Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Cincinnati, OH

3d•Onsite

About The Position

The Inpatient Registered Nurse provides direct patient care in accordance with company policies and procedures, FMCNA compliance programs, and contracted hospitals’ policies and procedures. The role provides inpatient renal replacement and apheresis care across modalities including hemodialysis, peritoneal dialysis, continuous renal replacement therapy, ultrafiltration, and apheresis. The nurse partners with hospitals to deliver quality care and a positive patient experience. The role works under limited supervision and includes assessing patients, selecting and delivering prescribed treatment techniques, monitoring responses, and making appropriate adjustments to the treatment plan as indicated by a credentialed physician. The nurse coordinates care with physicians, hospital staff, and facility nursing personnel; documents treatments and patient responses; and supports safe operation, testing, calibration, and disinfection of dialysis and related equipment. The position also provides supervision and education to patient care technicians, clerical staff, and ICU staff, and may be assigned to in-center patient care as needed. The position requires travel between assigned hospitals and facilities and to regional meetings or educational events. It includes an on-call rotation covering days, nights, weekends, and holidays, and may involve exposure to infectious materials and contagious diseases. Direct patient care regularly involves moving patients or equipment weighing more than 200 pounds with assistance, as well as lifting chemical and water solutions weighing up to 30 pounds to a height of five feet. Employees 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.

Requirements

Current appropriate state licensure and ability to meet 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 (Progressive Renal Education Preparation).
BLS CPR Recognition.
Successful completion of Nurses Technical Training.
Organizational and time-management skills and competency in continuing and ongoing renal/nephrology education.
Leadership skills and ability to direct and supervise others, such as 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 the physical demands of direct patient care, including moving patients or equipment over 200 pounds with assistance and lifting chemical and water solutions up to 30 pounds as high as 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 preferred but not required.
ACLS CPR Recognition preferred but not required.

Responsibilities

Provide direct patient care in inpatient renal replacement and apheresis services using prescribed treatment modalities, including hemodialysis, peritoneal dialysis, continuous renal replacement therapy, ultrafiltration, and apheresis.
Assess patients’ responses to therapy and make appropriate treatment-plan adjustments as indicated by a credentialed physician.
Communicate concerns and patient-care information to the Inpatient Program Manager, credentialed physicians, hospital primary nurses, facility nursing staff, and other appropriate personnel.
Deliver safe and timely care and provide organized, concise shift reports.
Adjust patient schedules to prioritize more critical patients based on laboratory results, physician orders, or assessment findings.
Implement, administer, monitor, and document prescribed intradialytic transfusions, and notify 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 continuity of care.
Document treatment information and patient responses in the patient record (ACES) and hospital record as needed.
Prepare for dialysis treatment and perform required pre-treatment machine alarm testing; initiate the Solution Delivery System if applicable.
Operate related equipment safely, perform minor troubleshooting, and use supplies efficiently to prevent waste.
Conduct and document dialysis and 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.
Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to policy and procedure.
Participate in quality assurance and improvement activities, staff meetings, training, and orientation as assigned.
Provide supervision and direction to Patient Care Technicians, Certified Clinical Hemodialysis Technicians, and clerical staff; provide direction and education to ICU staff for CRRT.
Serve as a subject matter expert to hospital staff regarding dialysis-related patient or equipment complications.
Report new or unusual incidents, complaints, information, or problems according to adverse-event reporting requirements.
Comply with the Code of Business Conduct, company policies and procedures, and applicable laws and regulations.
Assist with projects assigned by the direct supervisor and perform other duties as assigned.