Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Fairlea, WV

4d•Onsite

About The Position

The Inpatient Services Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse 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, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, applicable contractual service agreements, and state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from an Educator or Preceptor, or in collaboration with another RN. The position involves direct patient care in an acute dialysis setting and may include assisting at an outpatient facility as needed, travel between assigned facilities and to training or meeting sites, and participation in an on-call rotation, including night, weekend, or holiday coverage as program needs require. The work environment is characteristic of a health care facility, with air temperature control and moderate noise levels. The position includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. Direct care regularly involves heavy lifting, moving patients, and assisting with ambulation. Frequent prolonged standing and bending are required; with assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds as high as five feet. Exposure to infectious and contagious diseases or materials may occur.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in all states where employed.
Current CPR BLS certification or successful completion of CPR BLS certification.
For assigned oversight as Nurse in Charge, complete all FKC education and modality-specific training requirements for new employees, and have at least nine months of RN experience and six months of acute dialysis RN experience.

Nice To Haves

Twelve months of Registered Nurse experience is preferred.
Six months of acute dialysis experience is preferred.
Hemodialysis and/or ICU experience is preferred.

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 systematically before, during, and after treatment; document findings; adjust or modify treatment plans as indicated; and notify the Supervisor, physician, patient's primary nurse, and others as appropriate.
Assess and document patients' and families' basic learning needs and provide initial and ongoing education.
Recognize patient conditions that vary from normal and report them to or collaborate on them 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 as needed.
Coordinate communication with FKC and non-FKC dialysis providers and appropriate contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document patient responses to prescribed intradialytic transfusions, including notifying 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 to the health care team and participate in staff training and new staff orientation as assigned.
Provide specialized nursing care instruction to hospital or facility staff when requested and stipulated contractually.
Assist in an outpatient facility as needed.
Complete Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.