Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Huntsville, AL

About The Position

The Inpatient Registered Nurse CAP 2 provides and coordinates clinically competent care for an assigned group of patients as part of the kidney disease health care team. The role includes patient assessment, care planning, intervention, evaluation, patient and family education, and delegation of appropriate tasks to patient care staff. The nurse also participates in clinical decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and program operations. The nurse performs essential functions under a Supervisor’s direction, with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. Responsibilities are carried out in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, applicable contractual agreements, and state and federal regulations. The position may include serving as a resource or Preceptor, providing contracted specialized nursing instructions to facility staff, and assisting at an outpatient facility as needed. CAP requirements must be completed to maintain or advance within the program. The role involves direct patient care in a health care facility and may require work at other locations, travel between assigned facilities and training or meeting sites, and participation in an on-call rotation. Night, weekend, or holiday work may be required according to individual program needs. Physical demands include frequent prolonged standing, bending, lifting and moving patients, and occasionally moving equipment or lifting supplies. Exposure to infectious or contagious materials may occur.

Requirements

Current appropriate state licensure and compliance with practice requirements in all states of employment.
Current CPR BLS certification or successful completion of CPR BLS 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 before being assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Nurse in Charge.
At least 6 months of acute dialysis experience as an RN before being assigned oversight as Nurse in Charge.
Ability to perform the physical demands of the role, including frequent prolonged standing and bending, patient lifting and movement, and occasional movement of equipment and lifting of supplies.
Ability to travel to training or meeting sites and between assigned facilities.
Ability to participate in an on-call rotation and work nights, weekends, or holidays as required by program needs.
Complete the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.

Nice To Haves

Acute dialysis experience.

Responsibilities

Collect and analyze patient data before, during, and after treatment; document findings and adjust or modify treatment plans as indicated, notifying the Supervisor, Physician, primary nurse, and others as appropriate.
Assess and document patient and family 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 according to prescribed modality-specific treatment procedures.
Assess daily patient care needs and collaborate with direct and ancillary patient care staff.
Coordinate communication with Fresenius Kidney Care and non-Fresenius dialysis providers and contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document responses to prescribed intradialytic transfusions, including notification of 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, leader, coach, mentor, and role model for new and incumbent employees.
Provide specialized nursing care instructions to hospital or facility staff when contractually required.
Assist in an outpatient facility as needed and may serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Perform other duties assigned by the Supervisor.