Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Marietta, GA

19d•Onsite

About The Position

The Inpatient Registered Nurse provides direct patient care in accordance with company policies, compliance programs, and contracted hospital policies and procedures. The role delivers care across renal replacement and apheresis modalities, including hemodialysis, peritoneal dialysis, continuous renal replacement therapy (CRRT), ultrafiltration, and apheresis, in partnership with hospitals to support quality care and a positive patient experience. The nurse assesses patients’ responses to treatment, adjusts care plans as directed by appropriately credentialed physicians, coordinates care with physicians and healthcare teams, and communicates concerns to the Inpatient Program Manager, hospital staff, and other relevant parties. The role also supervises and directs Patient Care Technicians and clerical staff, provides CRRT guidance and education to ICU staff, and may provide in-center patient care as needed. Responsibilities include preparing for and delivering treatments, operating and testing dialysis and apheresis equipment, documenting treatment and patient responses, maintaining equipment and treatment areas, participating in quality activities and staff training, and reporting adverse events or other concerns. The position requires travel between assigned hospitals and facilities, participation in an on-call rotation, and direct patient care that may involve exposure to infectious materials and physically demanding tasks.

Requirements

Current appropriate state nursing licensure and ability to meet 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 present.
At least six months of nephrology experience before independently providing apheresis services without another Apheresis RN present.
Strong assessment skills related to critically ill patients.
Successful completion of a training course in the theory and practice of care for ESRD patients, identified as Progressive Renal Education Preparation.
BLS CPR recognition.
Successful completion of Nurses Technical Training.
Organizational and time-management skills, and competency in completing continuing and ongoing renal/nephrology education.
Leadership skills and ability to direct and supervise others, including PCTs, CCHTs, and clerical staff.
Ability to travel between assigned hospitals and facilities and to regional meetings or educational events.
Ability to participate in an on-call rotation that includes days, nights, weekends, and holidays.
Ability to perform direct patient care that regularly involves moving or lifting patients and/or equipment weighing more than 200 pounds with assistance, and lifting chemical and water solutions weighing up to 30 pounds to heights of up to five feet.
Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Nice To Haves

Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.
ICU experience is preferred but not required.
ACLS CPR recognition is preferred but not required.

Responsibilities

Provide direct care to assigned patients in inpatient renal replacement and apheresis services across hemodialysis, peritoneal dialysis, CRRT, ultrafiltration, and apheresis modalities.
Select and provide the appropriate treatment technique as prescribed and specified in applicable modality procedures.
Assess patient responses to treatment and make appropriate adjustments to the treatment plan as directed by an appropriately credentialed physician.
Communicate problems and concerns to the Inpatient Program Manager, appropriately credentialed physician, hospital primary nurse, and other relevant parties.
Deliver safe, effective, timely, and efficient care, and provide organized, concise shift reports.
Adjust patient schedules to prioritize patients with more critical needs based on laboratory results, physician orders, or patient assessments.
Implement, administer, monitor, and document prescribed intradialytic transfusions, including notifying the physician and blood supplier of adverse reactions as appropriate.
Collaborate with physicians and other healthcare team members to interpret, adjust, and coordinate daily patient care plans and ensure continuity of care.
Communicate with FMS facility nursing staff and appropriate hospital personnel as needed.
Document treatment information accurately in the patient record (ACES) and hospital record as needed.
Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to policy.
Prepare for dialysis treatments and document preparation activities as appropriate.
Perform required pre-treatment dialysis machine alarm testing and initiate the Solution Delivery System if applicable.
Operate related equipment safely and appropriately, troubleshoot minor issues, and use supplies efficiently to prevent waste.
Conduct and document dialysis/apheresis machine safety and alarm tests, equipment calibration, dialysate testing, functional testing, and internal and external disinfection of water and dialysis machines; follow documentation and notification standards.
Participate in QAI activities, scheduled staff meetings, staff training, and orientation as assigned.
Act as a subject matter expert for hospital staff on dialysis-related patient and equipment complications.
Report new or unusual incidents, information, complaints, and problems according to Adverse Event Report requirements.
Provide in-center patient care when assigned as needed.
Supervise and direct Patient Care Technicians and clerical staff, and provide direction and education to ICU staff for CRRT.
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.