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Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Las Cruces, NM
•Onsite

About The Position

The Inpatient Services Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse 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 RNs, LVN/LPNs, and Patient Care Technicians. As part of the kidney disease health care team, the nurse participates in decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. The nurse performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, applicable service agreements, and state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. The position provides direct patient care in a healthcare facility and may require work at other assigned locations, including occasional assistance in an outpatient facility. The role includes participation in an on-call rotation and may involve nights, weekends, and holidays according to program needs.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet practice requirements in all states of employment.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • At least 9 months of experience as a Registered Nurse.
  • Entry-level designation for RNs with less than 2 years of nephrology nursing experience as an RN.
  • Ability to perform direct patient care involving heavy lifting, moving patients, and assisting with ambulation, with equipment or coworker assistance as needed.
  • Ability to stand for frequent, prolonged periods and bend over.
  • Ability to move, with assistance, machines and equipment weighing up to 200 lbs. and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
  • Ability to travel to training or meeting sites and between assigned facilities.
  • Availability to participate in an on-call rotation and work nights, weekends, or holidays as program needs require.

Nice To Haves

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

Responsibilities

  • Collect, analyze, and document patient data before, during, and after treatment; modify treatment plans as indicated and notify the Supervisor, physician, primary nurse, and others as appropriate.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Recognize and report patient status changes or collaborate with appropriate members of the health care team.
  • 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 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, including reporting adverse reactions to the physician and appropriate blood supplier.
  • Administer prescribed medications and document medical justification and effectiveness as appropriate.
  • Initiate and assist with emergency response measures.
  • Serve as a resource for the health care team and participate in staff training and new staff orientation as assigned.
  • Provide specialized nursing care instruction to hospital or facility staff when assigned under contractual requirements.
  • Assist in an outpatient facility when needed.
  • Complete Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • May oversee Patient Care Technicians, LVN/LPNs, and RNs as a designated Nurse in Charge after meeting the stated education, training, and experience conditions.

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