Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Dunbar, WV
•Onsite

About The Position

The Inpatient Services Registered Nurse (RN) 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 education, leadership functions, and quality improvement activities to improve patient outcomes and program operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, applicable contractual service agreements, and state and federal regulations. The position works under a Supervisor’s direction and with guidance from an Educator, Preceptor, or another RN. Work involves direct patient care in a health care facility and may require providing essential functions at other locations, assisting at an outpatient facility as needed, and traveling between assigned facilities and to training or meeting sites. The position participates in an on-call rotation and may require night, weekend, or holiday work 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 of employment.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Entry-level RN designation for nurses with less than two years of nephrology nursing experience as an RN.
  • Minimum of 9 months of experience as a Registered Nurse; 12 months is preferred.
  • For designated Nurse-in-Charge oversight, successful completion of FKC education and modality-specific training for new employees, at least 9 months of RN experience, and 6 months of acute dialysis experience.
  • Ability to meet the described physical demands, with or without reasonable accommodation, including frequent prolonged standing and bending, patient lifting and movement, and occasional assisted movement of equipment and lifting of chemical and water solutions.
  • 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

  • Six months of acute dialysis experience.
  • Hemodialysis and/or ICU experience.
  • Twelve months of experience as a Registered Nurse.

Responsibilities

  • Collect and analyze patient data before, during, and after treatment; document findings, adjust treatment plans as indicated, and notify appropriate personnel.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Recognize changes or implications in patient status and report them to or collaborate with appropriate health team members.
  • Direct and provide safe, effective care for assigned patients according to prescribed modality-specific treatment procedures.
  • Assess daily patient-care needs and collaborate with direct and ancillary 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 patients’ responses to prescribed intradialytic transfusions, and 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 to 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 contractually stipulated.
  • Assist at an outpatient facility when needed.
  • Complete CAP requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • After meeting the specified training and experience criteria, provide designated oversight to Patient Care Technicians, LVN/LPNs, and RNs as Nurse in Charge.
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