Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Neenah, WI
•Onsite

About The Position

The Acute Inpatient Registered Nurse (RN) is an entry-level designation in the Clinical Advancement Program (CAP). The role provides and coordinates clinically competent care—including patient assessment, planning, intervention, and evaluation—for an assigned group of patients. The RN may delegate appropriate tasks to direct patient care staff and participates as a member of the kidney disease health care team in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. The RN performs duties under the direction of a Supervisor, with guidance from an Educator or Preceptor, or in collaboration with another RN. Care and related documentation must follow Fresenius Kidney Care policies and procedures, standards of nursing practice, applicable contractual service agreements, and state and federal regulations. The role is based in Neenah, Appleton, and Green Bay, with a stated schedule of 7 a.m. to 5 p.m., four days per week, and every other Saturday. The position also requires participation in an on-call rotation and may involve night, weekend, or holiday work according to program needs. Travel between assigned facilities and to training or meeting sites is required; the RN may also be assigned to assist at an outpatient facility as needed.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet practice requirements in every state where employed.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Entry level for RNs with less than 2 years of nephrology nursing experience as an RN.
  • Minimum 9 months of experience as a Registered Nurse.
  • Ability to complete required CAP requirements to advance.
  • Ability to perform the essential functions, with or without reasonable accommodation, including direct patient care and the physical demands described in the posting.
  • Ability to travel between assigned facilities and to training or meeting sites.
  • Availability to participate in an on-call rotation and work nights, weekends, or holidays as required by program needs.

Nice To Haves

  • 12 months of experience as a Registered Nurse is preferred.
  • 6 months of acute dialysis experience is preferred.
  • Hemodialysis and/or ICU experience is preferred.
  • For designated Nurse in Charge oversight of Patient Care Technicians, LVN/LPNs, or RNs: successful completion of all Fresenius Kidney Care education and modality-specific training requirements for new employees, at least 9 months of RN experience, and 6 months of acute dialysis RN experience.

Responsibilities

  • Perform ongoing, systematic collection and analysis of patient data before, during, and after treatment; document findings, adjust or modify treatment plans as indicated, and notify the Supervisor, Physician, 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 that varies from normal and report concerns to or collaborate with appropriate health team members.
  • 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 Fresenius Kidney Care and non-Fresenius 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 appropriate 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 orientation of new staff as assigned.
  • Provide specialized nursing care instruction to hospital or facility staff when requested under contractual arrangements.
  • Assist at an outpatient facility when assigned as needed.
  • Complete CAP requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • Perform essential functions in accordance with company policies, procedures, nursing standards, contractual agreements, and applicable state and federal regulations.
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