Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Knoxville, TN

26d•Onsite

About The Position

The Acute Inpatient Registered Nurse (RN) is an entry-level designation in the Clinical Advancement Program (CAP). The nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient care staff. As a member of the kidney disease health care team, the RN participates in decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, contractual service agreements, and applicable state and federal regulations. The RN performs essential functions under the direction of a Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse. The position includes patient assessment and monitoring before, during, and after treatment; implementation of prescribed modality-specific care; medication administration; patient education; documentation; and coordination with facility personnel and other dialysis providers. The RN may also assist in an outpatient facility as needed and may provide nursing-care instruction to hospital or facility staff as stipulated by contract. The role involves direct patient care and regular heavy lifting, moving and assisting patients, and prolonged standing. The work environment is a health care facility, and the employee may be exposed to infectious or contagious diseases and materials. Travel to training or meeting sites and between assigned facilities is required. Participation in an on-call rotation, including nights, weekends, or holidays, may be required according to program needs.

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; 12 months is preferred.
Entry-level designation applies to RNs with less than 2 years of Nephrology Nursing experience as an RN.

Nice To Haves

Six months of acute dialysis experience is preferred.
Hemodialysis and/or ICU experience is preferred.
Twelve months of Registered Nurse experience is preferred.

Responsibilities

Provide and coordinate clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation.
Perform ongoing, systematic collection and analysis of patient data before, during, and after treatment; document findings, adjust treatment plans as indicated, and notify appropriate personnel.
Assess and document patient and family learning needs and provide initial and ongoing education.
Recognize patient status changes and report them to or collaborate with appropriate health team members.
Direct and provide safe, effective patient 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 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 for the health care team and participate in staff training and orientation as assigned.
Provide specialized nursing care instruction to hospital or facility staff when contractually stipulated.
Assist in an outpatient facility as needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.