Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Louisville, KY
•Onsite

About The Position

The Acute Inpatient Registered Nurse provides and coordinates clinically competent care for an assigned group of patients as part of the kidney disease health care team. Responsibilities include patient assessment, planning, interventions, evaluation, education, and coordination with clinical staff. The role also participates in decision-making, leadership, and quality improvement activities that support patient outcomes and program operations. Work is performed in accordance with Fresenius Kidney Care policies and procedures, standards of nursing practice, applicable service agreements, and state and federal regulations. The position is based at assigned U of L Health locations: Jewish Hospital, Mary & Elizabeth Hospital, University of Louisville Hospital, or South Hospital. Day-shift and nocturnal opportunities are noted. Some positions seek PD and apheresis experience. Employees may also be asked to assist at an outpatient facility or provide services at other locations. The role includes travel between assigned facilities and to training or meeting sites, and participation in an on-call rotation, including nights, weekends, or holidays as required by program needs.

Requirements

  • 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 2 years of nephrology nursing experience as an RN within the last 2 years.
  • Must complete CAP requirements to maintain or advance.
  • Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.
  • For designated Nurse in Charge oversight: complete all FKC education and modality-specific training requirements and have 6 months of acute dialysis experience as an RN.

Nice To Haves

  • Acute dialysis experience is preferred.
  • PD and apheresis experience is sought for some positions.

Responsibilities

  • Collect and analyze patient data before, during, and after treatment; document findings and modify treatment plans as indicated, notifying the appropriate clinical personnel.
  • Assess and document patient and family learning needs and provide initial and ongoing education.
  • Recognize changes in patient status and report or collaborate with appropriate health 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 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, including notifying the physician and blood supplier of adverse reactions as appropriate.
  • 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 current employees.
  • Provide specialized nursing care instructions to hospital or facility staff when contractually stipulated.
  • Assist at an outpatient facility as needed and potentially serve as a preceptor for new employees.
  • Complete CAP requirements to maintain or advance in the Clinical Advancement Program.
  • May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a designated Nurse in Charge after meeting specified training and experience requirements.
  • Perform other duties assigned by the Supervisor.
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