Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Columbia, MD

1d•$33 - $55

About The Position

The Inpatient Registered Nurse provides direct patient care in accordance with company policies, FMCNA compliance programs, and contracted hospitals’ policies and procedures. The role serves patients in inpatient renal replacement and apheresis settings, with practice areas including hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The nurse partners with hospital teams to deliver quality care and a positive patient experience. The position provides treatment and monitoring for assigned patients, assesses their responses, and adjusts care plans as directed by an appropriately credentialed physician. It also includes supervising and directing Patient Care Technicians and clerical staff, educating ICU staff on CRRT, collaborating with physicians and other healthcare professionals, and maintaining accurate patient and treatment documentation. Nurses operate and test dialysis and related equipment, prepare treatment areas, and clean and disinfect equipment in accordance with policy. The role requires travel between assigned hospitals and facilities and to regional meetings or educational events. It includes an on-call rotation covering days, nights, weekends, and holidays. Direct patient care may involve exposure to infectious materials and contagious diseases, heavy lifting and moving patients or equipment over 200 pounds with assistance, and lifting chemical or water solutions weighing up to 30 pounds as high as five feet. The hourly pay range is $33.00–$55.00, depending on location and qualifications. The benefits package includes medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave, and, for applicable bonus-eligible positions, potential performance-based bonuses.

Requirements

Current appropriate state licensure and compliance with practice requirements in the state of employment.
At least one year of RN experience and required nursing skills.
At least six months of nephrology experience before working independently without another Dialysis RN to provide dialysis and ultrafiltration services.
At least six months of nephrology experience before working independently without another Apheresis RN to provide apheresis services.
Demonstrated strong assessment skills related to critically ill patients.
Successful completion of a training course in the theory and practice of care for ESRD patients (Progressive Renal Education Preparation).
BLS CPR recognition.
Successful completion of Nurses Technical Training.
Organizational and time-management skills and competency in completing continuing and ongoing renal/nephrology education.
Leadership skills and ability to direct and supervise others, including PCTs, CCHTs, and clerical staff.
Ability to travel between assigned hospitals and facilities and to regional meetings or educational events.
Ability to participate in an on-call rotation covering days, nights, weekends, and holidays.
Ability to meet the role’s physical demands, including assisted lifting or moving of patients or equipment over 200 pounds and lifting chemical or water solutions up to 30 pounds as high as five feet.
Ability to take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Nice To Haves

Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.
ICU experience.
ACLS CPR recognition.

Responsibilities

Provide direct patient care for assigned inpatients using prescribed treatment modalities, including hemodialysis, peritoneal dialysis, continuous renal replacement therapies, ultrafiltration, and apheresis.
Assess patient responses to treatment and make appropriate adjustments to the treatment plan as directed by an appropriately credentialed physician.
Communicate patient problems or concerns to the Inpatient Program Manager, physician, hospital primary nurse, and other appropriate parties.
Deliver safe, effective, timely, and efficient care.
Provide organized, concise shift reports and adjust patient schedules to address the needs of more critical patients based on laboratory results, physician orders, or patient assessments.
Implement, administer, monitor, and document prescribed intradialytic transfusions, including notifying the physician and blood supplier of adverse reactions.
Collaborate and communicate with physicians and other healthcare team members to interpret, adjust, and coordinate daily patient care plans.
Communicate with FMS facility nursing staff and appropriate hospital personnel as needed.
Accurately document treatment information in patient records and hospital records as needed.
Prepare for dialysis treatments and perform required pre-treatment machine alarm testing.
Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to policy.
Operate related equipment safely, perform minor troubleshooting when necessary, and use supplies efficiently.
Conduct and document dialysis and apheresis machine safety and alarm tests, equipment calibration, dialysate testing, functional testing, and internal and external disinfection of water and dialysis machines.
Initiate the Solution Delivery System when applicable.
Complete and document ongoing participation in quality assurance and improvement activities.
Participate in scheduled staff meetings, training, and orientation.
Serve as a subject matter expert for hospital staff on dialysis-related patient and equipment complications.
Report new or unusual incidents, information, complaints, or problems according to adverse event reporting requirements.
Provide supervision and direction to Patient Care Technicians and clerical staff, and provide direction and education to ICU staff for CRRT.
May provide in-center patient care as needed.
Comply with the Code of Business Conduct, company policies and procedures, and applicable local, state, and federal laws and regulations.
Assist with projects assigned by the direct supervisor and perform other duties as assigned.