Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Rock Hill, SC

20d

About The Position

The Acute Inpatient Registered Nurse (RN), CAP 2, provides and coordinates clinically competent care for an assigned group of patients, including assessment, care planning, intervention, and evaluation. As a member of the kidney disease health care team, the RN participates in clinical decision-making, patient and family education, leadership, and quality improvement activities. The RN may delegate appropriate tasks to direct patient care staff, including RNs, LVNs/LPNs, and Patient Care Technicians. The RN 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 and with guidance from an Educator or Preceptor, or in collaboration with another RN. The position may include oversight of patient care staff as a designated Nurse in Charge after completion of specified training and experience requirements. The RN may also serve as a Preceptor, provide nursing care instructions to facility staff when contractually required, or assist at an outpatient facility as needed. The role involves direct patient care in a healthcare facility and requires travel to training or meeting sites and between assigned facilities. Participation in an on-call rotation and work at night, on weekends, and on holidays may be required according to program needs. The position includes physical demands such as prolonged standing, bending, lifting, moving patients, and occasionally moving equipment with assistance.

Requirements

Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Meet practice requirements in all states in which 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; failure does not preclude employment, and reasonable accommodation may be considered.
Ability to meet the described physical demands, with reasonable accommodations where applicable.
Participation in an on-call rotation and night, weekend, or holiday work as required by program needs.

Nice To Haves

Acute dialysis experience is preferred.

Responsibilities

Collect and analyze patient data before, during, and after treatment; document findings and adjust treatment plans as indicated, notifying the Supervisor, Physician, primary nurse, and other appropriate personnel.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Recognize changes or abnormalities in patient status and report or collaborate with appropriate members of the healthcare team.
Direct and provide safe, effective care for assigned patients according to 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 patient responses to prescribed intradialytic transfusions; 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, leader, coach, mentor, and role model for new and existing employees.
Provide specialized nursing care instructions to hospital or facility staff when contractually stipulated.
Assist at an outpatient facility when needed and serve as a Preceptor to new employees when assigned.
Complete CAP requirements to maintain or advance within the Clinical Advancement Program.
Perform other duties assigned by the Supervisor.