Fresenius Medical Care
Purpose and Scope
The Inpatient RN provides direct patient care in accordance with company policies and procedures, which includes FMCNA compliance programs and the policies of contracted hospitals. Areas of practice are diverse and include hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN partners with the hospital to deliver high‑quality care and to provide a positive patient experience.
Principal Duties and Responsibilities
Under limited supervision, applies considerable knowledge to perform a broad range of tasks, including but not limited to direct patient care in multiple modalities such as 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 for delivering the appropriate treatment technique as prescribed in all modality procedures.
Assesses patients’ responses to treatment, makes appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician, and communicates problems or concerns to the Inpatient Program Manager, physician, hospital primary nurse, and others as indicated.
Delivers safe, effective care in a timely and efficient manner.
Provides organized, concise shift reports for patients on assigned shifts and applies high‑level thinking to balance patient schedules based on labs, MD orders, 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 the physician and blood supplier.
Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate the daily patient care plan to ensure continuity of care.
Initiates and communicates with 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.
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 them 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 troubleshooting when necessary; efficiently utilizes supplies to prevent waste.
Understands, conducts, and documents appropriate Dialysis/Apheresis machine safety tests, equipment calibration, dialysate testing, functional testing, and internal/external disinfection on all water and dialysis machines, and complies with 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.
Reports 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.
Reviews and complies with the Code of Business Conduct and all applicable company policies and procedures, local, state, and federal laws and regulations.
Assists with various projects as assigned by direct supervisor.
Performs other duties as assigned.
Physical Demands and Working Conditions
The physical demands and work environment characteristics described 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 Color‑Blindness test as a condition of employment. Failure to pass the test does not preclude employment; the Company will consider reasonable accommodations.
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.
Potential exposure to infectious material and contagious diseases/material.
The position involves heavy lifting and moving of patients and/or equipment over 200 lbs (with assistance) and may lift chemical and water solutions of up to 30 lbs up to 5 feet.
Supervision
Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians) 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, particularly for inpatient care, including 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 along with required nursing skills.
Minimum six months nephrology experience required before working independently without other Dialysis RNs to provide dialysis and ultrafiltration services.
Minimum six months nephrology experience required before working independently without 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 a training course on 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 commitment to 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.
Drug‑Free Workplace Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.
EEO, Disability/Veterans EOE, disability/veterans
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr
Principal Duties and Responsibilities
Under limited supervision, applies considerable knowledge to perform a broad range of tasks, including but not limited to direct patient care in multiple modalities such as 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 for delivering the appropriate treatment technique as prescribed in all modality procedures.
Assesses patients’ responses to treatment, makes appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician, and communicates problems or concerns to the Inpatient Program Manager, physician, hospital primary nurse, and others as indicated.
Delivers safe, effective care in a timely and efficient manner.
Provides organized, concise shift reports for patients on assigned shifts and applies high‑level thinking to balance patient schedules based on labs, MD orders, 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 the physician and blood supplier.
Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate the daily patient care plan to ensure continuity of care.
Initiates and communicates with 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.
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 them 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 troubleshooting when necessary; efficiently utilizes supplies to prevent waste.
Understands, conducts, and documents appropriate Dialysis/Apheresis machine safety tests, equipment calibration, dialysate testing, functional testing, and internal/external disinfection on all water and dialysis machines, and complies with 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.
Reports 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.
Reviews and complies with the Code of Business Conduct and all applicable company policies and procedures, local, state, and federal laws and regulations.
Assists with various projects as assigned by direct supervisor.
Performs other duties as assigned.
Physical Demands and Working Conditions
The physical demands and work environment characteristics described 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 Color‑Blindness test as a condition of employment. Failure to pass the test does not preclude employment; the Company will consider reasonable accommodations.
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.
Potential exposure to infectious material and contagious diseases/material.
The position involves heavy lifting and moving of patients and/or equipment over 200 lbs (with assistance) and may lift chemical and water solutions of up to 30 lbs up to 5 feet.
Supervision
Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians) 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, particularly for inpatient care, including 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 along with required nursing skills.
Minimum six months nephrology experience required before working independently without other Dialysis RNs to provide dialysis and ultrafiltration services.
Minimum six months nephrology experience required before working independently without 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 a training course on 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 commitment to 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.
Drug‑Free Workplace Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.
EEO, Disability/Veterans EOE, disability/veterans
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr