Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Philadelphia, PA
•Onsite

About The Position

The Acute Inpatient Registered Nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. As a member of the kidney disease health care team, the nurse contributes to decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and program operations. The role involves working under the direction of a Supervisor, with guidance from an Educator or Preceptor, and in collaboration with other Registered Nurses and facility staff. This is a full-time role requiring previous dialysis experience. The nurse must be able to work at the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center/Good Shepherd Penn Partners, and HUP Cedar Avenue. The schedule is 7:00 AM to 7:00 PM, three 12+ hour shifts per week, Monday through Saturday, including two Saturdays per month. Participation in an on-call rotation is required. The position may also require travel between assigned facilities and to training or meeting sites, and may involve providing care at an outpatient facility as needed. The work takes place in a healthcare facility with controlled air temperature and moderate noise levels. The role includes direct patient care, desk and computer work, and interaction with patients, hospital or facility staff, and physicians. The nurse may be exposed to infectious or contagious diseases and materials. Physical demands include prolonged standing, bending, heavy lifting and moving patients, and assisting with ambulation. With assistance, the employee may move machines or equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. Reasonable accommodations may be made for individuals with disabilities. Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.

Requirements

  • Previous dialysis experience is required for this role.
  • Minimum of two years of Nephrology Nursing experience as an RN within the last two years.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet practice requirements in all states where employed.
  • Must be able to work at all three specified hospital locations.
  • Must participate in the required on-call rotation.
  • Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment.
  • Must be able to perform the stated physical demands, with reasonable accommodations where applicable.

Nice To Haves

  • Acute dialysis experience is listed as preferred in the Experience and Required Skills section; the posting also states that previous dialysis experience is required.

Responsibilities

  • Collect and analyze patient data before, during, and after treatment; document findings in the medical record and adjust treatment plans as indicated, notifying the appropriate Supervisor, Physician, primary nurse, or other personnel.
  • Assess and document patient and family learning needs and provide initial and ongoing education.
  • Recognize changes in patient status and report or collaborate with appropriate members of the healthcare team.
  • Direct and provide safe, effective care for assigned patients according to prescribed modality-specific treatment procedures.
  • 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 patient responses to prescribed intradialytic transfusions, including notifying the physician and blood supplier of adverse reactions as appropriate.
  • Administer prescribed medications and document medical justification and effectiveness.
  • Initiate and assist with emergency response measures.
  • Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
  • Provide specialized nursing care instructions to hospital or facility staff when contractually stipulated.
  • Serve as a Preceptor to new employees when assigned.
  • Complete CAP requirements to maintain or advance within the Clinical Advancement Program.
  • Perform other duties assigned by the Supervisor.
  • Participate in the required on-call rotation and travel between assigned facilities and training or meeting sites as needed.
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