Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Peoria, IL

11d•$34 - $58

About The Position

The professional registered nurse Inpatient RN CAP 2 may be an entry-level designation in the Clinical Advancement Program for new employees who meet RN CAP 2 criteria, or may be attained through advancement from CAP 1. This position 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 direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the kidney disease health care team, the nurse participates in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and program operations. The role performs its duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, contractual service agreements, and applicable state and federal regulations. Work is performed under the direction of a Supervisor and with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. The position provides direct patient care in a health care facility and may require travel between assigned facilities and training or meeting sites. It is a PRN position and includes participation in an on-call rotation; night, weekend, or holiday work may be required based on program needs. The role involves direct patient care, including regular heavy lifting, moving patients, and assisting with ambulation. It requires frequent, prolonged standing and bending. The employee may occasionally move, with assistance, 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 has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Day-to-day work also includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. The hourly pay range is $34.00–$58.00, depending on work location and qualifications. The position offers medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave.

Requirements

Current appropriate state licensure.
Current CPR BLS Certification or successful completion of the certification.
Must meet practice requirements in all states where employed.
At least 2 years of nephrology nursing experience as an RN within the last 2 years.
Must complete CAP requirements to maintain or advance.
To be assigned oversight as a designated Nurse in Charge: complete all FKC education and modality-specific training requirements and have 6 months of acute dialysis experience as an RN.
Ability to perform the described physical demands, including frequent prolonged standing and bending, heavy lifting, moving patients, and assisting with ambulation; assistance may be available for moving patients, machines, and equipment.
Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.

Nice To Haves

Acute dialysis experience.

Responsibilities

Collects and analyzes patient data before, during, and after treatment; documents findings in the medical record; adjusts the treatment plan as indicated; and notifies the Supervisor, Physician, primary nurse, and others as appropriate.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Recognizes variations from normal patient status and reports them to or collaborates with appropriate health team members.
Directs and provides safe, effective patient care and modality-specific treatment procedures as prescribed.
Assesses daily patient care needs and collaborates with direct and ancillary patient care staff as needed.
Coordinates communication with FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implements, administers, monitors, and documents patient responses to prescribed intradialytic transfusions, and notifies the physician and appropriate blood supplier of adverse reactions.
Administers prescribed medications and documents medical justification and effectiveness.
Initiates and assists with emergency response measures.
Serves as a resource, leader, coach, mentor, and role model for new and incumbent employees.
May provide specialized nursing care instructions to hospital or facility staff as stipulated contractually.
May assist at an outpatient facility as needed and may serve as a Preceptor to new employees.
Completes CAP requirements to maintain or advance within the program.
May oversee Patient Care Technicians, LPNs/LVNs, and RNs as a designated Nurse in Charge after meeting the stated training and experience conditions.
Performs other duties as assigned by the Supervisor.