Acute Inpatient Registered Nurse - RN

Overview

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance with company policies and procedures, including 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 partners with the hospital to provide quality care and a positive patient experience.

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance with company policies and procedures, including 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.

• Under limited supervision, applies considerable knowledge to perform a broad range of tasks including direct patient care in multiple modalities (hemodialysis, peritoneal dialysis, ultrafiltration, CRRT, 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 modality procedures (hemodialysis, peritoneal, CRRT, ultrafiltration, apheresis).
• Assesses patients’ responses to treatment therapy and makes appropriate adjustments to the treatment plan; communicates 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 and efficient manner.
• Provides organized, concise shift reports and applies high-level thinking to adjust patient schedules to meet needs of more critical patients due to labs, orders, or assessments.
• Responsible for the implementation, administration, monitoring, and documentation of patient responses to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and blood supplier.
• Collaborates and communicates with physicians and other healthcare team members to interpret, adjust, and coordinate 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 patient record (ACES) and hospital record, as needed.
• Cleans and disinfects dialysis machine surfaces, chairs, equipment, and surrounding areas between treatments per 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 related equipment safely and appropriately; troubleshoots as needed and uses supplies efficiently to prevent waste.
• Conducts and documents dialysis/apheresis machine safety tests, alarm tests, calibration, dialysate testing, and disinfection per policy.
• Completes ongoing participation in QAI activities and participates in staff meetings and training as scheduled.
• Acts as a subject matter expert to hospital staff for dialysis-related patient/equipment complications.
• Reports all new or unusual incidents to the inpatient manager and other parties per Adverse Event Report requirements. May be assigned to in-center patient care as needed.
• Reviews and complies with Code of Business Conduct and all applicable company policies, procedures, and laws.
• Assists with various projects as assigned by direct supervisor.
• Other duties as assigned.

• Reasonable accommodations may be made to enable individuals with disabilities to perform…