Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Fayetteville, NC

About The Position

The Acute Inpatient Registered Nurse (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, and participates in clinical decision-making, patient and family education, team leadership, and quality improvement activities to support patient outcomes and program operations. The RN performs assigned duties under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. Care and all other work must follow Fresenius Kidney Care policies, procedures, nursing practice standards, contractual service agreements, and applicable state and federal regulations. The position requires completion of CAP requirements for advancement. The RN may also be assigned to assist at an outpatient facility as needed.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet practice requirements in all states where employed.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Minimum of 9 months of experience as a Registered Nurse.
  • Entry-level designation 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 meet the physical demands of the role, including frequent prolonged standing, bending, patient lifting and movement, and occasionally moving equipment with assistance.
  • Ability to travel to training or meeting sites and between assigned facilities.
  • For designated Nurse in Charge oversight: successful completion of FKC education and modality-specific training for new employees, at least 9 months of RN experience, and 6 months of acute dialysis RN experience.

Nice To Haves

  • 12 months of Registered Nurse experience.
  • 6 months of acute dialysis experience.
  • Hemodialysis experience.
  • ICU experience.

Responsibilities

  • Collect, analyze, and document patient data before, during, and after treatment; modify treatment plans as indicated and notify appropriate clinical personnel.
  • Assess and document patient and family learning needs and provide initial and ongoing education.
  • Recognize deviations from expected patient status and report or collaborate with appropriate health team members.
  • Direct and provide safe, effective care for assigned patients in accordance with prescribed modality-specific treatment procedures.
  • Assess daily patient care needs and collaborate with direct and ancillary patient 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 patient responses to prescribed intradialytic transfusions, including reporting adverse reactions to the physician and appropriate blood supplier.
  • 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 as assigned.
  • Provide specialized nursing care instruction to hospital or facility staff when contractually stipulated.
  • Assist in an outpatient facility as needed.
  • Complete Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • Provide assigned oversight of Patient Care Technicians, LVNs/LPNs, or RNs as a designated Nurse in Charge after meeting the stated training and experience requirements.
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