Pediatric Hemodialysis Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Louisville, KY

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. 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 to support patient outcomes and program operations. Care is delivered in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, contractual agreements, and applicable state and federal regulations. The nurse performs essential functions under a Supervisor’s direction, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. The position may involve pediatric hemodialysis, and the posting welcomes applicants interested in learning Pediatric HD as well as those with Pediatric HD experience. The role may include oversight of patient-care staff after completion of required training and experience, precepting new employees, and providing specialized nursing-care instructions to hospital or facility staff as contractually stipulated. The nurse may also be assigned to an outpatient facility as needed. The role involves direct patient care in a health care facility and requires travel to training or meeting sites and between assigned facilities. Participation in an on-call rotation and work at night, on weekends, or on holidays may be required according to program needs. The position includes substantial physical demands, including frequent prolonged standing, bending, patient handling, and occasionally moving equipment with assistance.

Requirements

Current appropriate state licensure and ability to meet practice requirements in all states where employed.
Current CPR BLS certification or successful completion of CPR BLS certification.
At least 2 years of Nephrology Nursing experience as an RN within the last 2 years.
Completion of required CAP requirements to maintain or advance.
Ability to take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.
Ability to meet the physical demands of direct patient care, including heavy lifting, moving patients, assisting with ambulation, prolonged standing, and bending.
Ability to participate in an on-call rotation and work nights, weekends, or holidays as program needs require.
Ability to travel to training or meeting sites and between assigned facilities.

Nice To Haves

Acute dialysis experience is preferred.
Pediatric hemodialysis experience, or interest in learning Pediatric HD.

Responsibilities

Collect, analyze, and document patient data before, during, and after treatment; adjust or modify treatment plans as indicated and notify the Supervisor, Physician, primary nurse, and others as appropriate.
Assess patients’ and families’ learning needs, collaborate with them, and provide initial and ongoing education.
Recognize patient status that varies from normal and report or collaborate with 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 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 responses to prescribed intradialytic transfusions, including notifying 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, leader, coach, mentor, and role model for new and incumbent employees.
Provide specialized nursing-care instructions to hospital or facility staff when contractually required.
Assist in an outpatient facility when assigned and serve as a Preceptor to new employees when assigned.
Complete CAP requirements to maintain or advance within the program.
Perform other duties assigned by the Supervisor.