Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Marietta, GA

6d•Onsite

About The Position

The Inpatient Registered Nurse provides direct patient care in accordance with company policies and procedures, compliance programs, and contracted hospitals’ policies. The role supports hospitalized patients requiring renal replacement and apheresis services, including hemodialysis, peritoneal dialysis, continuous renal replacement therapy (CRRT), ultrafiltration, and apheresis. The nurse partners with hospital staff to deliver quality care and a positive patient experience. Under limited supervision, the nurse assesses patients, administers prescribed treatments, monitors responses, and adjusts treatment plans as indicated by an appropriately credentialed physician. The position includes collaborating with physicians and other healthcare team members, communicating changes and concerns, coordinating care, and accurately documenting treatment in patient and hospital records. The nurse also prepares, tests, operates, cleans, and disinfects dialysis and related equipment; follows equipment safety and quality procedures; and participates in quality improvement, staff meetings, training, and orientation. The role provides supervision and direction to Patient Care Technicians and clerical staff, and provides direction and education to ICU staff for CRRT. Travel between assigned hospitals and facilities, as well as to regional meetings or educational events, is required. The position includes an on-call rotation covering days, nights, weekends, and holidays. Work involves direct patient care and potential exposure to infectious materials, heavy lifting and moving patients or equipment over 200 pounds with assistance, and lifting chemical or water solutions weighing up to 30 pounds as high as five feet.

Requirements

Current appropriate state nursing licensure and compliance with practice requirements in the state of employment.
At least one year of RN experience.
At least six months of nephrology experience before working independently without another Dialysis RN to provide dialysis and ultrafiltration services.
At least six months of nephrology experience before working independently without another Apheresis RN to provide apheresis services.
Required nursing skills and strong assessment skills related to critically ill patients.
Successful completion of a training course in the theory and practice of care of the ESRD patient, 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, such as PCTs, CCHTs, and clerical staff.
Ability to meet the position’s physical demands, including patient and equipment movement and lifting, with assistance where specified.
Ability to travel between assigned hospitals and facilities and to regional meetings or educational events.
Availability for an on-call rotation that includes nights, days, weekends, and holidays.
Completion of the Ishihara Color Blindness test as a condition of employment; a failed 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 patient care across hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and apheresis modalities as prescribed.
Assess patient responses to treatment and make appropriate adjustments or modifications to treatment plans as indicated by an appropriately credentialed physician.
Communicate problems, concerns, adverse events, and unusual incidents to the appropriate manager, physician, hospital personnel, and other parties.
Deliver safe, effective, timely, and efficient care, including organizing concise shift reports and prioritizing schedules to meet the needs of more critical patients.
Implement, administer, monitor, and document patients’ responses to prescribed intradialytic transfusions, and notify the physician and blood supplier of adverse reactions as appropriate.
Collaborate and communicate with physicians and healthcare team members to interpret, adjust, and coordinate daily patient care plans and continuity of care.
Coordinate with FMS facility nursing staff and hospital personnel as needed.
Accurately document treatment information in the patient record and hospital record as needed.
Prepare for dialysis treatment and conduct and document required machine alarm and safety testing, equipment calibration, dialysate testing, functional testing, and equipment disinfection.
Operate related equipment safely, perform minor troubleshooting, and use supplies efficiently to prevent waste.
Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to applicable policies and procedures.
Complete and document ongoing participation in quality assurance and improvement activities.
Participate in scheduled staff meetings, staff training, and orientation as assigned.
Serve as a subject matter expert to hospital staff regarding dialysis-related patient and equipment complications.
Supervise and direct Patient Care Technicians and clerical staff, and provide direction and education to ICU staff for CRRT.
Provide in-center patient care when assigned on an as-needed basis.
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.