Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Cleveland, MS

About The Position

The Inpatient Registered Nurse CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from CAP 1. The nurse may delegate appropriate tasks to direct patient care staff and contributes to clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and program operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, contractual service agreements, and applicable state and federal regulations. The nurse performs essential functions under the Supervisor’s direction, with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. Responsibilities include collecting and analyzing patient data before, during, and after treatment; documenting findings; adjusting treatment plans as indicated; communicating with the appropriate care team; providing prescribed modality-specific care; administering medications and intradialytic transfusions; and initiating emergency response measures. The nurse also supports continuity of care with dialysis providers and facility personnel, and may provide specialized nursing instructions to facility staff, assist at an outpatient facility, or serve as a Preceptor. CAP requirements must be completed to maintain or advance within the program. This position involves direct patient care and may require heavy lifting, moving and assisting patients, prolonged standing, bending, and moving equipment or lifting chemical and water solutions within the stated limits. Work takes place in a healthcare facility and includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. Travel to training or meeting sites and between assigned facilities is required. The role participates in an on-call rotation and may require nights, weekends, holidays, or other hours based on program needs. Employees must take the Ishihara color blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Requirements

Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Meet practice requirements in all states where employed.
At least 2 years of Nephrology Nursing experience as an RN within the last 2 years.
Complete CAP requirements to maintain or advance.
Pass 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 perform the physical demands of direct patient care, including heavy lifting, moving and assisting patients, prolonged standing, bending, and lifting chemical and water solutions up to 30 lbs. as high as 5 feet; machines and equipment up to 200 lbs. may need to be moved with assistance.

Nice To Haves

Acute dialysis experience.

Responsibilities

Provide and coordinate clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation.
Delegate appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians.
Collect and analyze patient data before, during, and after treatment, document it in the medical record, adjust treatment plans as indicated, and notify appropriate care team members.
Assess and document patient and family learning needs and provide initial and ongoing education.
Recognize and report patient status changes or collaborate with appropriate healthcare team members.
Direct and provide safe, effective care according to prescribed modality-specific treatment procedures.
Assess daily patient care needs and collaborate with direct and ancillary patient care staff.
Coordinate communication with FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document patient responses to prescribed intradialytic transfusions, and report adverse reactions to the physician and appropriate blood supplier.
Administer prescribed medications and document medical justification and effectiveness.
Initiate and assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for employees at the facility and area level.
Provide specialized nursing care instructions to hospital or facility staff when requested under contractual terms.
Assist in an outpatient facility when needed and potentially serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Perform other duties assigned by the Supervisor.
Participate in the required on-call rotation and travel to training or meeting sites and between assigned facilities.