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Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Anniston, AL

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. The role may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from CAP 1. As part of the kidney disease health care team, the nurse participates in decision-making, patient and family teaching, leadership, and quality improvement activities that support patient outcomes and program operations. The nurse performs duties under the direction of a Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse. Responsibilities include providing modality-specific treatment and medication administration, monitoring patient responses, documenting care, coordinating with internal and external dialysis providers and facility personnel, and supporting emergency response. The position may include oversight of patient care staff after required training and experience, precepting new employees, and occasional assignment to an outpatient facility. Duties must be performed in accordance with company policy, standards of nursing practice, contractual agreements, and applicable regulations.

Requirements

  • Current appropriate state licensure and ability to meet practice requirements in all states employed.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • At least 2 years of nephrology nursing experience as an RN in the last 2 years.
  • Complete required CAP requirements to maintain or advance.
  • To provide assigned oversight as a designated Nurse in Charge: complete FKC education and modality-specific training requirements and have 6 months of acute dialysis experience as an RN.
  • Ability to perform the physical demands of the role, including frequent prolonged standing, bending, assisting with patient movement and ambulation, and moving equipment or lifting solutions as described.
  • Complete the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Nice To Haves

  • Acute dialysis experience.

Responsibilities

  • Collect, analyze, and document patient data before, during, and after treatment; modify treatment plans as indicated and notify the appropriate Supervisor, Physician, primary nurse, or other team members.
  • Assess patient and family learning needs and provide initial and ongoing education.
  • Recognize patient-status variations from normal and report or collaborate with appropriate health team members.
  • Direct and provide safe, effective care and prescribed modality-specific treatment procedures for assigned patients.
  • Assess daily patient care needs and collaborate with direct and ancillary 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 responses to prescribed intradialytic transfusions, and report adverse reactions to the physician and appropriate blood supplier.
  • 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 employees; may serve as a Preceptor for new employees.
  • Provide specialized nursing care instructions to hospital or facility staff when contractually stipulated.
  • Assist in an outpatient facility as needed.
  • Complete CAP requirements to maintain or advance within the program.
  • May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a designated Nurse in Charge after meeting the stated training and experience requirements.
  • Travel to training or meeting sites and between assigned facilities, and participate in the on-call rotation and schedules that may include nights, weekends, or holidays.
  • Perform other duties assigned by the Supervisor.

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