Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Charlotte, NC

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 decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and program operations. The role may include delegating appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, contractual service agreements, and applicable regulations. The RN works under the direction of a Supervisor and with guidance from an Educator or Preceptor, or in collaboration with another RN. After completing required education and modality-specific training and gaining six months of acute dialysis RN experience, the RN may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Nurse in Charge. The role may also involve providing contracted nursing instructions to facility staff, assisting at an outpatient facility as needed, serving as a Preceptor, and traveling between assigned facilities or to training and meeting sites. On-call rotation and work at night, on weekends, or on holidays may be required according to program needs.

Requirements

Current appropriate state licensure and ability to meet practice requirements in all states of employment.
Current CPR BLS certification or successful completion of certification.
At least two years of nephrology nursing experience as an RN within the last two years.
Complete required FKC education, modality-specific training, and CAP requirements as applicable.
Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, assisting with patient movement and ambulation, and occasionally moving equipment with assistance.
Ability to travel to training or meeting sites and between assigned facilities.
Ability to participate in an on-call rotation and work nights, weekends, or holidays 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

Collect, analyze, and document patient data before, during, and after treatment; adjust or modify treatment plans as indicated and notify appropriate clinical staff.
Assess and document patient and family learning needs and provide initial and ongoing education.
Recognize changes or deviations in patient status and report or collaborate with appropriate health team members.
Direct and provide safe, effective care and modality-specific treatment procedures for assigned patients.
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, and report adverse reactions to the physician and appropriate blood supplier.
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 required.
Assist in an outpatient facility as needed and serve as a Preceptor to new employees when assigned.
Complete CAP requirements to maintain or advance within the program.
Perform other duties assigned by the Supervisor.
Provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a designated Nurse in Charge after meeting the stated training and experience requirements.