Current Job Openings at Fresenius Medical Care

SCOPE:

• Admission of the patient into the acute or chronic treatment centre, recording and recapping of medical and surgical history
• Obtain patient information and inform billing department according to unit protocol
• Updating this information as the need arises according to unit protocol
• Obtain a Dialysis Prescription from the treating Nephrologist or Physician
• Ensure that the dialysis machine has been disinfected before use
• Lining and priming of machines with correct consumables
• Weighing the patient and calculating the dry weight and fluid removal
• Monitoring and recording of baseline vital signs.
• Carry out all procedures strictly in accordance with NephroCare Standard Good Dialysis Care (ZA-CI-09-03) and NephroCare
• Standard Hygiene and Infection Control (ZA-CI-09-04) and NephroCare Standard Water Concentrate and Dialysis Fluid for
• Haemodialysis and Related Therapies (ZA-CI-10-03)
• Record and Report all patient data accurately using the Database Euclid and TDMS
• Administration of prescribed medication as per doctor’s orders
• Disinfect the machines as per protocol
• Education of patient on renal disease aetiology and treatment modes, blood results, support services and dietary restrictions
• Update all patient files frequently and document all incidents to ensure medico legal requirements are met
• Stock ordering and control as delegated by the unit manager
• Environmental safety and Infection control must be adhered
• Comply with Immunization policy  
• Comply with all FMC SOP’s
• Any other duties assigned from time to time by the Clinic Head Nurse within the Scope of Practice of the Registered Nurse

Required training and education:

• University degree or equivalent diploma Registered General Nurse diploma at SANC

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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.

EDUCATION AND REQUIRED CREDENTIALS:

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND SKILLS:

• Minimum of one-year medical-surgical nursing experience preferred.
• Hemodialysis experience preferred.
• ICU experience preferred.
• Successfully complete a training course in the theory and practice of hemodialysis.
• Successfully complete CPR Certification.
• Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
• Provide coverage at any or all area facilities as required by management.
• Icd-9 coding Training.
• Nurses Technical Training.
• Must meet appropriate state requirements (if any).

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SCOPE: 

• Admission of the patient into the acute or chronic treatment centre, recording and recapping of medical and surgical history
• Obtain patient information and inform billing department according to unit protocol
• Updating this information as the need arises according to unit protocol
• Obtain a Dialysis Prescription from the treating Nephrologist or Physician
• Ensure that the dialysis machine has been disinfected before use
• Lining and priming of machines with correct consumables
• Weighing the patient and calculating the dry weight and fluid removal
• Monitoring and recording of baseline vital signs.
• Carry out all procedures strictly in accordance with NephroCare Standard Good Dialysis Care (ZA-CI-09-03) and NephroCare Standard Hygiene and Infection Control (ZA-CI-09-04) and NephroCare Standard Water Concentrate and Dialysis Fluid for Haemodialysis and Related Therapies (ZA-CI-10-03)
• Record and Report all patient data accurately using the Database Euclid and TDMS
• Administration of prescribed medication as per doctor’s orders
• Disinfect the machines as per protocol
• Education of patient on renal disease aetiology and treatment modes, blood results, support services and dietary restrictions
• Update all patient files frequently and document all incidents to ensure medico legal requirements are met
• Stock ordering and control as delegated by the unit manager
• Environmental safety and Infection control must be adhered
• Comply with Immunization policy  
• Comply with all FMC SOP’s
• Any other duties assigned from time to time by the Clinic Head Nurse within the Scope of Practice of the Registered Nurse

Required training and education:

• University degree or equivalent diploma Registered General Nurse diploma at SANC

go to method of application »

Local Management and Steering

• Prepare, monitor and manage the annual regional Sales budget
• Provide General Manager with the necessary information and data for the development of the overall cluster strategy
• Propose the General Manager long-term sales strategies for the respective countries, transferred into tactical plans, the annual business plan and budget

Operations

• Get market insights and provide Head of Sales Regional Hub SSA with market / competitor data, prices, trends in order to determine market demand and market potential as well as competitors’ market shares
• Sell and promote products
• Further develop the product range as well as market entry into new fields of therapy for the respective countries in close collaboration with General Manager.
• Define actions for the respective region/countries (strategy into operations)
• Conduct feasibility studies regarding investments which are necessary to develop the market
• Propose distribution channels and explore appropriate distributors
• Process tenders in close collaboration with General Manager.
• Prepare contracts in close collaboration with Legal
• Negotiate prices in set frame and in alignment with General Manager.
• Find out sales and price structures of distribution partners
• Respond to HQ queries (database, market info, lists, Market and Competitor Survey) in alignment with Head of Sales
• Conduct Audit Management
• Interact with the distributor daily on business operations
• Manage key accounts

Relationship Management

• Maintain existing customer contacts and create new contacts
• Maintain contacts and negotiations with distributor, end-users, KOLs, consultants, institutions and key accounts
• Steer and guide the distributor
• Engage actively in local healthcare communities and networks
• Keep up a strong customer orientation
• Plan, control and organize distribution networks in the countries
• Maintain existing customer contacts and create new contacts

Legal, Compliance & Regulatory

• To comply with all Health & Safety requirements of the job and to consider the Health & Safety of others while carrying out their job
• Contribution to established company Quality Management System by complying with the according procedures and instructions in respective area of responsibility
• To comply with the Company environmental requirements and to dispose of waste according to Company Environmental Policies
• To comply with Company rules and Policies in relation to Data Protection and Confidentiality as it applies to their job

Required training and education:

• Business studies (at a university or university of applied sciences, Bachelor or Master) specialising in Business, Marketing and Foreign Trade.

Required professional experience (in years):

• At least 6 years professional experience in a comparable field of responsibility oriented to international sales and/or marketing
• Experience in project management and/or project leadership
• Profession experience in the field of medical technology would be an advantage

Important personal qualities:

• Strong customer orientation and ability to represent FME towards the customers
• Confident negotiation skills and skills in approaching people
• Confident, obliging, convincing and motivating manner
• Strong professional attitude characterized by a result, quality, patient and customer oriented working style
• Strong structured approach leading to pragmatic and effective solutions
• Strong ability to set priorities and take decisions even under changing conditions
• Strong ability to work as a self-starter and self-responsible
• Strong communication skills
• High level of flexibility, openness and empathy well balanced with high resilience, persuasiveness, self-confidence and good ability to work in a structured way even under pressure

Other specialized knowledge:

Technical knowledge

• Excellent understanding of country healthcare sector as well as pronounced understanding of market and political environment and related interdependencies
• Customer and country specific knowledge
• Export knowledge, including the handling and financing of export payments
• Knowledge of international customs regulations and dispatch and export regulations for the specific countries
• Experience with balance sheets, investment decisions, cash flow and distribution networks
• Excellent moderation and presentation skills

Languages

• Country language and English fluent as a must (presenting, writing, reading), other African or European languages besides country language an asset

IT skills

• Standard IT user knowledge (MS Office, etc.)
• Understand and use modern communication software and systems

Healthcare and Product knowledge

• Excellent knowledge on dialysis and further medical and pharmaceutical products and services of both FME and competitors as an advantage

Special personal requirements:

• Working for an international company with international standards
• Travelling within the hub and internationally across different time zones

go to method of application »

SCOPE: 

• Admission of the patient into the acute or chronic treatment centre, recording and recapping of medical and surgical history
• Obtain patient information and inform billing department according to unit protocol
• Updating this information as the need arises according to unit protocol
• Obtain a Dialysis Prescription from the treating Nephrologist or Physician
• Ensure that the dialysis machine has been disinfected before use
• Lining and priming of machines with correct consumables
• Weighing the patient and calculating the dry weight and fluid removal
• Monitoring and recording of baseline vital signs.
• Carry out all procedures strictly in accordance with NephroCare Standard Good Dialysis Care (ZA-CI-09-03) and NephroCare Standard Hygiene and Infection Control (ZA-CI-09-04) and NephroCare Standard Water Concentrate and Dialysis Fluid for Haemodialysis and Related Therapies (ZA-CI-10-03)
• Record and Report all patient data accurately using the Database Euclid and TDMS
• Administration of prescribed medication as per doctor’s orders
• Disinfect the machines as per protocol
• Education of patient on renal disease aetiology and treatment modes, blood results, support services and dietary restrictions
• Update all patient files frequently and document all incidents to ensure medico legal requirements are met
• Stock ordering and control as delegated by the unit manager
• Environmental safety and Infection control must be adhered
• Comply with Immunization policy  
• Comply with all FMC SOP’s
• Any other duties assigned from time to time by the Clinic Head Nurse within the Scope of Practice of the Registered Nurse

Required training and education:

• University degree or equivalent diploma Registered General Nurse diploma at SANC