Acute Inpatient Dialysis Registered Nurse - RN
Company: Fresenius Medical Care
Location: Simi Valley
Posted on: September 28, 2024
Job Description:
PURPOSE AND SCOPE: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. -PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Under limited supervision, applies considerable knowledge to
perform a broad range of tasks which include but are not limited to
direct patient care in multiple modalities not limited to
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.
- Responsible for direct patient care of assigned patients in the
Inpatient Renal Replacement and Apheresis Services setting and
providing the appropriate treatment technique for assigned patients
as prescribed in all modality procedures, as appropriately defined
- hemodialysis, peritoneal, continuous renal replacement therapies,
ultrafiltration, and Apheresis.
- Assesses patients' responses to treatment therapy making
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. -
- Delivers safe, effective care in a timely an efficient
manner.
- Gives organized, concise shift reports for patients on assigned
shifts. Apply high level thinking skills to shift patient schedules
to meet needs of more critical patients due to labs, MD order, or
patient assessment.
- Responsible for 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. -
- Collaborates and communicates with physicians and other members
of the healthcare team to interpret, adjust, and coordinate daily
patient care plan 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.
- If applicable, initiates Solution Delivery System.
- 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
- 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.
- Other duties as assigned.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.
- 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. -SUPERVISION:
- Provides supervision and direction of Patient Care Technicians
(Certified Clinical Hemodialysis Technicians (CCHT)) and clerical
staff; provides direction and education to ICU staff for
CRRT.EDUCATION:
- 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).
- Must meet the practice requirements in the state in which
employed.
- Certification in Nephrology Nursing, Apheresis Nursing, or both
is highly encouraged.EXPERIENCE AND REQUIRED SKILLS:
- One year RN experience required and required nursing
skills.
- 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.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."The rate of pay for this position will
depend on the successful candidate's work location and
qualifications, including relevant education, work experience,
skills and competencies and may fall outside of the range shown.
-Hourly Rate: - $34.00 - $58.00"
Keywords: Fresenius Medical Care, Simi Valley , Acute Inpatient Dialysis Registered Nurse - RN, Healthcare , Simi Valley, California
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