Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Annapolis, MD

About The Position

The Inpatient Registered Nurse CAP 2 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 nurse participates in decision-making, patient and family teaching, leadership, and quality improvement activities that support patient outcomes and program operations. The nurse performs duties under the direction of a Supervisor, with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. Responsibilities include collecting and analyzing patient data before, during, and after treatment; documenting care and patient responses; adjusting treatment plans as indicated; educating patients and families; coordinating with health care team members and dialysis providers; administering prescribed medications and intradialytic transfusions; and responding to emergencies. The position may also involve mentoring employees, providing specialized nursing instructions to facility staff, precepting new employees, and assisting at an outpatient facility as needed. CAP requirements must be completed to maintain or advance within the program. The role involves direct patient care in a health care facility, physical demands including lifting and moving patients, and possible exposure to infectious materials. It includes desk and computer work, interaction with patients and health care staff, travel to training or meeting sites and assigned facilities, and participation in an on-call rotation. The schedule is listed as 7:00 a.m. to 7:30 p.m.; the clinic is open seven days a week, and night, weekend, or holiday work may be required based on program needs.

Requirements

Current appropriate state licensure.
Current CPR BLS Certification or successful completion of certification.
Meet practice requirements in all states in which employed.
At least 2 years of Nephrology Nursing experience as a Registered Nurse within the last 2 years.
Dialysis experience is required, as stated in the job heading and schedule details.
Complete CAP requirements to maintain or advance.
Pass the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation may be considered.
Ability to meet the physical demands of direct patient care, including regularly lifting and moving patients, prolonged standing, bending, and occasionally moving equipment with assistance.

Nice To Haves

Acute dialysis experience.

Responsibilities

Provide and coordinate clinically competent care, including assessment, planning, intervention, and evaluation for assigned patients.
Collect and analyze patient data before, during, and after treatment; document findings and patient responses in medical records.
Adjust or modify treatment plans as indicated and notify the Supervisor, physicians, primary nurses, and other appropriate personnel.
Assess and document patient and family learning needs and provide initial and ongoing education.
Recognize and report changes in patient status and 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.
Coordinate communication with FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document responses to prescribed intradialytic transfusions, and report adverse reactions as appropriate.
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 requested and contractually stipulated.
Assist in an outpatient facility as needed and may serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Participate in an on-call rotation and travel to training or meeting sites and between assigned facilities.
Perform other duties as assigned by the Supervisor.