Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Abingdon, VA

4d•Onsite

About The Position

The Acute Inpatient Registered Nurse (RN), CAP 1, is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient care staff. As part of the kidney disease health care team, the RN participates in decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, contractual service agreements, and applicable state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another RN. The position provides direct patient care in a health care facility and may require work at other assigned locations, travel between facilities and training or meeting sites, and assistance at an outpatient facility as needed. Participation in an on-call rotation and night, weekend, or holiday work may be required according to program needs. The role requires physical activity that includes frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation. With assistance, the employee may need to move machines or equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious or contagious diseases and materials. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure and must meet practice requirements in all states where employed.
Current CPR BLS certification or successful completion of CPR BLS certification.
Entry-level RN designation for nurses with less than two years of nephrology nursing experience as an RN.
At least nine months of experience as a Registered Nurse is required for designated Nurse in Charge oversight.
Six months of acute dialysis experience is required for designated Nurse in Charge oversight.
Ability to perform the essential functions, with or without reasonable accommodation, including patient care activities involving lifting, moving patients, prolonged standing, and bending.
Ability to participate in on-call rotation and work nights, weekends, or holidays when required by program needs.
Ability to travel to training or meeting sites and between assigned facilities.

Nice To Haves

Twelve months of Registered Nurse experience preferred.
Six months of acute dialysis experience preferred.
Hemodialysis experience preferred.
ICU experience preferred.

Responsibilities

Collect, analyze, and document patient data before, during, and after treatment; adjust treatment plans as indicated and notify the Supervisor, Physician, primary nurse, and other appropriate personnel.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Recognize changes or abnormalities in patient status and report or collaborate with appropriate health team members.
Direct and provide safe, effective care for assigned patients in accordance with prescribed modality-specific treatment procedures.
Assess daily patient care needs and collaborate with direct and ancillary patient care staff.
Coordinate communication with Fresenius Kidney Care and non-Fresenius dialysis providers and contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document patients’ responses to prescribed intradialytic transfusions, and notify the physician and appropriate blood supplier of adverse reactions.
Administer prescribed medications and document medical justification and effectiveness.
Initiate and assist with emergency response measures.
Serve as a resource for the health care team and participate in staff training and orientation as assigned.
Provide specialized nursing care instruction to hospital or facility staff when requested under contractual terms.
Assist at an outpatient facility as needed.
Complete Clinical Advancement Program requirements for advancement.
Perform other duties assigned by the Supervisor.
Provide oversight of Patient Care Technicians, LVN/LPNs, or RNs as a designated Nurse in Charge after meeting the stated education, training, and experience conditions.