Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Waco, TX

About The Position

The Inpatient Services Registered Nurse, CAP 1, is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient care staff. As a member of the kidney disease health care team, the RN participates in decision-making, patient and family teaching, leadership functions, and quality improvement activities to enhance care outcomes and program operations. The RN performs duties under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another RN. Responsibilities include assessing patients before, during, and after treatment; documenting findings; communicating changes in patient status; providing modality-specific treatment; administering medications and monitoring intradialytic transfusions; supporting emergency response; and coordinating care with dialysis providers and facility personnel. The RN may assist in an outpatient facility as needed and is required to complete CAP requirements to advance. The role involves direct patient care in a healthcare facility, including frequent and prolonged standing, bending, patient lifting and movement, and occasional assisted movement of machines and equipment. The RN may be exposed to infectious or contagious materials and must travel between assigned facilities and to training or meeting sites. Participation in an on-call rotation, including night, weekend, or holiday coverage as dictated by program needs, is required.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and meet practice requirements in every state where employed.
Current CPR BLS Certification or successful completion of the certification.
Minimum of 9 months of experience as a Registered Nurse.
Entry-level RN designation for nurses with less than 2 years of nephrology nursing experience.
Must complete FKC education and modality-specific training requirements before being assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Nurse in Charge.

Nice To Haves

12 months of experience as a Registered Nurse.
6 months of acute dialysis experience.
Hemodialysis and/or ICU experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse.
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 patient status that varies from normal and report or collaborate with appropriate health team members.
Direct and provide safe, effective patient 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 notify the physician and blood supplier of adverse reactions as appropriate.
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 of new staff as assigned.
Provide specialized nursing care instruction to hospital or facility staff when requested and contractually stipulated.
Assist in an outpatient facility as needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.