Acute Inpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care; Dubuque (IA); On-site; USD 65,000 - 88,000; Full time

Job summary

Fresenius Medical Care is seeking a professional registered nurse for the Inpatient RN CAP 2 role within our Clinical Advancement Program. You will provide comprehensive renal care, assess and plan treatment, and coordinate with the care team across dialysis modalities in a facility setting.

This position emphasizes teaching, leadership and quality improvement activities to enhance patient outcomes. Occasional travel between facilities and on-call requirements are part of the role.

Qualifications

• Current state licensure as a Registered Nurse.
• CPR/BLS Certification current or in progress.
• Must meet practice requirements in all states employed.
• Entry-level RN with 2+ years of nephrology nursing experience in the last 2 years.
• Acute dialysis experience preferred.

Responsibilities

• Provide and coordinate clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients.
• Document patient data in the medical record and adjust treatment plans as needed.
• Educate patients and families about learning needs.
• Direct and supervise patient care staff as assigned by the Supervisor or Charge Nurse.
• Coordinate communication with dialysis providers and facility staff for continuity of care.
• Administer medications and monitor effectiveness; respond to adverse reactions.

Skills

Nephrology nursing experience

Acute dialysis experience

Education

RN licensure

CPR BLS Certification

Job description

PURPOSE AND SCOPE

The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse.
• Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as indicated.
• Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
• Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility/primary Nurse.
• Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.
• Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
• Initiates and coordinates communication with FKC and Non‑FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.
• Performs the implementation, administration, monitoring, and documentation of patient’s response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
• Administers medications as prescribed and documents medical justification and effectiveness.
• Initiates and assists with emergency response measures.
• Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co‑workers, Supervisors and the company at the facility and area level.
• May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually.
• May be assigned to assist in an Outpatient facility on an as needed basis.
• May serve as a Preceptor to new employees.
• Required to complete CAP requirements to maintain or advance.
• Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
• This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.
• May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
• Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
• The position requires travel to training/meeting sites and between assigned facilities.
• Position requires participation in on‑call rotation, night, weekend, holiday or as defined by individual program needs.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

SUPERVISION

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a designated Nurse in Charge, after meeting all the following:

• Successful completion of all FKC education and modality specific training requirements.
• 6 months experience in acute dialysis as a RN.

EDUCATION AND LICENSURE

• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification
• Must meet the practice requirements in all states employed.

EXPERIENCE AND REQUIRED SKILLS

• Entry level for RNs with minimum 2 years or more of Nephrology Nursing experience in the last 2 years as a RN.
• Acute dialysis experience (preferred).

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.