Acute RN

GTT•Lumberton, NC

5d•Onsite

About The Position

The Inpatient RN provides direct patient care in accordance with company policies and procedures which includes FMCNA compliance programs and contracted hospitals policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience.

Requirements

Two years Nephrology Nursing experience as a RN
Minimum 2 years inpatient dialysis nursing experience
Demonstrated strong assessment skills related to the critically ill patient
BLS CPR Recognition
Current or successful completion of CPR BLS Certification
Current appropriate state licensure
Must meet the practice requirements in the state in which employed
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.

Nice To Haves

ACLS CPR Recognition
Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged
Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services)

Responsibilities

Apply considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.
Provide supervision and direction of Patient Care Technicians and clerical staff; provide direction and education to ICU staff for CRRT.
Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and provide the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined – hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis.
Assess patients' responses to treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician.
Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated.
Deliver safe, effective care in a timely and efficient manner.
Give organized, concise shift reports for patients on assigned shifts.
Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment.
Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.
Initiate and communicate to FMS facility nursing staff and appropriate hospital personnel as needed.
Accurately document all treatment information in the individual patient record (ACES) and the hospital record, as needed.
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
Perform all required pre-treatment dialysis machine alarm testing.
If applicable, initiate Solution Delivery System.
Operate all related equipment appropriately and safely and provide minor troubleshooting when necessary; efficiently utilize supplies to prevent waste.
Understand, conduct, and document appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and comply with the documentation/notification standards per FMS policies.
Complete and document ongoing participation in QAI activities.
Participate in staff meetings as scheduled.
Participate in staff training and orientation as assigned.
Act as a subject matter expert to hospital staff for dialysis related patient/equipment complications.
Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements.
May be assigned to in-center patient care on an as needed basis.
Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
Assist with various projects as assigned by direct supervisor.
Other duties as assigned.