Fresenius Medical Care

Operates dialysis facilities and renal care

Acute Registered Nurse - RN

Nursing & Frontline Patient CareUpdated on Nov 5

Full-timeDallas, TX, USANo salary listed

About the Job

Requirements

The candidate must be a graduate of an accredited School of Nursing.
The candidate must hold current appropriate state licensure and meet practice requirements in every state in which they are employed.
The candidate must hold or successfully complete cardiopulmonary resuscitation Basic Life Support certification.
The candidate must have a minimum of nine months of experience as a Registered Nurse.
The candidate must complete six months of acute dialysis experience to meet the stated Nurse in Charge supervision requirement.
The candidate must be able to provide direct patient care involving heavy lifting, moving patients, assisting with ambulation, prolonged standing, bending, and occasional movement of machines or equipment weighing up to 200 pounds.
The candidate must be able to lift chemical and water solutions weighing up to 30 pounds as high as five feet.
The candidate must be able to work in an environment involving potential exposure to infectious and contagious diseases or materials.
The candidate must be able to travel to training and meeting sites and between assigned facilities.
The candidate must participate in on-call rotations and work nights, weekends, holidays, or other schedules determined by program needs.

Responsibilities

The nurse provides and coordinates clinically competent care, including assessment, planning, intervention, and evaluation, for an assigned group of patients.
The nurse delegates appropriate tasks to direct patient-care staff, including registered nurses, licensed vocational or licensed practical nurses, and patient-care technicians.
The nurse participates in decision-making, teaching, leadership functions, and quality-improvement activities that enhance patient outcomes and program operations.
The nurse performs ongoing systematic collection and analysis of patient data before, during, and after treatment, documents findings in the medical record, adjusts treatment plans as indicated, and notifies appropriate clinical personnel.
The nurse assesses, collaborates on, and documents patient and family learning needs and provides initial and ongoing education.
The nurse recognizes abnormal aspects and implications of patient status and reports or collaborates with appropriate health-team members.
The nurse directs and provides safe, effective patient care for assigned patients according to prescribed modality-specific treatment procedures.
The nurse assesses daily assigned patient-care needs and collaborates with direct and ancillary patient-care staff.
The nurse initiates and coordinates communication with dialysis providers and contracted facility personnel to provide continuity of patient care.
The nurse implements, administers, monitors, and documents patient responses to prescribed intradialytic transfusions and reports adverse reactions appropriately.
The nurse administers prescribed medications and documents medical justification and effectiveness.
The nurse initiates and assists with emergency-response measures.
The nurse serves as a resource for the health-care team and participates in staff training and orientation of new staff as assigned.
The nurse may provide specialized nursing-care instruction to hospital or facility staff as contractually stipulated.
The nurse may assist in an outpatient facility as needed.
The nurse completes Clinical Advancement Program requirements to advance.
The nurse performs other duties assigned by the supervisor.

Desired Qualifications

Twelve months of experience as a Registered Nurse is preferred.
Six months of acute dialysis experience is preferred.
Hemodialysis and/or intensive care unit experience is preferred.

PURPOSE AND SCOPE:

The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

· Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.

· Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated.

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

· 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 Supervisor, appropriate physician, and the contracted facility primary Nurse.

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

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

· Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.

· 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.

· Administers medications as prescribed and documents appropriate medical justification and effectiveness.

· Initiates and assists with emergency response measures.

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

· May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.

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

· Required to complete CAP requirements to advance.

· Performs all other duties as assigned by Supervisor.

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.

· The position provides direct patient care that regularly involves heavy lifting, 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.

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

· Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians.

· The position requires travel to training/meeting sites and between assigned facilities.

· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.

SUPERVISION:

Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following:

· Successful completion of all FKC education and modality specific training requirements for new employees.

· Must have a minimum of 9 months experience as a RN.

· 6 months experience in acute dialysis as a RN.

EDUCATION and LICENSURE:

· Graduate of an accredited School of Nursing.

· Current appropriate state licensure.

· Current or successful completion of CPR BLS Certification

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

EXPERIENCE AND REQUIRED SKILLS:

· Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN

· Minimum 9 months experience as a Registered Nurse, 12 months (preferred).

· 6 months acute dialysis experience (preferred)

· Hemodialysis and/or ICU experience (preferred).

ACKNOWLEDGEMENT:

I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

About the Company

Fresenius Medical Care

Operates dialysis facilities and renal care

Fresenius Medical Care North America provides renal care through a network of dialysis facilities and outpatient cardiac and vascular labs that deliver coordinated treatment for chronically ill patients. It also offers specialty pharmacy and laboratory services and manufactures and distributes dialysis equipment, disposables, and renal medicines. The company stands out by being the world’s largest fully integrated renal care provider with an extensive network that covers care delivery, drug and lab services, and product supply. Its goal is to ensure access to comprehensive, high-quality care for people with kidney and other chronic conditions across North America.

Company size: 11-50
Company stage: Late Stage VC
Total funding: $40.2M
Headquarters: Waltham, MA
Founded: 1996

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