Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Rock Hill, SC

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 position may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or attained through advancement from CAP 1. As part of the kidney disease health care team, the nurse participates in decision-making, patient and family teaching, leadership, and quality improvement activities to enhance patient outcomes and program operations. The nurse performs duties under the direction of a Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse. The role includes providing safe, effective, modality-specific care; monitoring treatment and patient responses; administering prescribed medications and transfusions; coordinating with care teams and dialysis providers; and supporting emergency response. The nurse may provide specialized instructions to facility staff, assist at an outpatient facility, and serve as a Preceptor. CAP requirements must be completed to maintain or advance within the program. The position provides direct patient care in a health care facility and involves patient interaction, desk and computer work, and travel to training or meeting sites and between assigned facilities. Employees may encounter infectious or contagious materials and are required to participate in an on-call rotation, with night, weekend, or holiday work as program needs require. Direct care may involve lifting and moving patients, prolonged standing, bending, and moving equipment or supplies, sometimes with assistance.

Requirements

Current appropriate state licensure and ability to meet practice requirements in all states of employment.
Current CPR BLS Certification or successful completion of certification.
Minimum of 2 years of Nephrology Nursing experience as an RN within the last 2 years.
For assigned oversight as a Nurse in Charge: successful completion of FKC education and modality-specific training requirements, and 6 months of experience in acute dialysis as an RN.
Ability to perform the physical functions of the role, including frequent prolonged standing and bending, patient lifting and movement, and moving equipment or supplies with assistance as needed.
Ability to participate in an on-call rotation and work nights, weekends, and holidays when required by individual program needs.
Complete 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.

Responsibilities

Collect and analyze patient data before, during, and after treatment; document findings, adjust or modify treatment plans as indicated, and notify appropriate personnel.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Recognize deviations from normal patient status and report or collaborate with appropriate members of the health care team.
Direct and provide safe, effective care for assigned patients in accordance with 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; report adverse reactions to the physician and blood supplier as appropriate.
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 stipulated.
Assist at an outpatient facility when needed and potentially serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Perform other duties assigned by the Supervisor.