Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Chesapeake, VA

About The Position

The Acute Inpatient Registered Nurse (RN), Inpatient Services RN CAP 1, is an entry-level designation in the Clinical Advancement Program. 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. As part of the kidney disease health care team, the RN participates in clinical decision-making, patient and family teaching, leadership functions, and quality improvement activities to support patient outcomes and program operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, applicable service agreements, and state and federal regulations. The RN performs essential functions under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another RN. The position involves direct patient care in healthcare facilities and requires travel to training or meeting sites and between assigned facilities. It includes participation in an on-call rotation and may require night, weekend, or holiday availability based on program needs. The RN may also be assigned to assist in an outpatient facility or provide nursing care instruction to facility staff as contractually stipulated. The position requires regular heavy lifting, moving and assisting patients, frequent and prolonged standing, and bending. With assistance, the RN may need to move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. The stated hourly pay range is $31.00–$52.00, depending on work location and the successful candidate’s qualifications, including education, work experience, skills, and competencies. The benefits package includes medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave.

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 where employed.
  • At least 9 months of experience as a Registered Nurse; 12 months is preferred.
  • Entry-level designation for RNs with less than 2 years of nephrology nursing experience as an RN.
  • For designated Nurse-in-Charge oversight of Patient Care Technicians, LVN/LPNs, or RNs: successfully complete required Fresenius Kidney Care education and modality-specific training, have at least 9 months of RN experience, and have 6 months of acute dialysis experience.
  • Ability to perform the essential physical functions, with or without reasonable accommodation, including patient handling, prolonged standing, bending, and moving equipment or supplies as described.

Nice To Haves

  • 12 months of experience as a Registered Nurse.
  • 6 months of acute dialysis experience.
  • Hemodialysis and/or ICU experience.

Responsibilities

  • Collect, analyze, and document patient data before, during, and after treatment; adjust treatment plans as indicated and notify the Supervisor, Physician, primary nurse, or other appropriate personnel.
  • Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
  • Recognize patient status changes or deviations from normal 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 patient care staff as needed.
  • Coordinate communication with Fresenius Kidney Care and non-Fresenius dialysis providers and appropriate facility personnel to maintain continuity of care.
  • Implement, administer, monitor, and document patients’ responses to prescribed intradialytic transfusions; notify the physician and appropriate blood supplier of adverse reactions.
  • Administer prescribed medications and document medical justification and effectiveness.
  • Initiate and assist with emergency response measures.
  • Serve as a resource to the health care team and participate in staff training and orientation of new staff as assigned.
  • Provide specialized nursing care instruction to hospital or facility staff when contractually stipulated.
  • Assist in an outpatient facility when needed.
  • Complete Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • Perform essential functions under the direction of the Supervisor and with guidance from an Educator or Preceptor or in collaboration with another RN.
  • Participate in an on-call rotation and meet night, weekend, or holiday needs as defined by the program.
  • Travel to training or meeting sites and between assigned facilities.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave
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