Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Fairlea, WV

2d•Onsite

About The Position

The Inpatient Services Registered Nurse (RN) 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 an assigned group of patients. The role may include delegating appropriate tasks to patient-care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the kidney disease health care team, the RN participates in decision-making, teaching, leadership functions, and quality improvement activities to enhance patient outcomes and program operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, applicable contractual service agreements, and state and federal regulations. The RN works under a Supervisor’s direction and with guidance from an Educator, Preceptor, or another Registered Nurse. The position includes direct inpatient dialysis care and may involve assisting at an outpatient facility as needed. The RN is expected to complete CAP requirements for advancement. The role involves direct patient care, including regular heavy lifting, moving patients, and assisting with ambulation. It requires frequent and prolonged standing and bending. With assistance, the RN may occasionally move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment is a temperature-controlled health care facility with moderate noise; exposure to infectious and contagious diseases or materials may occur. Work includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. Travel to training or meeting sites and between assigned facilities is required. Participation in an on-call rotation and work at night, on weekends, or on holidays may be required according to program needs.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and ability to meet practice requirements in all states where employed.
Current CPR BLS certification or successful completion of the certification requirement.
For Nurse-in-Charge oversight of Patient Care Technicians, LVN/LPNs, or RNs: complete all FKC education and modality-specific training requirements for new employees, have at least 9 months of RN experience, and have 6 months of acute dialysis experience.
The role is described as entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN.
Minimum 9 months of Registered Nurse experience.

Nice To Haves

12 months of Registered Nurse experience is preferred.
6 months of acute dialysis experience is preferred.
Hemodialysis and/or ICU experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse.
Collect and analyze patient data before, during, and after treatment; document findings in the medical record; adjust treatment plans as indicated; and notify the Supervisor, Physician, patient’s primary nurse, and others as appropriate.
Assess, collaborate on, and document patients’ and families’ basic learning needs, providing initial and ongoing education.
Recognize patient status variations from normal and report or collaborate with appropriate health team members, including the Supervisor, physician, and contracted facility primary nurse.
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 as needed.
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 appropriate 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 for the health care team and participate in staff training and new-staff orientation when assigned.
Provide specialized nursing-care instruction to hospital or facility staff when requested under contractual arrangements.
Assist at an outpatient facility as needed.
Complete CAP requirements for advancement.
Perform other duties assigned by the Supervisor.