Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Florence, SC

About The Position

The Inpatient Services 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 involve delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As part of the kidney disease health care team, the RN participates in decision-making, patient and family education, leadership functions, and quality improvement activities intended to enhance patient outcomes and program operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, applicable contractual service agreements, and 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 Registered Nurse. The position may include assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Nurse in Charge after the specified training and experience requirements are met. The role provides direct patient care in a health care facility and involves regular heavy lifting, moving patients, assisting with ambulation, frequent and prolonged standing, bending, and occasional assisted movement of machines or equipment. The RN may encounter infectious or contagious diseases and materials, travel between assigned facilities and to training or meeting sites, and participate in an on-call rotation, including night, weekend, or holiday coverage as program needs require. The RN may also be asked to perform the role’s essential functions at other locations or assist in an outpatient facility as needed.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in every state in which employed.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Entry-level RN designation for RNs with less than 2 years of nephrology nursing experience.
Minimum of 9 months’ experience as a Registered Nurse; 12 months is preferred.
At least 6 months of acute dialysis RN experience is required to qualify for assigned Nurse in Charge oversight.
Complete all FKC education and modality-specific training requirements for new employees before qualifying for assigned Nurse in Charge oversight.
Ability to perform the essential functions, with or without reasonable accommodation, including direct patient care and the physical activities described in the posting.
Ability to participate in an on-call rotation and work nights, weekends, or holidays as required by individual program needs.
Ability to travel to training or meeting sites and between assigned facilities.

Nice To Haves

12 months of Registered Nurse experience.
6 months of acute dialysis experience.
Hemodialysis experience.
ICU experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse.
Collect and analyze patient data systematically before, during, and after treatment; document findings; adjust or modify treatment plans as indicated; and notify the Supervisor, Physician, patient’s primary nurse, and others as appropriate.
Assess and document patient and family learning needs and provide initial and ongoing education.
Recognize patient status that varies from normal and report or collaborate with appropriate health team members, including the Supervisor, physician, and contracted facility primary nurse.
Direct and provide safe, effective care for assigned patients according to prescribed modality-specific treatment procedures.
Assess assigned patients’ daily care needs and collaborate with direct and ancillary patient care staff as needed.
Coordinate communication with FKC and non-FKC dialysis providers and appropriate contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document patient 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 of new staff as assigned.
Provide specialized nursing care instruction to hospital or facility staff when contractually stipulated.
Assist in an outpatient facility when needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.