Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Lexington, KY

2d•Onsite

About The Position

The Acute Inpatient Registered Nurse (RN) is an entry-level designation in the Clinical Advancement Program (CAP). The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient care staff and participating in decision-making, patient and family education, leadership, and quality improvement activities as part of the kidney disease health care team. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, contractual service agreements, and applicable regulations. Work is performed under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another RN. The role may include serving patients at assigned facilities and, as needed, assisting in an outpatient facility. The position requires travel between assigned facilities and to training or meeting sites, as well as participation in an on-call rotation that may include nights, weekends, and holidays. The position involves direct patient care, including regular heavy lifting and moving patients, frequent and prolonged standing, bending, and occasional assisted movement of equipment. The work takes place in a health care facility and may involve exposure to infectious or contagious diseases and materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and ability to meet practice requirements in every state of employment.
Current CPR BLS certification or successful completion of CPR BLS certification.
Minimum of 9 months of experience as a Registered Nurse.
Entry-level role for RNs with less than 2 years of nephrology nursing experience as an RN.
Ability to perform essential functions with or without reasonable accommodation.
Ability to participate in an on-call rotation, including nights, weekends, and holidays as program needs require.
Ability to travel between assigned facilities and to training or meeting sites.
Ability to meet the physical demands of direct patient care, including lifting and moving patients, prolonged standing, and bending.

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.
For designated Nurse in Charge oversight: at least 9 months of RN experience, 6 months of acute dialysis experience, and completion of FKC education and modality-specific training requirements for new employees.

Responsibilities

Collect, analyze, and document patient data before, during, and after treatment; adjust treatment plans as indicated and notify appropriate health care team members.
Assess and document patient and family learning needs and provide initial and ongoing education.
Recognize and report changes in patient status and collaborate with appropriate health care team members.
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 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 patients’ responses to prescribed intradialytic transfusions, including reporting adverse reactions.
Administer prescribed medications and document medical justification and effectiveness.
Initiate and assist with emergency response measures.
Serve as a resource for the health care team and participate in staff training and orientation as assigned.
Provide specialized nursing care instruction to hospital or facility staff when contractually stipulated.
Assist in an outpatient facility as needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
Provide oversight of Patient Care Technicians, LVN/LPNs, or RNs as a designated Nurse in Charge after meeting the stated training and experience requirements.