Acute Registered Nurse - RN

Purpose & Scope 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. It may include the 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 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 medical record, makes adjustments and modifications to the treatment plan as indicated, and notifies Supervisor, Physician, patient’s primary nurse, and others as appropriate. Assesses, collaborates, and documents patient/family 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 response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Administers medications as prescribed and documents appropriate medical justification and effectiveness. Initiates and assists with emergency response measures. Serves as a resource for the health care team, participates 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 Direct patient care involves heavy lifting, moving of patients, and assisting with ambulation. Requires frequent, prolonged periods of standing; ability to bend over. May occasionally need to move, with assistance, machines and equipment of up to 200 lbs., and lift chemicals and water solutions of up to 30 lbs. as high as 5 feet. Work environment is a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious materials. May be asked to provide essential functions in other locations with similar demands and conditions. Day‑to‑day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians. Requires travel to training/meeting sites and between assigned facilities. Participation in on‑call rotation, night, weekend, holiday or as defined by program needs. Supervision Assigned oversight of Patient Care Technicians, LVN/LPNs, and 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; Minimum of 9 months experience as a RN; 6 months experience in acute dialysis as a RN. Education and Licensure 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 employed. Experience and Required Skills Entry level for RNs with less than 2 years of nephrology nursing experience. Minimum 9 months experience as a Registered Nurse; 12 months preferred. 6 months acute dialysis experience preferred. Hemodialysis and/or ICU experience preferred. Compensation Hourly Rate: $39.00 - $59.00. Benefits This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave. Equal Opportunity Employer Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non‑merit‑based factors. #J-18808-Ljbffr