Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Florence, SC

About The Position

The Acute Inpatient Registered Nurse (Inpatient Services RN CAP 1) is an entry-level designation in the Clinical Advancement Program. The nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. As part of the kidney disease health care team, the nurse contributes to clinical decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. Appropriate tasks may be delegated to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. The role performs its duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, applicable service agreements, and state and federal regulations. Work is performed under a Supervisor’s direction, with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. The position may include providing care in an outpatient facility as needed and requires travel between assigned facilities and to training or meeting sites. Participation in an on-call rotation and work at night, on weekends, or on holidays may be required based on program needs. The position involves direct patient care, including frequent and prolonged standing, bending, and regularly lifting, moving, or assisting patients with ambulation. Assistance from equipment or coworkers may be available. The employee may occasionally move machines and equipment weighing up to 200 pounds with assistance and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. The work takes place in a health care facility with controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Duties also include desk and computer work and interaction with patients, facility or hospital staff, and physicians. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of the certification requirement.
Meet practice requirements in every state in which employed.
Entry-level designation for RNs with less than two years of nephrology nursing experience as an RN.
At least nine months of experience as a Registered Nurse.
Complete all FKC education and modality-specific training requirements for new employees before serving as a designated Nurse in Charge.
Six months of acute dialysis experience is required for designated Nurse in Charge oversight.

Nice To Haves

Twelve months of experience as a Registered Nurse is preferred.
Six months of acute dialysis experience is preferred for the general role.
Hemodialysis experience is preferred.
ICU experience is preferred.

Responsibilities

Perform assigned duties 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 the Supervisor, Physician, the patient’s primary nurse, and others as appropriate.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Recognize patient status that varies from normal and report or collaborate with appropriate health team members, including the Supervisor, Physician, and contracted facility primary nurse.
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 FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document patient responses to prescribed intradialytic transfusions, and notify the Physician and appropriate blood supplier of adverse reactions.
Administer prescribed medications and document medical justification and effectiveness.
Initiate and assist with emergency response measures.
Serve as a resource to the health care team and participate in staff training and new-staff orientation as assigned.
Provide specialized nursing care instruction to hospital or facility staff when assigned under contractual requirements.
Assist in an outpatient facility when needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
When designated as Nurse in Charge after meeting the stated training and experience requirements, provide assigned oversight of Patient Care Technicians, LVN/LPNs, and RNs.