Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Canton, GA

2d•Onsite

About The Position

The Inpatient Registered Nurse provides direct patient care in accordance with company and contracted hospital policies and procedures. The role supports a variety of inpatient renal and apheresis services, including hemodialysis, peritoneal dialysis, continuous renal replacement therapies, ultrafiltration, and apheresis. The nurse partners with hospital teams to provide quality care and a positive patient experience. The position provides and coordinates care for assigned patients, monitors their responses to prescribed treatment, adjusts care plans as directed by an appropriately credentialed physician, communicates concerns to relevant care-team members, and documents treatment in patient and hospital records. The nurse also prepares and tests dialysis-related equipment, maintains cleanliness and safety between treatments, supports quality improvement and staff training, and serves as a resource to hospital staff on dialysis-related patient and equipment issues. The role includes supervision and direction of Patient Care Technicians and clerical staff, as well as education and direction for ICU staff in continuous renal replacement therapy. It requires travel between assigned hospitals and facilities, participation in an on-call rotation that includes days, nights, weekends, and holidays, and direct patient-care activities that may involve exposure to infectious materials and substantial lifting or moving of patients and equipment.

Requirements

Current appropriate state licensure and compliance with practice requirements in the state of employment.
One year of RN experience and required nursing skills.
At least six months of nephrology experience before independently providing dialysis and ultrafiltration services without another Dialysis RN.
At least six months of nephrology experience before independently providing apheresis services without another Apheresis RN.
Demonstrated strong assessment skills related to critically ill patients.
Successful completion of a training course in the theory and practice of care of the ESRD patient, identified as Progressive Renal Education Preparation.
BLS CPR Recognition.
Successful completion of Nurses Technical Training.
Organizational and time-management skills, commitment to continuing renal/nephrology education, and the ability to direct and supervise others.
Ability to meet the role's physical demands, including moving patients and/or equipment weighing more than 200 pounds with assistance and lifting chemical and water solutions up to 30 pounds as high as five feet.
Ability to travel between assigned hospitals and facilities and participate in an on-call rotation covering days, nights, weekends, and holidays.

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.
Supervise and direct Patient Care Technicians and clerical staff, and provide direction and education to ICU staff regarding CRRT.
Provide prescribed treatment to assigned patients in the Inpatient Renal Replacement and Apheresis Services setting.
Assess patient responses to treatment and make appropriate adjustments to the treatment plan as indicated by an appropriately credentialed physician.
Communicate problems and concerns to the Inpatient Program Manager, physicians, hospital primary nurses, and other relevant parties.
Deliver safe, effective, timely, and efficient care; provide organized shift reports and adjust patient schedules to address more critical needs.
Implement, administer, monitor, and document prescribed intradialytic transfusions, including notifying the physician and blood supplier of adverse reactions.
Collaborate and communicate with physicians and other healthcare team members to coordinate daily patient care and continuity of care.
Initiate and communicate with FMS facility nursing staff and appropriate hospital personnel as needed.
Document treatment information accurately in the patient record and hospital record as needed.
Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to policies and procedures.
Prepare for dialysis treatments and perform required pre-treatment dialysis machine alarm testing.
Initiate the Solution Delivery System when applicable.
Operate related equipment safely, perform minor troubleshooting, and use supplies efficiently to prevent waste.
Conduct and document dialysis and apheresis machine safety and alarm tests, equipment calibration, dialysate testing, functional testing, and internal and external disinfection of water and dialysis machines; follow documentation and notification standards.
Complete and document ongoing participation in quality assessment and improvement activities.
Participate in staff meetings, training, and orientation as scheduled or assigned.
Serve as a subject matter expert to hospital staff on dialysis-related patient and equipment complications.
Report new or unusual incidents, information, complaints, and problems according to Adverse Event Report requirements.
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.