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Inpatient Services RN CAP 2 - Peninsula Area

Concord , California Job ID 1900011J
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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 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.

  • Level: Experienced/Non-Managerial
  • Travel: Local Travel Required

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Success Profile

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.

  • Compassionate 10
  • Flexible 9
  • Independent 9
  • Quick-thinking 8
  • Patient 8
  • Responsible 7
Traits are on a scale of 0 to 10
  • Consistent
  • Versatile
  • Problem Solver
  • Team Player
  • Problem Solver
  • Communicator
  • Proactive
  • Organized

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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

Rewards

  • Healthcare

    Medical • Dental • Vision Healthcare FSA Dependent Care FSA Short- and Long-term Disability

  • 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.

  • Continuing Education

    RN Tuition Assistance Program Clinical Advancement Program (four practice tiers for RNs to advance your career)

  • 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.

  • Autonomy

    The elevated responsibility of Inpatient RNs helps foster confidence and leadership skills, and allows for a more holistic role in the treatment process.

  • Additional Perks

    Adoption Assistance. Wireless, Automobile and Computer Discounts. Discount Fitness Program

Responsibilities

Job ID 1900011J

Available Openings 1

PURPOSE AND SCOPE:

The professional registered nurse (CAP RN 4) position is a voluntary advancement from CAP RN 3.  The CAP RN 4 is accountable and responsible for the provision and coordination of clinically competent care which includes assessment, planning, intervention and evaluation for an assigned group of patients. 

As a member of the Kidney Disease health care team, the CAP RN 4 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. 


PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care and applicable contractual service policy, procedures, standards of nursing practice, state and federal regulations.

  • Performs all essential functions under the direction of the Program Manager (PM) and with guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2, 3, 4 or 5 for the first 3 months of employment.

  • Required to complete CAP requirements to either maintain the CAP RN 4 level or advance to CAP RN 5. 

  • Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated.

  • 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 manager, appropriate physician, and acute primary nurse.

  • Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.

  • Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.

  • Initiates and coordinates communication with other FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care. 

  • Administers medications as prescribed and in accordance with contractual agreement.

  • Ensures nephrology physician orders for assigned patients are received and entered in the Medical Record.

  • Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner.

  • Performs 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.

  • Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures.

  • Delegates appropriate tasks to direct patient care staff including but not limited to RN’s, LVN/LPNs and Patient Care Technicians.

  • Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.

  • Promotes infection control, equipment and environmental safety.

  • Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.

  • Serves as a leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility and area level.  May serve as a Preceptor to new employees.

  • As a Preceptor fulfills the following:

    • Demonstrates, reinforces, and encourages attitudes and actions which are consistent with FKC Mission and Core Values.

    • Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting.

    • Seeks opportunities for new employees and communicates progress to Program Manager.  Provides feedback about new employee’s progress to the PM and the Education Department using evaluation tools and direct communication.

    • Completes all documentation in a timely manner.

    • Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and PM.

    • Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills.

  • Performs essential functions of a designated Nurse in charge as assigned by the Manager or Charge Nurse

  • Identifies barriers (e.g., psychosocial, financial, cultural, language, and educational) to effective patient treatment or communication and makes/suggests appropriate adaptations.

  • Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies.

  • Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients.  

  • Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee.

  • Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

  • Participates in all required staff meetings as scheduled.

  • May be assigned to assist in an outpatient facility on an as needed basis.    

  • Supports and promotes the FMCNA’s mission, vision, values, and customer service philosophy.

  • Demonstrates leadership at a regional or group level, as observed by nursing and other disciplines of the health care team.

  • Assumes a leadership role in clinical practice, using clinical experience and expertise.

  • Provides education to staff members regarding updates to policy and procedures or updates on medication or therapies as directed by Manager.

  • Serves as a lead or participant for educational or quality improvement projects at the facility, area or regional level as requested or approved by the Manager.

  • Identifies potential conflict situations and facilitates resolution through communication with Manager.

  • Maintains working knowledge of OSHA requirements.

  • May be designated to lead or facilitate meetings as assigned by supervisor.

  • Serves as a consultant to the Inpatient Services CAP RN 1, 2 and 3 levels.

  • Assists the PM/DO in completion of facility or area projects.

  • As Supervising Nurse or designated Nurse in charge ensures shift operations are maintained in a safe, efficient, and effective manner.

  • Works with Program Manager to ensure adequate staffing through daily management of staff scheduling when appropriate as designated Nurse in charge.

  • Incorporates new knowledge and strategies to initiate change in clinical practices through appropriate channels.

  • Assists team members in the design of health information and patient education appropriate to the patients’ development level, learning needs readiness to learn, and cultural values and beliefs.

  • Leads process improvement teams targeting nursing practice innovation.

  • As a Supervising Nurse may assist Manager with staff performance evaluations.

  • May be assigned to assist in an Outpatient facility on an as needed basis.    

  • Performs all other duties as assigned by manager within state, federal and contractual standards.


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.

  • Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis.

  • The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation.  Equipment aids and/or coworkers may provide assistance.  This 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.  The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.  May be exposed to infectious and contagious diseases/materials.

  • Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required.

  • Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs).

  • May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.


SUPERVISION:

  • Assigned oversight of Patient Care Technicians/LPNs as a designated Supervising Nurse, after the following:

    •  Successful completion of all FKC education and modality specific training requirements for new employees plus

    •  Must have a minimum of 9 months experience as an RN plus

    •  6 months experience in dialysis

    •  Achieve and maintain all Inpatient CAP RN 4 level criteria.

EDUCATION:

  • Graduate of an accredited School of Nursing.

  • Bachelor’s Degree in Nursing.

  • Current appropriate state licensure.

  • Must meet the practice requirements in all states in which he or she is employed.


EXPERIENCE AND REQUIRED SKILLS:

  • Minimum of 7 years nephrology nursing experience plus
  • National certification in Nephrology Nursing.
  • Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN.
  • 6 months dialysis experience required to be on-call.
  • Inpatient specific experience (preferred)
  • Resume’ or employee evaluations reflect evidence of leadership within or outside of the nursing profession for example role in community service, role of preceptor, providing instruction, participation in additional duties assigned, additional education, etc.
  • Successful completion of FKC Education and Training requirements for new employees.
  • Successful completion and maintenance of CPR BLS Certification.
  • Meet all conditions of employment including Ishihara’s Color Blindness Test.
  • Successful completion of all annual required education/training/competencies.
  • Successful completion of on-going training and education as assigned or required.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

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