Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Midland, TX

About The Position

The Inpatient Services Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. 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 to enhance patient outcomes and program operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, applicable contractual service agreements, and state and federal regulations. The RN works 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 healthcare facility and may require work at other assigned locations, travel between facilities and training or meeting sites, and participation in an on-call rotation. Night, weekend, and holiday work may be required according to program needs.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Meet practice requirements in all states in which employed.
At least 9 months of experience as a Registered Nurse.
Complete FKC education and modality-specific training requirements for new employees before assigned oversight as a Nurse in Charge.
Be able to perform the essential functions, with or without reasonable accommodation, including the stated physical demands and work conditions.
Participate in an on-call rotation; night, weekend, or holiday work may be required according to program needs.
Travel to training or meeting sites and between assigned facilities.

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

Provide and coordinate clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation.
Collect and analyze patient data before, during, and after treatment; document findings, modify 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 abnormalities in patient status and report or collaborate with appropriate members of the healthcare team.
Direct and provide safe, effective patient care according to prescribed modality-specific treatment procedures.
Assess assigned patients’ daily 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, 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 for the healthcare team and participate in staff training and orientation as assigned.
Provide specialized nursing care instruction to hospital or facility staff when contractually stipulated, if asked.
Assist at an outpatient facility as needed, if assigned.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
Provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a designated Nurse in Charge after meeting the stated training and experience conditions.