Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Kansas City, MO

About The Position

The Inpatient Registered Nurse CAP 2 provides and coordinates clinically competent care for an assigned group of patients as part of the kidney disease health care team. The position includes patient assessment, planning, intervention, evaluation, patient and family education, and coordination with other care team members. The nurse participates in decision-making, teaching, 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 Registered Nurse. The nurse provides modality-specific dialysis care, monitors and documents patient status and response to treatment, administers prescribed medications and intradialytic transfusions, and responds to emergencies. The role may include oversight of patient care staff after specified training and experience requirements are met, precepting new employees, and assisting in an outpatient facility as needed. The position requires travel between assigned facilities and training or meeting locations, and participation in an on-call rotation, including nights, weekends, or holidays according to program needs.

Requirements

Current appropriate state licensure.
Current CPR BLS certification or successful completion of the certification.
Meet practice requirements in all states of employment.
Minimum of 2 years of Nephrology Nursing experience as an RN within the last 2 years.
Complete required FKC education and modality-specific training to qualify for designated Nurse in Charge oversight.
For designated Nurse in Charge oversight, have 6 months of acute dialysis experience as an RN.
Ability to perform direct patient care involving heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and, occasionally with assistance, moving 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 an on-call rotation, including nights, weekends, and holidays or as required by program needs.
Complete the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Nice To Haves

Acute dialysis experience.

Responsibilities

Perform ongoing, systematic collection and analysis of patient data before, during, and after treatment, document findings, adjust treatment plans as indicated, and notify appropriate care team members.
Assess, collaborate on, and document the basic learning needs of patients and families, and provide initial and ongoing education.
Recognize deviations from normal patient status 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.
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, 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, leader, coach, mentor, and role model for new and current employees.
Provide specialized nursing care instructions to hospital or facility staff when contractually stipulated.
Assist in an outpatient facility as needed and may serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Perform other duties assigned by the Supervisor.
May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a designated Nurse in Charge after meeting the specified training and experience requirements.