Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Albany, NY

14d•$31 - $52

About The Position

The Inpatient Registered Nurse provides direct patient care in accordance with company policies, FMCNA compliance programs, and contracted hospitals’ policies and procedures. The role covers multiple inpatient renal replacement and apheresis modalities, including hemodialysis, peritoneal dialysis, continuous renal replacement therapy (CRRT), ultrafiltration, and apheresis. The RN partners with hospitals and the healthcare team to provide safe, timely, effective care and a positive patient experience. The nurse assesses patients’ responses to treatment, adjusts care plans as authorized by an appropriately credentialed physician, communicates concerns, and documents care in patient and hospital records. The role also includes preparing, testing, operating, cleaning, and disinfecting dialysis and related equipment; monitoring prescribed intradialytic transfusions; participating in quality activities, meetings, and training; and educating or directing hospital staff and other team members as assigned. Travel between assigned hospitals and facilities, as well as regional meetings or educational events, is required. The position includes an on-call rotation covering days, nights, weekends, and holidays.

Requirements

Current appropriate state licensure and compliance with practice requirements in the state of employment.
At least 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 the Progressive Renal Education Preparation internal training course in the theory and practice of care of ESRD patients.
BLS CPR recognition.
Successful completion of Nurses Technical Training.
Organizational and time-management skills, and competency in completing continuing renal/nephrology education.
Leadership skills and ability to direct and supervise others.

Nice To Haves

Dialysis experience.
Certification in Nephrology Nursing, Apheresis Nursing, or both.
ICU and/or ED experience.
ACLS CPR recognition.

Responsibilities

Provide direct patient care across hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and apheresis, following prescribed treatment procedures.
Assess patient responses to treatment and make appropriate adjustments to the treatment plan as authorized by an appropriately credentialed physician.
Communicate patient problems or concerns to the Inpatient Program Manager, physician, hospital primary nurse, and other relevant parties.
Deliver safe, effective care in a timely and efficient manner, and provide organized shift reports.
Adjust patient schedules to accommodate more critical needs based on laboratory results, physician orders, or patient assessments.
Implement, administer, monitor, and document prescribed intradialytic transfusions, and notify the physician and blood supplier of adverse reactions as appropriate.
Collaborate with physicians and other healthcare team members to coordinate daily patient care and continuity of care.
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.
Prepare for dialysis treatments and complete and document required pre-treatment dialysis machine alarm testing.
Operate related equipment safely, perform minor troubleshooting when necessary, and use supplies efficiently.
Conduct and document required machine safety and alarm tests, equipment calibration, dialysate testing, functional testing, and internal and external disinfection of water and dialysis machines.
Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to policy.
Initiate the Solution Delivery System when applicable.
Complete and document ongoing participation in quality assessment and improvement activities.
Participate in scheduled staff meetings and assigned staff training and orientation.
Serve as a subject matter expert for hospital staff regarding dialysis-related patient or equipment complications.
Report new or unusual incidents, information, complaints, or problems in accordance with adverse event reporting requirements.
Supervise and direct Patient Care Technicians, Certified Clinical Hemodialysis Technicians, LPNs, other RNs, and clerical staff when assigned; provide direction and education to ICU staff for CRRT.
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.