Inpatient RNs at Fresenius Medical Care perform dialysis treatments on an acute patient population in a hospital setting, including ICU, ER and Med/Surg units. What makes this role truly unique is the level of autonomy you’ll enjoy. Inpatient nurses are specifically accountable for administering and assessing each patient’s treatment plan. And because dialysis is a critical treatment for many hospital procedures and health conditions, you’ll have the opportunity to work with a wide variety of patients. Ideal candidates possess leadership skills and independence needed to make quick decisions in a fast-paced environment. Six months to one year of dialysis experience and some form of critical care nursing experience are also required.
Job DescriptionJob ID R0116420 Available Openings 1
PURPOSE AND SCOPE:
FunctionsaspartofthehemodialysishealthcareteaminprovidingsafeandeffectivedialysistherapyforassignedpatientsinaccordancewithFMCNApolicies,procedures,andtrainingandincompliancewithregulationssetforth by thecorporation,state,andfederalagencies.
- Provides patient care under the direct supervision of Hemodialysis Registered Nurse for assigned patient(s) in the acute setting excluding Intensive Care Units as permitted by state requirements.
- Performs all technical aspects of dialysis procedures for assigned patients as prescribed to administer and monitor treatments in accordance with current treatment plan under the direction of the Hemodialysis RN. Responsible for reporting and documenting all new and unusual incidences, information, complaints, orproblems to theRN.
- Provides treatments for assigned patients as assigned to promote and assist in the maintenance of a safe andclean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP)and Quality Assessment and Performance Improvement (QAI) Activities; including those related topatient satisfaction and actively participates in process improvement activities that enhance the likelihood that patientswillachieve the FMCNA Quality Enhancement Goals(QEP).
- With documented competency and proficiency, the LPN/LVN may set up and prime equipment as directed by the Hemodialysis RN for renal replacement therapies (hemodialysis, continuous renal replacement, and peritoneal dialysis therapies).
- Evaluatesvascular access for patency; obtains necessary pre and post treatmentvital signs and weight; performs vascular access cannulation as defined by the state and reports any difficulties or unusual findings to the Hemodialysis RN.
- Responsible for accurate documentation of information related to the patient treatment. This information is documented appropriately in the individual patient record to include the hospital Electronic Medical System (EMS) and the Acute Care ElectronicSystem (ACES).
- Responsible for reporting any significant information, change in patient condition, or equipment problems to the Hemodialysis RN.
- Responsible for ensuring appropriate safety alarms arebeing used for every treatment.
- Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment recorded in the EMS and ACES.
- Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysateflow rate (QD).
- Collects, labels specimens and ensures timely delivery of laboratory per facility policy.
- Identifies intradialytic problems and provides intervention as prescribed by physician’s order or as directed by Hemodialysis RN.
- Performs and documents any interventions for the patient, documents patients’ response to intervention, andreports any changes or unusual findings to the Hemodialysis RN.
- Evaluates patient’s vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents, discontinues dialysis treatment according to established procedures and reportsany unusual findings to the Hemodialysis RN.
- Evaluates patient prior to termination of venous access – obtains blood pressure prior to termination of venous access; obtains hemostasis and applies appropriate dressings; evaluates the patient prior to discharge and reports any unusual findings to the Hemodialysis RN.
- Performs preand post dialysis evaluation, weight and vital signs with initial identification and reports findings to RN for documentation and any necessary follow up.
- Initiates basic CPR measures in the event of cardiac and/or pulmonary arrest and respond to emergency situations related to dialysis treatment. Responsible for re-enforcing education the patients received by the RN.
- Safely operates dialysisrelated equipment according to the proper procedures.
- Providestrouble shooting when necessary.
- Ensures a clean, safe and sanitary environment in the dialysis facility treatment area.
- Ensures blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
- Operates all emergency equipment effectively and efficiently in accordance to the standard operation procedures.
- Participates in staff meetings as scheduled.
- Participates in staff trainingand orientation of new employees as assigned.
- Acquires information andknowledgein current practice relatedtodialysis principals and technique by participating in scheduled in-service classes.
- Performs additional duties as assigned byProgram Manager.
- Thephysical demands and work environmentcharacteristicsdescribed 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 disabilitiesto perform theessential functions.
- Day to day work includes desk and personal computer work and interaction with patients, facility staff andphysicians.
- This position requires frequent, prolonged periods of standingandtheemployee must beable to bendover.
- The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assistingwith ambulation. Equipment aidsand/or coworkers may provide assistance. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs.,andmay lift chemical andwatersolutions of up to 30 lbs.
- Thework environment is characteristic of a health care facility withair temperature control and moderate noise levels. May be exposed to infectiousandcontagious diseases/materials.
- The position requires travel between assigned locations andvarious locations within the community.
- Travel to meetings may be required.
EXPERIENCEAND REQUIRED SKILLS:
- Minimum of oneyear medical-surgical nursing experience. Six months of hemodialysis experience preferred but not required.
- Successful completion of a training course in theory and practice of hemodialysis.
- Successful completion of CPR Certification.
- Certified Clinical Hemodialysis Certification preferred or obtained within first yearofemployment.
- 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.
- Effective communication skills – both verbal andwritten.
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.
What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.
You have a lot of independence...so the doctors trust you. You have to be able to make decisions on your own.Lesly, Inpatient Services RN
We've got your back.
We fully believe that dedication and passion should be recognized and rewarded. That’s why we offer a competitive compensation and benefits package to all of our employees. Our benefits provide the flexibility, choice and support you need to be at your best as you play a vital part in helping patients live longer, better and healthier lives.
- Healthcare FSA
- Dependent Care FSA
Tuition Assistance and CEU reimbursements ($500/year for full‑time; $350/year for part‑time)
Paid Time Off
Paid Time Off
Flexibility in using PTO for vacation, holiday and personal time. PTO can also be reimbursed for cash for up to 80 hours per year.
The elevated responsibility of Inpatient RNs helps foster confidence and leadership skills, and allows for a more holistic role in the treatment process.
- Adoption Assistance
- Wireless, Automobile and Computer Discounts
- Discount Fitness Program
401(k) Retirement Saving
401(k) Retirement Saving
Competitive vesting schedules and a company match of 50 cents for each dollar you save up to the first 6% of your salary (3% additional) after one year of employment.
We are so glad you are interested in a career with FMCNA! What happens next?
Application & Assessment
First you will need to complete your online application. Some roles may also require an online assessment to be completed.
Then a recruiter will review the applications submitted and select those most aligned with the role to move forward. If selected, The recruiter will contact you to schedule the next step.
Next, you will participate in phone/video interview(s) with our recruiter & leadership team.
The recruiter will provide feedback to you on your interview(s) and update you on any hiring decisions.
Next, the recruiter will extend a formal offer if you are selected for the position.
Lastly, you will accept your offer and complete pre-employment checks and paperwork.
Learn more about working at Fresenius Medical Care at an upcoming hiring event near you.
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