Acute Inpatient Registered Nurse - RN

Limited on-call shifts available at Beverly Hospital, Melrose Wakefield Hospital, and Salem Hospital.

About the Role

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 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.

No prior RN dialysis experience required; 12 weeks of paid and structured training with an assigned Preceptor and Nurse Educator.

Responsibilities

• Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse.
• Performs ongoing, systematic collection and analysis of patient data pre-, during, and post-treatment for assigned patients and documents in the patient medical record. Makes adjustments or modifications to the treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse, and others as needed.
• Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education.
• Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input, including Supervisor, appropriate physician, and the contracted facility/primary Nurse.
• Directs and provides safe, effective patient care for assigned patients as prescribed for all modality-specific treatment procedures.
• Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
• Initiates and coordinates communication with Fresenius Kidney Care (FKC) and non-FKC dialysis providers and appropriate contracted facility personnel to provide continuity of patient care.
• Performs the implementation, administration, monitoring, and documentation of patient’s response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and blood supplier.
• Administers medications as prescribed and documents medical justification and effectiveness.
• Initiates and assists with emergency response measures.
• Serves as a resource, leader, coach, mentor, and role model for new and incumbent employees by setting examples of appropriate behavior, work habits, and attitudes toward patients, co-workers, Supervisors, and the company at the facility and area level.
• May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually.
• May be assigned to assist in an Outpatient facility on an as-needed basis.
• May serve as a Preceptor to new employees.
• Required to complete CAP requirements to maintain or advance.
• Performs all other duties as assigned by Supervisor.

Requirements

• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet the practice requirements in all states employed.
• Entry-level for RNs with a minimum of 2 years or more of Nephrology Nursing experience in the last 2 years as an RN.
• Acute dialysis experience preferred.

Physical Demands and Working Conditions

• Provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
• Requires frequent, prolonged periods of standing and the ability to bend over.
• May occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
• Work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.
• Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.
• Position requires travel to training/meeting sites and between assigned facilities.
• Position requires participation in on-call rotation, night, weekend, holiday, or as defined by individual program needs.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Failing the test does not preclude employment; the company will consider whether reasonable accommodation can be made.

Supervision

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a designated Nurse in Charge, after meeting all the following:

• Successful completion of all FKC education and modality-specific training requirements.
• 6 months of experience in acute dialysis as an RN.

Pay

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. Hourly Rate: $39 - $65.

Benefits

• Comprehensive benefits package including medical, dental, and vision insurance.
• 401(k) with company match.
• Paid time off.
• Parental leave.