Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Charleston, WV
•Onsite

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—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegation of appropriate tasks to patient-care staff and participation in decision-making, patient and family education, leadership functions, and quality improvement as part of the kidney disease health care team. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing standards, applicable contractual service agreements, and state and federal regulations. The position works under the direction of a Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse. Care includes modality-specific treatment, monitoring and documentation of patient status and response, medication administration, coordination with facility and dialysis-provider personnel, and emergency response. The RN may help train and orient staff, provide nursing-care instruction to facility staff when contractually required, and assist at an outpatient facility as needed. The role involves direct patient care in a health care facility and travel between assigned facilities and to training or meeting sites. It includes participation in an on-call rotation and may require night, weekend, or holiday work according to program needs. Locations listed are CAMC Memorial Hospital, CAMC General Hospital, and Select Specialty Hospital in Charleston, West Virginia.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and compliance with practice requirements in all states where employed.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • At least 9 months of experience as a Registered Nurse; the experience section specifies a minimum of 9 months, with 12 months preferred.
  • Entry-level designation for RNs with less than 2 years of nephrology nursing experience as an RN.
  • Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; assistance may be available.
  • Ability to travel between assigned facilities and to training or meeting sites.
  • Availability for participation in an on-call rotation and for night, weekend, or holiday work as program needs require.

Nice To Haves

  • 12 months of Registered Nurse experience.
  • 6 months of acute dialysis experience.
  • Hemodialysis experience.
  • ICU experience.

Responsibilities

  • Perform essential functions under the direction of the Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse.
  • Collect and analyze patient data before, during, and after treatment; document findings, modify treatment plans as indicated, and notify relevant clinical personnel.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Recognize and report patient-status variations and collaborate with appropriate members of the health care team.
  • Direct and provide safe, effective care and prescribed modality-specific treatment procedures for assigned patients.
  • Assess daily patient-care needs and collaborate with direct and ancillary patient-care staff.
  • Coordinate communication with FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
  • Implement, administer, monitor, and document patients’ responses to prescribed intradialytic transfusions, including notifying the physician and 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 for 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 contractually required.
  • Assist at an outpatient facility as needed.
  • Complete CAP requirements for advancement.
  • Perform other duties assigned by the Supervisor.
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