Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Waco, TX

About The Position

The Inpatient Services Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient care staff, such as RNs, LVN/LPNs, and Patient Care Technicians. As part of the kidney disease health care team, the RN participates 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, and in accordance with Fresenius Kidney Care policies, procedures, nursing standards, contractual service agreements, and applicable regulations. The position includes direct patient care, coordination with facility and dialysis personnel, documentation, and participation in an on-call rotation. The RN may also travel to training or meeting sites and between assigned facilities, and may be asked to provide care at other locations or assist at an outpatient facility as needed. The work involves regular heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing; and bending. With assistance, the employee may occasionally move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The setting is a healthcare facility with controlled air temperature and moderate noise, and may involve exposure to infectious or contagious diseases and materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and ability to meet practice requirements in all states where employed.
Current CPR BLS certification or successful completion of CPR BLS certification.
Entry-level RN designation for nurses with less than two years of nephrology nursing experience as an RN.
At least 9 months of experience as a Registered Nurse.
Complete all Fresenius Kidney Care education and modality-specific training requirements for new employees before serving as a designated Nurse in Charge.
For designated Nurse in Charge oversight: at least 9 months of RN experience and 6 months of acute dialysis experience.
Ability to perform the essential functions with or without reasonable accommodation, including physical duties described in the posting.
Ability to participate in an on-call rotation, including nights, weekends, and holidays as required by program needs.
Ability to travel to training or meeting sites and between assigned facilities.

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.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse.
Systematically collect and analyze patient data before, during, and after treatment; document findings; adjust treatment plans as indicated; and notify appropriate members of the care team.
Assess, collaborate on, and document patients’ and families’ learning needs and provide initial and ongoing education.
Recognize patient status variations from normal and report 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 notification of the physician and blood supplier about adverse reactions.
Administer prescribed medications and document 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 contractually stipulated, if requested.
Assist in an outpatient facility on an as-needed basis, if assigned.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
Participate in the on-call rotation and travel to training or meeting sites and between assigned facilities.
Provide oversight of Patient Care Technicians, LVN/LPNs, or RNs as a designated Nurse in Charge after meeting the stated training and experience requirements.