Acute Inpatient Registered Nurse - RN - Dialysis

Purpose and Scope

The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from CAP 1. 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.

• Perform all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor, or collaboration with another Registered Nurse.
• Perform ongoing systematic collection and analysis of patient data pre‑during‑post treatment for assigned patients and document in the patient medical record, make adjustments or modifications to the treatment plan as indicated and notify Supervisor, Physician, patient’s primary nurse, and others as indicated.
• Assess, collaborate, and document patient/family learning needs to provide initial and ongoing education to patients and family.
• Recognize aspects and implications of patient status that vary from normal and report or collaborate with appropriate health team members for input.
• Direct and provide safe, effective patient care for assigned patients as prescribed for all modality‑specific treatment procedures.
• Assess daily assigned patient care needs and collaborate with direct and ancillary patient care staff as needed.
• Initiate and coordinate communication with FKC and non‑FKC dialysis providers and appropriate contracted facility personnel to provide continuity of patient care.
• Implement, administer, monitor, and document patient’s response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and blood supplier.
• Administer medications as prescribed and document medical justification and effectiveness.
• Initiate and assist with emergency response measures.
• Serve as a resource, 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.
• Provide specialized nursing care instructions to hospital/facility staff as stipulated contractually.
• Assist in an outpatient facility on an as‑needed basis.
• Serve as a preceptor to new employees.
• Complete CAP requirements to maintain or advance.
• Perform all other duties as assigned by Supervisor.

The role requires direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. The position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally need to lift or move machines and equipment of up to 200 lbs, and lift chemical and water solutions of up to 30 lbs as high as 5 feet.

The work environment is 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 locales with similar physical demands and working conditions. 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.

Participation in on‑call rotation, night, weekend, holiday, or as defined by the individual program needs is required. Employees are required to take the Ishihara Color Blindness test as a condition of employment. Failing the test does not preclude employment; reasonable…