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Acute/SNF Registered Nurse
2 months ago
Fresenius Medical Care North America is seeking a highly skilled and dedicated Acute/SNF RN to join our team. As an Inpatient Renal Replacement Therapist, you will provide direct patient care in accordance with company policies and procedures, including FMCNA compliance programs and contracted hospitals' policies and procedures.
Key Responsibilities- Provide direct patient care in multiple modalities, including hemodialysis, peritoneal dialysis, continuous renal replacement therapies, ultrafiltration, and Apheresis.
- Supervise and direct Patient Care Technicians and clerical staff, and provide direction and education to ICU staff for CRRT.
- Assess patients' responses to treatment therapy and make 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.
- Deliver safe, effective care in a timely and efficient manner.
- Give organized, concise shift reports for patients on assigned shifts.
- Apply high-level thinking skills to shift patient schedules to meet the needs of more critical patients due to labs, MD orders, or patient assessment.
- Responsible for the implementation, administration, monitoring, and documentation of patients' responses to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
- Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plans 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.
- Initiates Solution Delivery System, if applicable.
- 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.
- 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).
- 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.
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.
