Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Marietta, GA

6d•Onsite

About The Position

The Inpatient Registered Nurse provides direct patient care in accordance with company and contracted hospital policies and procedures. The role provides care across inpatient renal replacement and apheresis modalities, including hemodialysis, peritoneal dialysis, continuous renal replacement therapy, ultrafiltration, and apheresis. The nurse partners with hospital personnel to deliver safe, effective, timely care and a positive patient experience. The role includes assessing and responding to patients’ treatment needs, coordinating care with physicians and the wider healthcare team, documenting treatment and patient responses, preparing and testing equipment, and maintaining equipment and treatment areas. The nurse also provides supervision and direction to patient care technicians and clerical staff and education to ICU staff for CRRT. The position may include in-center patient care as needed, travel between assigned hospitals and facilities, and on-call coverage across days, nights, weekends, and holidays.

Requirements

Current appropriate state licensure and compliance with practice requirements in the state of employment.
One year of RN experience and required nursing skills.
At least six months of nephrology experience before independently providing dialysis and ultrafiltration services without another Dialysis RN.
At least six months of nephrology experience before independently providing apheresis services without another Apheresis RN.
Strong assessment skills related to critically ill patients.
Successful completion of a training course in the theory and practice of care of the ESRD patient (Progressive Renal Education Preparation).
BLS CPR Recognition.
Successful completion of Nurses Technical Training.
Organizational and time-management skills and competency in continuing renal/nephrology education.
Leadership skills and ability to direct and supervise others, including PCTs, CCHTs, and clerical staff.
Ability to meet the physical demands of direct patient care, including regularly moving patients or equipment over 200 pounds with assistance and lifting chemical and water solutions up to 30 pounds as high as five feet.
Ability to meet the role’s travel and on-call requirements.
Employees are required to take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Nice To Haves

Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.
ICU experience is preferred but not required.
ACLS CPR Recognition is preferred but not required.

Responsibilities

Provide direct patient care across hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and apheresis, following prescribed procedures.
Supervise and direct Patient Care Technicians and clerical staff, and provide direction and education to ICU staff for CRRT.
Assess patients’ responses to treatment and make appropriate adjustments to the treatment plan as indicated by the appropriately credentialed physician.
Communicate patient problems and concerns to the Inpatient Program Manager, appropriately credentialed physician, hospital primary nurse, and other relevant parties.
Deliver safe, effective care in a timely and efficient manner; provide organized shift reports and adjust patient schedules to address more critical needs.
Implement, administer, monitor, and document prescribed intradialytic transfusions, including notifying the physician and blood supplier of adverse reactions.
Collaborate and communicate with physicians and other healthcare team members to coordinate and ensure continuity of daily patient care.
Initiate and communicate with FMS facility nursing staff and appropriate hospital personnel as needed.
Accurately document treatment information in the patient record (ACES) and hospital record as needed.
Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to policy.
Prepare for dialysis treatments and complete required pre-treatment machine alarm testing; initiate the Solution Delivery System if applicable.
Operate related equipment safely, perform minor troubleshooting, and use supplies efficiently to prevent waste.
Conduct and document dialysis/apheresis machine safety and alarm tests, equipment calibration, dialysate testing, functional testing, and internal and external disinfection of water and dialysis machines; follow documentation and notification standards.
Complete and document ongoing participation in QAI activities.
Participate in scheduled staff meetings, training, and orientation as assigned.
Serve as a subject matter expert to hospital staff regarding dialysis-related patient and equipment complications.
Report new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties according to Adverse Event Report requirements.
Provide in-center patient care as needed.
Comply with the Code of Business Conduct, company policies and procedures, and applicable local, state, and federal laws and regulations.
Assist with projects assigned by the direct supervisor and perform other duties as assigned.