment effectively in accordance to the standard operation procedures
• Participate in staff meetings as scheduled
• Assist in short term and long term patient care plan meetings
• Acquire information and knowledge in current practice related to dialysis principals and technique by participating
in scheduled in-service classes
• Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician,
Dietitian and Social Worker.