Acute Inpatient Registered Nurse RN

Location : Boston Medical Center\n

• Americas Most Loved Workplaces by Newsweek\n
• 70000 dedicated employees 200000 patients 2600 dialysis centers 350 research sites across North America\n
• Largest provider of renal care products and services in the nation including state-of-the-art dialysis machines dialyzers and pharmaceuticals and we are home to the countrys largest renal specialty laboratories\n
• Up to $4400 tuition reimbursement per calendar year\n\nPURPOSE AND SCOPE : \n\nThe registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 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.\n\nAs a member of the Kidney Disease health care team the CAP RN 1 participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and program operations.\n\nPRINCIPAL DUTIES AND RESPONSIBILITIES : \n\nAll 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.\n\nPerforms all essential functions under the direction of the Program Manager (PM) and with guidance from the Educator Preceptor or an Inpatient Services CAP RN 2 3 4 or 5 for the first 6 months of employment.\n\nExpected to complete requirements to advance to the next Inpatient CAP level for which they qualify within 24 months from date of hire.\n\nPerforms 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 patients primary nurse and others as may be indicated.\n\nRecognizes 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.\n\nAssesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.\n\nDirects and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.\n\nInitiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care.\n\nAdministers medications as prescribed and in accordance with contractual agreement.\n\nEnsures nephrology physician orders for assigned patients are received and entered in the Medical Record.\n\nEnters all treatment data into the designated medical record thoroughly accurately and in a timely manner.\n\nPerforms the implementation administration monitoring and documentation of patients response to prescribed intradialytic transfusions including appropriate notification of adverse reactions to physician and appropriate blood supplier.\n\nEnsures familiarity with company inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures.\n\nDelegates appropriate tasks to direct patient care staff including but not limited to LVN / LPNs and Patient Care Technicians.\n\nMonitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.\n\nPromotes infection control equipment and environmental safety.\n\nAssesses collaborates and documents patient / familys basic learning needs to provide initial and ongoing education to patients and family.\n\nInstructs hospital / facility staff on aspects of specialized care related to renal replacement and apheresis therapies.\n\nCollaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients.\n\nInitiates documents and completes ongoing QAI activities including monthly reports as directed by manager or designee.\n\nServes as a resource for health care team participates in staff training and orientation of new staff as assigned.\n\nParticipates in all required staff meetings as scheduled.\n\nMay be assigned to assist in an Outpatient facility on an as needed basis.\n\nSupports and promotes the FMCNAs mission vision values and customer service philosophy.\n\nPerforms all other duties as assigned by manager within state federal and contractual standards.\n\nPHYSICAL DEMANDS AND WORKING CONDITIONS : \n\nThe physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.\n\nAreas of practice are diverse including but not limited to the fields of hemodialysis peritoneal dialysis continuous renal replacement therapies and apheresis.\n\nThe position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and / or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee 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. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases / materials.\n\nMay be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.\n\nDay to day work includes desk work computer work and interaction with patients facility / hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required.\n\nPosition requires participation in on-call rotation. (Night Weekend or as defined by individual program needs).\n\nSUPERVISION : \n\nAssigned oversight of Patient Care Technicians / LPNs as a designated Nurse in charge after the following : \n\nSuccessful completion of all FKC education and modality specific training requirements for new employees plus\n\nMust have a minimum of 9 months experience as an RN plus\n\n6 months experience in dialysis\n\nEDUCATION : \n\nGraduate of an accredited School of Nursing.\n\nCurrent appropriate state licensure.\n\nMust meet the practice requirements in all states in which he or she is employed.\n\nEXPERIENCE AND REQUIRED SKILLS : \n
• Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years.\n
• Minimum of 9 months experience as a Registered Nurse (preferred).\n
• Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN\n
• 6 months dialysis experience required to be on-call.\n
• Hemodialysis and / or ICU experience (preferred).\n
• Successful completion of FKC Education and Training requirements for new employees.\n
• Successful completion and maintenance of CPR BLS Certification.\n
• Meet all conditions of employment including Ishiharas Color Blindness Test.\n
• Successful completion of all annual required education / training / competencies.\n
• Successful completion of on-going training and education as assigned or required\n\nEO / AA Employer : Minorities / Females / Veterans / Disability / Sexual Orientation / Gender Identity\n\nThe rate of pay for this position will depend on the successful candidates work location and qualifications including relevant education work experience skills and competencies.\n\nHourly Rate : $35.00 - $59.00\n\nNon-Bonus Eligible Positions : include language below.\n\n31Benefit Overview : This position offers a comprehensive benefits package including medical dental and vision insurance a 401(k) with company match paid time off parental leave.\n\nBonus Eligible Positions include language below.\n\nBenefit Overview : This position offers a comprehensive benefits package including medical dental and vision insurance a 401(k) with company match paid time off parental leave and potential for performance-based bonuses depending on company and individual performance.\n\nFresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.\n\nEOE disability / veterans\n\nKey Skills\n\nEMR Systems,Hospital Experience,Acute Care,ICU Experience,Hospice Care,Workers' Compensation Law,Home Care,Nursing,Catheterization,Critical Care Experience,Medication Administration,Tube Feeding\n\nEmployment Type : Full-Time\n\nExperience : years\n\nVacancy : 1\n\nMonthly Salary Salary : 35 - 59