Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Fayetteville, NC

3d•Onsite

About The Position

The professional registered nurse Inpatient Services RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The position 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 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 provides direct patient care in a health care facility and requires travel between assigned facilities and to training or meeting sites. Participation in an on-call rotation and work at night, on weekends, or on holidays may be required based on program needs.

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.
Entry-level designation for RNs with less than 2 years of nephrology nursing experience as an RN.
Minimum 9 months of experience as a Registered Nurse.
Must complete FKC education and modality-specific training requirements for new employees before serving as a designated Nurse in Charge.
Must have at least 9 months of RN experience and 6 months of acute dialysis RN experience to be assigned Nurse-in-Charge oversight.
Able to perform the essential functions, with or without reasonable accommodation, including the described physical demands.

Nice To Haves

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

Responsibilities

Collects and analyzes patient data before, during, and after treatment; documents findings, adjusts treatment plans as indicated, and notifies the Supervisor, Physician, patient’s primary nurse, and others as appropriate.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Recognizes changes or abnormalities in patient status and reports them to, or collaborates about them with, appropriate health team members.
Directs and provides safe, effective care for assigned patients in accordance with prescribed modality-specific treatment procedures.
Assesses assigned patients’ daily care needs and collaborates with direct and ancillary patient-care staff as needed.
Coordinates communication with FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implements, administers, monitors, and documents patient responses to prescribed intradialytic transfusions; notifies the physician and appropriate blood supplier of adverse reactions.
Administers prescribed medications and documents medical justification and effectiveness.
Initiates and assists with emergency response measures.
Serves as a resource to the health care team and participates in staff training and new-staff orientation as assigned.
May provide specialized nursing-care instruction to hospital or facility staff as stipulated contractually.
May assist at an outpatient facility as needed.
Completes CAP requirements to advance.
Performs other duties assigned by the Supervisor.
May oversee Patient Care Technicians, LVN/LPNs, and RNs as a designated Nurse in Charge after meeting the stated training and experience requirements.