Inpatient Registered Nurse - RN

Inpatient Services RN CAP 1

The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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 include performing all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. This includes performing ongoing, systematic collection and analysis of patient data pre during post treatment for assigned patients and documents in the patient medical record, making adjustments and modifications to treatment plan as indicated and notifying Supervisor, Physician, patient's primary nurse and others as may be indicated. The role also involves assessing, collaborating and documenting patient/family's basic learning needs to provide initial and ongoing education to patients and family. Recognizing aspects and implications of patient status that vary from normal and reporting to or collaborating with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. Directing and providing safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Assessing daily assigned patient care needs and collaborating with direct and ancillary patient care staff as needed. Initiating and coordinating communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. Performing 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. Administering medications as prescribed and documenting appropriate medical justification and effectiveness. Initiating and assisting with emergency response measures. Serving as a resource for health care team, participating in staff training and orientation of new staff as assigned. May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. May be assigned to assist in an Outpatient facility on an as needed basis. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor.

Physical demands and working conditions include providing direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. The 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. 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.

Supervision is assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: successful completion of all FKC education and modality specific training requirements for new employees. Must have a minimum of 9 months experience as a RN. 6 months experience in acute dialysis as a RN.

Education and licensure include graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in all states in which he or she is employed.

Experience and required skills include entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN. Minimum 9 months experience as a Registered Nurse, 12 months (preferred). 6 months acute dialysis experience (preferred). Hemodialysis and/or ICU experience (preferred).

Acknowledgement: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative.

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

This position will be based at a Dubuque hospital. Hours are typically 6:30am-5:00pm. Rotating days/rotating overnight on call. No previous dialysis experience needed, on the job training is provided!