Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Neenah, WI
•Onsite

About The Position

The Inpatient Services Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for assigned patients. The role may include delegating appropriate tasks to patient-care staff and participating in team decisions, patient and family teaching, leadership functions, and quality-improvement activities that support patient outcomes and program operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing-practice standards, contractual service agreements, and applicable state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another RN. The position is based at facilities in Neenah, Appleton, and Green Bay, with a stated schedule of 7 a.m. to 5 p.m., four days per week, and every other Saturday. On-call participation and night, weekend, or holiday work may also be required according to program needs. The position involves direct patient care in health care facilities and may require travel between assigned facilities and to training or meeting sites. The RN may also be asked to assist at an outpatient facility or provide specialized nursing-care instruction to facility staff. The role includes physical demands such as prolonged standing, bending, lifting and moving patients, and moving equipment or supplies, with assistance where applicable.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and compliance with practice requirements in all states of employment.
  • Current CPR BLS certification or successful completion of certification.
  • Entry-level role for RNs with less than two years of nephrology nursing experience as an RN.
  • Minimum of 9 months of experience as a Registered Nurse.
  • Must complete FKC education and modality-specific training requirements for new employees before being assigned Nurse-in-Charge oversight.
  • For Nurse-in-Charge oversight: minimum of 9 months of RN experience and 6 months of acute dialysis experience.
  • Ability to perform the essential functions, with or without reasonable accommodation.
  • Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, assisting with patient movement and ambulation, and moving equipment or supplies with assistance where applicable.
  • Ability to travel between assigned facilities and to training or meeting sites.
  • Participation in on-call rotation and work at night, on weekends, or holidays as required by program needs.

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

  • Provide and coordinate clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation.
  • Perform duties under the direction of the Supervisor and with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse.
  • Collect and analyze patient data before, during, and after treatment; document findings, adjust treatment plans as indicated, and notify relevant staff and providers.
  • Assess and document patient and family learning needs and provide initial and ongoing education.
  • Recognize changes or abnormalities in patient status and report or collaborate with appropriate health team members.
  • Direct and provide safe, effective patient care in accordance with prescribed modality-specific treatment procedures.
  • Assess daily patient-care needs and collaborate with direct and ancillary 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 prescribed intradialytic transfusions, including reporting adverse reactions to the physician and appropriate blood supplier.
  • 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 contractually stipulated and assigned.
  • Assist in an outpatient facility as needed.
  • Complete Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • May oversee Patient Care Technicians, LVN/LPNs, and RNs as a designated Nurse in Charge after meeting the stated training and experience requirements.
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