Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Missoula, MT

3d•Onsite

About The Position

The Inpatient Services Registered Nurse 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 assigned patients. The role may include delegating appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the kidney disease health care team, the RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, contractual service agreements, and applicable state and federal regulations. Work is performed under a Supervisor's direction, with guidance from an Educator or Preceptor or in collaboration with another RN. The role requires completion of CAP requirements for advancement and may include assisting at an outpatient facility as needed.

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.
Entry-level designation for RNs with less than 2 years of nephrology nursing experience as an RN.
For Nurse in Charge oversight: successful completion of FKC education and modality-specific training requirements for new employees, at least 9 months of RN experience, and 6 months of acute dialysis experience.
Ability to perform the essential functions, with or without reasonable accommodation, including frequent prolonged standing, bending, patient lifting and movement, and moving equipment with assistance.
Ability to travel to training or meeting sites and between assigned facilities.
Availability for on-call rotation and night, weekend, or holiday work as required by 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

Collect, analyze, and document patient data before, during, and after treatment; modify treatment plans as indicated and notify the Supervisor, Physician, primary nurse, or others as appropriate.
Assess, collaborate on, and document patients' and families' learning needs, and provide initial and ongoing education.
Recognize deviations from normal patient status and report or collaborate with appropriate members of the health care team.
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 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, 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 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 contractually stipulated.
Assist at an outpatient facility as needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
When designated as Nurse in Charge and after meeting the specified training and experience requirements, provide oversight of Patient Care Technicians, LVN/LPNs, and RNs.