Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Philadelphia, PA
•Onsite

About The Position

The Acute Inpatient Registered Nurse (RN) provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. As a member of the kidney disease health care team, the RN participates in clinical decision-making, patient and family teaching, leadership functions, and quality improvement activities to support patient outcomes and program operations. The position may include delegation to RNs, LVN/LPNs, and Patient Care Technicians, and is performed in accordance with Fresenius Kidney Care policies, nursing practice standards, contractual agreements, and applicable regulations. This full-time role requires the ability to work at all three listed hospital locations. The schedule is 7:00 AM–7:00 PM EST, three 12+ hour shifts per week, Monday through Saturday, including two Saturdays per month. Participation in an on-call rotation is required. The position may also involve night, weekend, or holiday work as required by program needs, travel between assigned facilities and to training or meeting sites, and occasional assignment to an outpatient facility. The role involves direct patient care in a health care facility and regular interaction with patients, hospital and facility staff, and physicians. Physical duties include prolonged standing, bending, heavy lifting and moving patients, assisting with ambulation, and occasionally moving equipment or lifting chemical and water solutions. Exposure to infectious or contagious materials may occur.

Requirements

  • Previous dialysis experience is required.
  • Minimum of 2 years of nephrology nursing experience as an RN within the last 2 years.
  • Current appropriate state licensure and ability to meet practice requirements in all states where employed.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Ability to work at all three listed hospital locations.
  • Ability to work the specified schedule and participate in an on-call rotation.
  • Ability to meet the physical demands of direct patient care, including prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation.
  • Must take 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 is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after treatment; document findings and adjust treatment plans as indicated, notifying the appropriate clinical team members.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Recognize changes in patient status and report or collaborate with the appropriate health care team members.
  • Direct and provide safe, effective, modality-specific treatment procedures for assigned patients.
  • Assess daily patient care needs and coordinate with direct and ancillary 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 responses to prescribed intradialytic transfusions; notify 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, leader, coach, mentor, and role model for new and incumbent employees.
  • Provide specialized nursing care instructions to hospital or facility staff when requested and contractually stipulated.
  • Assist in an outpatient facility as needed and serve as a preceptor to new employees when assigned.
  • Complete CAP requirements to maintain or advance.
  • Perform other duties assigned by the Supervisor.
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