Inpatient Registered Nurse - RN

Fresenius Medical Care•Mobile, AL

5d•Onsite

About The Position

The Inpatient Services Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient-care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the kidney disease health care team, the RN participates in clinical decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. The RN performs duties under the direction of the Supervisor, with guidance from an Educator or Preceptor or in collaboration with another RN, and in accordance with company policies, nursing practice standards, service agreements, and applicable regulations. The position includes direct inpatient dialysis care and may require work at other locations or assistance at an outpatient facility as needed. The RN may take on designated Nurse in Charge oversight after meeting specified training and experience requirements. The work takes place in a health care facility with controlled air temperature and moderate noise. It involves direct patient care, frequent and prolonged standing, bending, heavy lifting and patient movement, and possible exposure to infectious or contagious materials. The RN also performs desk and computer work, interacts with patients and health care personnel, travels between assigned facilities and to training or meeting sites, and participates in an on-call rotation. Night, weekend, or holiday work may be required based on program needs.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Meet practice requirements in all states where employed.
Entry-level RN designation for nurses with less than 2 years of nephrology nursing experience as an RN.
Minimum 9 months of experience as a Registered Nurse.
Complete all FKC education and modality-specific training requirements for new employees before designated Nurse in Charge oversight.
For designated Nurse in Charge oversight, have 6 months of experience in acute dialysis as an RN.
Ability to perform the essential functions, with or without reasonable accommodation.
Ability to meet the physical demands of the role, including frequent prolonged standing and bending, heavy lifting and patient movement, and moving equipment or lifting solutions as described.

Nice To Haves

12 months of experience as a Registered Nurse.
6 months of acute dialysis experience.
Hemodialysis and/or ICU experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse.
Collect and analyze patient data before, during, and after treatment; document findings, adjust treatment plans as indicated, and notify the Supervisor, Physician, primary nurse, and others as appropriate.
Assess and document patient and family learning needs and provide initial and ongoing education.
Recognize patient status deviations and report or collaborate with appropriate health team members.
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 as needed.
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, and notify 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 for the health care team and participate in staff training and orientation of new staff as assigned.
Provide specialized nursing-care instruction to hospital or facility staff when requested under contractual terms.
Assist at an outpatient facility as needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
Provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a designated Nurse in Charge after meeting the stated training and experience requirements.