Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Green Bay, WI

3d•Onsite

About The Position

The Inpatient Services Registered Nurse (RN), CAP 1, is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians. As part of the kidney disease health care team, the RN contributes to decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and program operations. Work is performed under the direction of a Supervisor, with guidance from an Educator or Preceptor, or in collaboration with another RN. Duties must follow Fresenius Kidney Care policies, procedures, nursing practice standards, applicable service agreements, and state and federal regulations. After completing required education and modality-specific training and meeting experience criteria, the nurse may be assigned oversight of patient care staff as Nurse in Charge. The position may also involve assisting at an outpatient facility and providing nursing instruction to hospital or facility staff as contractually stipulated. The role involves direct patient care in a health care facility and requires travel to training or meeting sites and between assigned facilities. On-call rotation and work at night, on weekends, or on holidays may be required according to program needs. The work includes frequent and prolonged standing, bending, patient lifting and movement, and occasional assisted movement of equipment and handling of chemical or water solutions. Exposure to infectious or contagious materials may occur.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in all states of employment.
Current CPR BLS certification or successful completion of certification.
Entry-level RN role for candidates with less than 2 years of nephrology nursing experience as an RN.
Minimum of 9 months of experience as a Registered Nurse is specified for Nurse in Charge oversight; 12 months is preferred.
Completion of FKC education and modality-specific training is required before Nurse in Charge oversight.
Ability to meet the physical demands of the role, including frequent prolonged standing, bending, patient lifting and movement, and occasional assisted movement of equipment up to 200 lbs. and lifting chemical or water solutions up to 30 lbs. as high as 5 feet.
Ability to travel to training or meeting sites and between assigned facilities.
Participation in on-call rotation and night, weekend, or holiday work as required by individual program needs.

Nice To Haves

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

Responsibilities

Provide and coordinate assessment, planning, intervention, and evaluation of care for assigned patients.
Perform ongoing, systematic collection and analysis of patient data before, during, and after treatment; document findings, modify treatment plans as indicated, and notify the Supervisor, Physician, primary nurse, and others as appropriate.
Assess and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Recognize patient status that varies 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 FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document responses to prescribed intradialytic transfusions, including notifying the physician and 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 for the health care team and participate in staff training and new staff orientation as assigned.
Provide specialized nursing care instruction to hospital or facility staff when requested and stipulated contractually.
Assist in an outpatient facility as needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
May oversee Patient Care Technicians, LVN/LPNs, and RNs as Nurse in Charge after meeting the specified training and experience requirements.