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Inpatient RNs at Fresenius Medical Care perform dialysis treatments on an acute patient population in a hospital setting, including ICU, ER, Rehab, and Med/Surg units. 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.
Job Responsibility:
Provides direct patient care in multiple modalities including 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
Assesses patients’ responses to treatment therapy making appropriate adjustments and modifications to the treatment plan
Delivers safe, effective care in a timely an efficient manner
Gives organized, concise shift reports
Apply high level thinking skills to shift patient schedules
Responsible for the implementation, administration, monitoring, and documentation of patient’s response to prescribed intradialytic transfusions
Collaborates and communicates with physicians and other members of the healthcare team
Accurately documents all treatment information
Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments
Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate
Performs all required pre-treatment dialysis machine alarm testing
Operates all related equipment appropriately and safely and provides minor trouble shooting
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
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
Requirements:
Current appropriate state licensure
One year RN experience required
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
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
Successful completion of Nurses Technical Training
Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged
Maintains acquired knowledge and remains current in advancements in nephrology
Must meet the practice requirements in the state in which employed
Nice to have:
ICU experience
ACLS CPR Recognition
Certification in Nephrology Nursing, Apheresis Nursing, or both
Leadership skills
Independence
Quick decision-making skills
Organizational and time management skills
Strong assessment skills related to the critically ill patient