Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Ashland, KY
•Onsite

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 include delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the kidney disease health care team, the RN participates in decision-making, teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. The RN performs work in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, contractual service agreements, and applicable state and federal regulations. The role provides direct patient care in a health care facility and may also involve work at other assigned facilities or an outpatient facility as needed. This is a night position; the schedule will be discussed during the interview. The position also requires participation in an on-call rotation and may involve nights, weekends, and holidays according to program needs.

Requirements

  • Graduate of an accredited School of Nursing.
  • 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.
  • Entry-level role for RNs with less than 2 years of nephrology nursing experience as an RN.
  • Minimum of 9 months of experience as a Registered Nurse.
  • Ability to perform the essential functions, with or without reasonable accommodation, including direct patient care and the physical demands described in the posting.
  • Ability to participate in an on-call rotation and work nights, weekends, or holidays as required by program needs.
  • Ability to travel to training or meeting sites and between assigned facilities.

Nice To Haves

  • 12 months of experience as a Registered Nurse is preferred.
  • 6 months of acute dialysis experience is preferred.
  • Hemodialysis and/or ICU experience is preferred.
  • For designated Nurse in Charge oversight, successful completion of FKC education and modality-specific training requirements, at least 9 months of RN experience, and 6 months of acute dialysis RN experience.

Responsibilities

  • Provide and coordinate clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation.
  • Perform essential functions under the direction of the Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse.
  • Collect and analyze patient data before, during, and after treatment; document findings, adjust treatment plans as indicated, and notify appropriate personnel.
  • Assess and document patient and family learning needs and provide initial and ongoing education.
  • Recognize changes or implications in patient status and report or collaborate with appropriate health team members.
  • Direct and provide safe, effective patient 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 as needed.
  • 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 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 as assigned.
  • Provide specialized nursing care instruction to hospital or facility staff when contractually stipulated.
  • Assist in an outpatient facility as needed.
  • Complete Clinical Advancement Program requirements to advance.
  • Participate in an on-call rotation and travel to training or meeting sites and between assigned facilities.
  • Perform other duties assigned by the Supervisor.
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