Acute Inpatient Registered Nurse - Dialysis RN

Fresenius Medical Care•Mt. Vernon, NY

11d

About The Position

The Inpatient Registered Nurse provides direct patient care in accordance with company policies and procedures, including FMCNA compliance programs and contracted hospitals’ policies and procedures. Practice areas include hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The nurse partners with hospitals to provide quality care and a positive patient experience. The role delivers and coordinates prescribed treatments for assigned inpatient renal replacement and apheresis patients, evaluates their responses, and adjusts care plans as indicated by an appropriately credentialed physician. It includes communicating with physicians, hospital staff, and other members of the healthcare team; documenting treatment and patient responses; and providing shift reports. The nurse supervises and directs Patient Care Technicians and clerical staff, and provides direction and education to ICU staff regarding CRRT. The role also includes preparing, operating, testing, cleaning, and disinfecting dialysis and related equipment; monitoring equipment safety and function; participating in quality assurance and improvement activities, staff meetings, and training; and reporting incidents and concerns. Travel between assigned hospitals and facilities and to regional meetings or educational events is required. The position includes an on-call rotation covering days, nights, weekends, and holidays. Direct patient care may involve exposure to infectious materials and contagious diseases, heavy lifting or moving patients and equipment over 200 pounds with assistance, and lifting chemical and water solutions weighing up to 30 pounds to heights of up to 5 feet.

Requirements

Current appropriate state RN licensure and compliance with practice requirements in the state of employment.
At least one year of RN experience and required nursing skills.
At least six months of nephrology experience before working independently without another Dialysis RN to provide dialysis and ultrafiltration services.
At least six months of nephrology experience before working independently without another Apheresis RN to provide apheresis services.
Strong assessment skills related to critically ill patients.
Successful completion of a training course in the theory and practice of ESRD patient care (Progressive Renal Education Preparation).
BLS CPR recognition.
Successful completion of Nurses Technical Training.
Organizational and time-management skills and ability to complete continuing renal/nephrology education.
Leadership skills and ability to direct and supervise others, such as Patient Care Technicians, CCHTs, and clerical staff.
Ability to meet the role’s travel, on-call, and physical demands.
Must take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodations may be considered.

Nice To Haves

Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.
ICU experience is preferred but not required.
ACLS CPR recognition is preferred but not required.

Responsibilities

Provide direct inpatient care across hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and apheresis modalities.
Provide prescribed treatments to assigned patients and assess their responses, adjusting treatment plans as indicated by an appropriately credentialed physician.
Communicate patient problems or concerns to the Inpatient Program Manager, physicians, hospital primary nurses, and other appropriate parties.
Deliver safe, effective, timely, and efficient care; provide organized, concise shift reports and adjust patient schedules to address clinical priorities.
Implement, administer, monitor, and document prescribed intradialytic transfusions, including notifying the physician and blood supplier of adverse reactions as appropriate.
Collaborate with physicians and healthcare team members to interpret, adjust, and coordinate daily patient care plans and continuity of care.
Communicate with FMS facility nursing staff and appropriate hospital personnel as needed.
Document treatment information and patient responses in the ACES patient record and hospital record as needed.
Prepare for dialysis treatments and perform and document required pre-treatment machine alarm testing.
Operate related equipment safely, perform minor troubleshooting, and use supplies efficiently to prevent waste.
Conduct and document equipment safety and alarm tests, calibration, dialysate testing, functional testing, and internal and external disinfection of water and dialysis machines in accordance with policy.
Clean and disinfect dialysis machine surfaces, chairs, equipment, and surrounding areas between treatments.
Provide supervision and direction to Patient Care Technicians and clerical staff, and provide direction and education to ICU staff for CRRT.
Serve as a subject matter expert to hospital staff regarding dialysis-related patient or equipment complications.
Participate in quality assurance and improvement activities, staff meetings, training, and orientation as assigned.
Report new or unusual incidents, information, complaints, and problems according to adverse-event reporting requirements.
May provide in-center patient care as needed.
Comply with the Code of Business Conduct, company policies and procedures, and applicable local, state, and federal laws and regulations.
Assist with projects assigned by the direct supervisor and perform other duties as assigned.