Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Dubuque, IA

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 nurse may delegate appropriate tasks to direct patient-care staff and participates as a member of the kidney disease health care team in decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and program operations. Work is performed under the direction of a Supervisor, with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. The position follows Fresenius Kidney Care policies and procedures, nursing practice standards, contractual service agreements, and applicable state and federal regulations. The nurse may provide care at other assigned locations or assist at an outpatient facility as needed, and may serve as a Preceptor. The role includes participation in an on-call rotation and may require night, weekend, or holiday work according to program needs.

Requirements

  • Current appropriate state licensure and ability to meet practice requirements in all states where employed.
  • Current CPR BLS certification or successful completion of the certification.
  • At least 2 years of Nephrology Nursing experience as an RN within the last 2 years.
  • Complete required FKC education and modality-specific training to receive designated Nurse in Charge oversight responsibilities.
  • Six months of acute dialysis RN experience to receive designated Nurse in Charge oversight responsibilities.
  • 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.
  • Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.
  • The role involves regular heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 pounds; and lifting chemical and water solutions weighing up to 30 pounds as high as 5 feet.

Nice To Haves

  • Acute dialysis experience.

Responsibilities

  • Collect, analyze, and document patient data before, during, and after treatment; adjust treatment plans as indicated and communicate relevant changes to the Supervisor, physician, primary nurse, and other appropriate parties.
  • Assess and document patient and family learning needs and provide initial and ongoing education.
  • Recognize patient status changes or deviations from normal and report or collaborate with appropriate members of the health care team.
  • Direct and provide safe, effective, modality-specific treatment and patient care as prescribed.
  • Assess daily patient-care needs and collaborate with direct and ancillary 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 prescribed intradialytic transfusions, including notifying 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, 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 as needed and serve as a Preceptor to new employees when assigned.
  • Complete CAP requirements to maintain or advance within the program.
  • Perform other duties assigned by the Supervisor.
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