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Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Dededo, GU
•Onsite

About The Position

The Acute Inpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The RN may delegate appropriate tasks to direct patient-care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the kidney disease health care team, the RN participates in decision-making, teaching, leadership, and quality-improvement activities to enhance patient-care outcomes and program operations. The RN performs essential functions under the direction of the Supervisor, with guidance from an Educator or Preceptor or in collaboration with another RN. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, applicable contractual service agreements, and state and federal regulations. The position may require assisting at an outpatient facility, providing nursing-care instruction to facility staff as contractually stipulated, and traveling between assigned facilities and to training or meeting sites. Participation in an on-call rotation and work at night, on weekends, or on holidays may be required depending on program needs. The work involves direct patient care and regular heavy lifting, moving patients, and assisting with ambulation. Equipment or coworkers may assist. The RN frequently stands for prolonged periods and bends over, and may occasionally move machines and equipment weighing up to 200 pounds with assistance or lift chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment is a health care facility with controlled air temperature and moderate noise; exposure to infectious and contagious diseases or materials is possible. Day-to-day work also includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet practice requirements in all states where employed.
  • Current CPR BLS Certification or successful completion of CPR BLS Certification.
  • Entry-level designation for RNs with less than 2 years of nephrology nursing experience as an RN.
  • At least 9 months of experience as a Registered Nurse; 12 months is preferred.
  • Complete all FKC education and modality-specific training requirements for new employees before qualifying for designated Nurse-in-Charge oversight.
  • At least 6 months of acute dialysis experience is required for designated Nurse-in-Charge oversight; 6 months of acute dialysis experience is listed as preferred in the experience qualifications.
  • Ability to perform the physical demands of the role, including frequent prolonged standing, bending, patient movement and assistance with ambulation, and lifting or moving specified loads, with assistance where indicated.
  • Ability to travel to training or meeting sites and between assigned facilities.
  • Ability to participate in on-call rotation and work nights, weekends, or holidays as program needs require.

Nice To Haves

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

Responsibilities

  • Provide and coordinate clinically competent care, including assessment, planning, intervention, and evaluation, for assigned patients.
  • Delegate appropriate tasks to direct patient-care staff when needed.
  • Collect and analyze patient data systematically before, during, and after treatment; document findings, modify treatment plans as indicated, and notify the Supervisor, Physician, primary nurse, or others as appropriate.
  • Assess and document patients’ and families’ basic learning needs 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.
  • 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 notifying 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 health care team resource and participate in staff training and new-staff orientation as assigned.
  • Provide specialized nursing-care instruction to hospital or facility staff when contractually stipulated.
  • Assist in an outpatient facility as needed.
  • Complete CAP requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • Travel to training or meeting sites and between assigned facilities.
  • Participate in an on-call rotation and work nights, weekends, or holidays when required by program needs.

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