Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Metairie, LA

About The Position

The Inpatient Registered Nurse (RN) CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for eligible new employees or attained through advancement from CAP 1. As a member of the kidney disease health care team, the RN participates in decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and program operations. The RN performs duties under the direction of a Supervisor and with guidance from an Educator, Preceptor, or another RN. The position may include oversight of Patient Care Technicians, LPNs/LVNs, and RNs as a designated Nurse in Charge after completion of required education and modality-specific training and at least six months of acute dialysis experience as an RN. The RN may also provide specialized nursing instructions to facility staff, serve as a Preceptor, and assist in an outpatient facility as needed. The role involves direct patient care in a health care facility and requires travel to training or meeting sites and between assigned facilities. Work includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. Employees may be exposed to infectious or contagious diseases and materials, and participation in an on-call rotation, nights, weekends, and holidays may be required according to program needs.

Requirements

  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Meet practice requirements in all states where employed.
  • Minimum of two or more years of nephrology nursing experience as an RN within the last two years.
  • Complete required FKC education and modality-specific training to undertake designated Nurse in Charge oversight.
  • Complete the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.
  • Ability to meet the position's physical demands, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation.
  • Ability to travel to training or meeting sites and between assigned facilities.
  • Participate in an on-call rotation and work nights, weekends, or holidays when required by program needs.

Nice To Haves

  • Acute dialysis experience.

Responsibilities

  • 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 the basic learning needs of patients and families and provide initial and ongoing education.
  • Recognize changes or abnormal aspects of patient status and report or collaborate with the appropriate health team members.
  • 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.
  • 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 notification of adverse reactions to the physician and blood supplier.
  • 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.
  • Assist in an outpatient facility as needed and serve as a Preceptor to new employees when assigned.
  • Complete CAP requirements to maintain or advance within the program.
  • Perform other duties assigned by the Supervisor.
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