Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Indianapolis, IN

3d•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 such as RNs, LVN/LPNs, and Patient Care Technicians. As part of the kidney disease health care team, the RN participates in decision-making, teaching, leadership, and quality-improvement activities that support patient outcomes and program operations. The RN performs essential functions under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another RN. Care and duties must follow Fresenius Kidney Care policies, procedures, nursing practice standards, contractual service agreements, and applicable state and federal regulations. The role requires completion of CAP requirements for advancement and may include assignments in outpatient facilities or other locations. The RN may also provide specialized nursing-care instruction to facility staff as stipulated by contract. The position provides 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 tasks and interaction with patients, facility or hospital staff, and physicians. Participation in an on-call rotation and work at night, on weekends, or holidays may be required according to program needs. The role may involve exposure to infectious or contagious diseases and materials.

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 in which employed.
Entry-level designation for RNs with less than two years of nephrology nursing experience as an RN.
At least nine months of experience as a registered nurse is required for designated Nurse-in-Charge oversight.
Six months of acute dialysis experience is required for designated Nurse-in-Charge oversight.
Complete all FKC education and modality-specific training requirements for new employees before designated Nurse-in-Charge oversight.

Nice To Haves

Twelve months of experience as a registered nurse is preferred.
Six months of acute dialysis experience is preferred.
Hemodialysis and/or ICU experience is preferred.

Responsibilities

Collect and analyze patient data before, during, and after treatment; document findings, adjust treatment plans as indicated, and notify the Supervisor, Physician, the patient’s primary nurse, and others as appropriate.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Recognize patient conditions that vary from normal and report them to or consult 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 care staff as needed.
Coordinate communication with FKC and non-FKC dialysis providers and appropriate contracted-facility personnel to support continuity of care.
Implement, administer, monitor, and document patients’ responses to prescribed intradialytic transfusions, and notify the physician and appropriate blood supplier of adverse reactions.
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 as assigned.
Provide specialized nursing-care instruction to hospital or facility staff when contractually stipulated.
Assist at an outpatient facility when needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting the stated qualifications, provide assigned oversight of Patient Care Technicians, LVN/LPNs, and RNs as a designated Nurse in Charge.