Acute Inpatient Dialysis Registered Nurse - RN - Fresenius Medical Care
Company: Fresenius Medical Care
Location: Kansas City
Posted on: April 24, 2024
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Job Description:
PURPOSE AND SCOPE: The Inpatient RN provides direct patient care
in accordance to company policies and procedures which includes
FMCNA compliance programs and contracted hospitals' policies and
procedures. Areas of practice are diverse, including, but not
limited to, hemodialysis, peritoneal dialysis, continuous renal
replacement therapies, apheresis, and ultrafiltration. The
Inpatient RN will partner with the hospital to provide quality care
to the patient and deliver care that provides a positive patient
experience. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under limited
supervision, applies considerable knowledge to perform a broad
range of tasks which include but are not limited to direct patient
care in multiple modalities not limited to hemodialysis, peritoneal
dialysis, ultrafiltration, continuous renal replacement therapy,
and Apheresis. Provides supervision and direction of Patient Care
Technicians and clerical staff; provides direction and education to
ICU staff for CRRT. Responsible for direct patient care of assigned
patients in the Inpatient Renal Replacement and Apheresis Services
setting and providing the appropriate treatment technique for
assigned patients as prescribed in all modality procedures, as
appropriately defined - hemodialysis, peritoneal, continuous renal
replacement therapies, ultrafiltration, and Apheresis. Assesses
patients' responses to treatment therapy making appropriate
adjustments and modifications to the treatment plan as indicated by
the appropriately credentialed physician. Communicate problems or
concerns to the Inpatient Program Manager, appropriately
credentialed physician, patient hospital primary nurse and others
as indicated. Delivers safe, effective care in a timely an
efficient manner. Gives organized, concise shift reports for
patients on assigned shifts. Apply high level thinking skills to
shift patient schedules to meet needs of more critical patients due
to labs, MD order, or patient assessment. Responsible for 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. Collaborates and
communicates with physicians and other members of the healthcare
team to interpret, adjust, and coordinate daily patient care plan
to ensure continuity of care. Initiates and communicates to FMS
facility nursing staff and appropriate hospital personnel as
needed. Accurately documents all treatment information in the
individual patient record (ACES) and the hospital record, as
needed. Cleans and disinfects dialysis machine surface, chair,
equipment, and surrounding areas between treatments according to
inpatient renal services policies and procedures. Conducts all
tasks necessary for preparation for dialysis treatment and
documents where appropriate. Performs all required pre-treatment
dialysis machine alarm testing. If applicable, initiates Solution
Delivery System. Operates all related equipment appropriately and
safely and provides minor trouble shooting when necessary;
efficiently utilizes supplies to prevent waste. Understands,
conducts, and documents appropriately Dialysis/Apheresis machine
safety tests/alarm tests, equipment calibration, dialysate testing,
machine safety tests, functional testing, and internal and external
disinfection on all water & dialysis machines, and complies with
the documentation/notification standards per FMS policies.
Completes and documents ongoing participation in QAI activities.
Participates in staff meetings as scheduled. Participates in staff
training and orientation as assigned. Acts as a subject matter
expert to hospital staff for dialysis related patient/equipment
complications. Responsible for reporting all new or unusual
incidents, information, complaints, or problems to the inpatient
manager and other parties per the Adverse Event Report
requirements. May be assigned to in-center patient care on an as
needed basis Review and comply with the Code of Business Conduct
and all applicable company policies and procedures, local, state
and federal laws and regulations. Assist with various projects as
assigned by direct supervisor. Other duties as assigned. 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. 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 accommodations can be
made. Direct patient care, interaction with patients, outpatient
clinicians, hospital staff, and physicians. The position requires
travel between assigned hospitals and facilities; as well as travel
to regional meetings/educational events. Position requires on call
rotation including night, day, weekend, and holidays. There is
potential for exposure to potentially infectious material and
contagious diseases/material. Position provides direct patient care
which regularly involves heavy lifting, moving of patient and/or
equipment > 200lbs (with assistance); and may lift chemical and
water solutions of up to 30lbs up as high as 5 feet. SUPERVISION:
Provides supervision and direction of Patient Care Technicians
(Certified Clinical Hemodialysis Technicians (CCHT)) and clerical
staff; provides direction and education to ICU staff for CRRT.
EDUCATION: Graduate of an accredited School of Nursing. Current
appropriate state licensure. Maintains acquired knowledge and
remains current in advancements in nephrology, in particular,
relative to inpatient care (hospitalized patients requiring varied
treatment modalities, not limited to Renal Replacement, Apheresis,
and Ultrafiltration services). Must meet the practice requirements
in the state in which employed. Certification in Nephrology
Nursing, Apheresis Nursing, or both is highly encouraged.
EXPERIENCE AND REQUIRED SKILLS: One year RN experience required and
required nursing skills. Minimum 6 months nephrology experience
required before working independently with no other Dialysis RNs to
provide dialysis and ultrafiltration services. Minimum 6 months
Nephrology experience required before working independently with no
other Apheresis RNs to provide Apheresis services. Demonstrated
strong assessment skills related to the critically ill patient. ICU
experience preferred but not required. Successful completion of
training course in the theory and practice of care of the ESRD
patient - Progressive Renal Education Preparation. BLS CPR
Recognition. ACLS CPR Recognition preferred, but not required.
Demonstrates organizational and time management skills, and a
competency toward completing continuing and ongoing
Renal/Nephrology education. Displays leadership skills and ability
to direct and supervise others (such as PCTs, CCHTs, clerical
staff). Successful completion of Nurses Technical Training. EO/AA
Employer: Minorities/Females/Veterans/Disability/Sexual
Orientation/Gender Identity Fresenius Medical Care North America
maintains a drug-free workplace in accordance with applicable
federal and state laws.
Keywords: Fresenius Medical Care, Saint Joseph , Acute Inpatient Dialysis Registered Nurse - RN - Fresenius Medical Care, Healthcare , Kansas City, Missouri
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