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Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Nashville, TN
•Onsite

About The Position

The professional registered nurse Inpatient RN CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for eligible new employees or may be attained through advancement from CAP 1. As a member of the kidney disease health care team, the nurse participates in decision-making, patient and family education, leadership, and quality improvement activities to enhance 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 are carried out in accordance with Fresenius Kidney Care policies, nursing practice standards, contractual service agreements, and applicable state and federal regulations. The position may include assigned oversight of patient care staff after required education, training, and experience are completed. The nurse may also provide care at an outpatient facility as needed and may travel between assigned facilities or to training and meeting sites. The role involves direct patient care in a health care facility and requires participation in an on-call rotation, including night, weekend, or holiday coverage as required by program needs. Employees must take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation will be considered.

Requirements

  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of certification requirements.
  • Must meet practice requirements in all states where employed.
  • At least 2 years of nephrology nursing experience as an RN within the last 2 years.
  • Must complete FKC education and modality-specific training requirements before assigned oversight of patient care technicians, LPNs/LVNs, or RNs as Nurse in Charge.
  • Six months of acute dialysis experience as an RN is required for assigned Nurse in Charge oversight.
  • Ability to perform the physical demands of the role, including frequent prolonged standing, bending, assisting with patient movement and ambulation, and lifting or moving specified loads with assistance as applicable.
  • Ability to participate in an on-call rotation, including nights, weekends, or holidays as required by program needs.
  • Ability to travel to training and meeting sites and between assigned facilities.

Nice To Haves

  • Acute dialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after treatment; document findings in the medical record and adjust treatment plans as indicated, notifying appropriate personnel.
  • Assess and document patient and family learning needs and provide initial and ongoing education.
  • Recognize patient conditions that vary 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.
  • 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, 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 stipulated contractually.
  • Assist at an outpatient facility as needed.
  • Serve as a Preceptor to new employees when assigned.
  • Complete CAP requirements to maintain or advance.
  • Perform other duties as assigned by the Supervisor.

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