Acute Inpatient Registered Nurse - RN - Dialysis

Purpose and Scope

The professional registered nurse Inpatient Services RN CAP 1 is an entry‑level designation into the Clinical Advancement Program (CAP). 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. The role may delegate 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, the RN participates in decision‑making, teaching, leadership functions, and quality‑improvement activities that enhance patient‑care outcomes and program operations.

Principal Duties and Responsibilities

• Perform all duties in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, contractual service agreements, and applicable state and federal regulations.
• Carry out essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse.
• Collect, analyze, and document patient data pre‑, during‑, and post‑treatment; adjust the treatment plan as indicated and notify the Supervisor, physician, patient’s primary nurse, and other relevant parties.
• Assess, collaborate with, and document patient/family learning needs; provide initial and ongoing education to patients and families.
• Recognize abnormal patient status, report findings, and collaborate with appropriate health‑team members (e.g., Supervisor, physician, contracted facility primary nurse).
• Direct and provide safe, effective patient care for assigned patients for all modality‑specific treatment procedures.
• Assess daily patient‑care needs and coordinate with direct and ancillary patient‑care staff as needed.
• Initiate and coordinate communication with FKC and non‑FKC dialysis providers and contracted facility personnel to ensure continuity of patient care.
• Implement, administer, monitor, and document patient response to prescribed intradialytic transfusions; notify physician and blood supplier of any adverse reactions.
• Administer medications as prescribed and document medical justification and effectiveness.
• Initiate and assist with emergency response measures.
• Serve as a resource for the health‑care team; participate in staff training and orientation of new staff as assigned.
• Provide specialized nursing‑care instruction to hospital/facility staff as stipulated contractually.
• May be assigned to assist in an outpatient facility on an as‑needed basis.
• Required to complete CAP requirements to advance.
• Perform all other duties as assigned by the Supervisor.

Physical Demands and Working Conditions

The position involves direct patient care that regularly requires heavy lifting, moving patients, and assisting with ambulation. Employees may use equipment aids or receive assistance from coworkers. Frequent, prolonged periods of standing and bending are required. Occasionally, the employee may need to move, with assistance, machines and equipment up to 200 lb and lift chemical or water solutions up to 30 lb as high as 5 ft. The work environment is a health‑care facility with temperature control and moderate noise levels; exposure to infectious and contagious materials is possible. The role may require travel to training/meeting sites and between assigned facilities, as well as participation in on‑call rotations, nights, weekends, or holidays as defined by program needs.

Supervision

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

• Successful completion of all FKC education and modality‑specific training requirements for new employees.
• Minimum of 9 months experience as a Registered Nurse.
• Minimum of 6 months experience in acute dialysis as a Registered Nurse.

Education and Licensure

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet the practice requirements in all states in which the employee is employed.

Experience and Required Skills

• Entry‑level for RNs with less than 2 years of nephrology nursing experience.
• Minimum 9 months experience as a Registered Nurse (12 months preferred).
• 6 months acute dialysis experience (preferred).
• Hemodialysis and/or ICU experience (preferred).

Acknowledgement

I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. I also understand that the duties and responsibilities listed are illustrative and not exhaustive; additional related tasks may be assigned as needed.