Acute Inpatient Registered Nurse - RN - Dialysis

Purpose and Scope

The professional registered nurse (CAP RN
2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1. The CAP RN 2 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.

As a member of the Kidney Disease health care team, the Inpatient Services CAP RN 2 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

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

• Performs all essential functions under the direction of the Program Manager (PM) and with the guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2,3, 4 or 5 for the first 3 months of employment.
• Required to complete CAP program requirements to either maintain the CAP RN 2 level or advance to CAP RN 3.
• Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated.
• 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 manager, appropriate physician, and acute primary nurse.
• Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
• Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.
• Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care.
• Administers medications as prescribed and in accordance with contractual agreement.
• Ensures nephrology physician orders for assigned patients are received and entered in the Medical Record.
• Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner.
• 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.
• Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures.
• Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians.
• Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.
• Promotes infection control, equipment and environmental safety.
• Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.
• Serves as a leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility and area level. May serve as a Preceptor to new employees.
• As a Preceptor fulfills the following:
• Demonstrates, reinforces, and encourages attitudes and actions which are consistent with FKC Mission and Core Values.
• Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting.
• Seeks opportunities for new employees and communicates progress to Program Manager. Provides feedback about new employee's progress to the PM and the Education Department using evaluation tools and direct communication.
• Completes all…