Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Kansas City, MO

About The Position

The Acute Inpatient Registered Nurse (RN) provides and coordinates clinically competent care for an assigned group of patients receiving dialysis. The role includes assessment, care planning, intervention, evaluation, patient and family education, and collaboration with the kidney disease health care team. The RN may delegate appropriate tasks to patient care staff and participates in clinical decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and program operations. The nurse performs duties in accordance with Fresenius Kidney Care policies and 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 role may include oversight of Patient Care Technicians and licensed nursing staff as a designated Nurse in Charge, once the stated training and experience criteria are met. The position provides direct patient care in a health care facility and may require work at other locations, travel between assigned facilities and training or meeting sites, and participation in an on-call rotation. Night, weekend, and holiday work may be required according to program needs. The work involves prolonged standing, bending, patient handling, and occasional movement of equipment and lifting of chemical and water solutions. Exposure to infectious and contagious diseases or materials is possible.

Requirements

Current appropriate state licensure.
Current CPR BLS Certification or successful completion of certification.
Must meet practice requirements in all states where employed.
Minimum of 2 years of nephrology nursing experience as an RN within the last 2 years.
Must complete CAP requirements to maintain or advance.
To serve as a designated Nurse in Charge, successful completion of FKC education and modality-specific training requirements and 6 months of acute dialysis experience as an RN are required.
Ability to perform direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending; and, occasionally, moving machines and equipment weighing up to 200 lbs. with assistance and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Required to take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.
Ability to travel to training or meeting sites and between assigned facilities.
Participation in an on-call rotation and work at night, on weekends, or on holidays may be required according to program needs.

Nice To Haves

Acute dialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after treatment; documents findings and adjusts or modifies treatment plans as indicated, notifying appropriate clinical personnel.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Recognizes changes or departures from normal patient status and reports or collaborates with appropriate health team members.
Directs and provides safe, effective, modality-specific treatment procedures for assigned patients.
Assesses daily patient care needs and collaborates with direct and ancillary patient care staff.
Coordinates communication with FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implements, administers, monitors, and documents patient responses to prescribed intradialytic transfusions, and reports adverse reactions to the physician and appropriate blood supplier.
Administers prescribed medications and documents medical justification and effectiveness.
Initiates and assists with emergency response measures.
Serves as a resource, leader, coach, mentor, and role model for new and incumbent employees.
May provide specialized nursing care instructions to hospital or facility staff as stipulated contractually.
May assist at an outpatient facility as needed and may serve as a Preceptor to new employees.
Completes CAP requirements to maintain or advance within the Clinical Advancement Program.
May oversee Patient Care Technicians, LPNs, LVNs, or RNs as a designated Nurse in Charge after meeting the specified training and experience requirements.
Performs other duties assigned by the Supervisor.