Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Louisville, KY
•Onsite

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 participates as a member of the kidney disease health care team in decision-making, patient teaching, leadership, and quality improvement activities. 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 works under the direction of a Supervisor and with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. The role may include serving as a Nurse in Charge after meeting the specified training and experience requirements, precepting new employees, providing nursing-care instructions to facility staff as contractually stipulated, and assisting at an outpatient facility as needed. Locations include U of L Health - Jewish Hospital, Mary & Elizabeth Hospital, University of Louisville Hospital, and South Hospital. The position involves travel between assigned facilities and to training or meeting sites. Work takes place in a health care facility and may include on-call rotation, nights, weekends, and holidays, depending on program needs.

Requirements

  • Current appropriate state licensure and ability to meet practice requirements in all states where employed.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • At least 2 years of nephrology nursing experience as an RN within the last 2 years.
  • Complete required FKC education and modality-specific training to be assigned oversight as a Nurse in Charge.
  • Six months of acute dialysis experience as an RN is required before assignment of Nurse-in-Charge oversight.
  • Ability to meet the physical demands of direct patient care, including heavy lifting, moving patients, assisting with ambulation, prolonged standing, and bending.
  • Ability to participate in an on-call rotation and work nights, weekends, or holidays as required by program needs.
  • Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Nice To Haves

  • Acute dialysis experience is preferred.

Responsibilities

  • Collect, analyze, and document ongoing patient data before, during, and after treatment; adjust the treatment plan as indicated and notify the appropriate personnel.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Recognize changes or deviations in patient status and report or collaborate with appropriate health team members.
  • Direct and provide safe, effective care and modality-specific treatment procedures for assigned patients.
  • 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; 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 new and current employees.
  • Provide specialized nursing-care instructions to hospital or facility staff when contractually required.
  • Assist at an outpatient facility as needed and serve as a Preceptor to new employees when assigned.
  • Complete CAP requirements to maintain or advance.
  • Perform other duties assigned by the Supervisor.
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