Inpatient Registered Nurse - RN - PRN
Company: Fresenius Medical Care
Location: Florissant
Posted on: April 25, 2024
Job Description:
POSITION FEATURES:
Hospitals Included:BJC- Barnes St PetersBJC- Barnes West
CountyProgress West - - -
PURPOSE AND SCOPE: PRN POSITIONThe professional registered nurse 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. PRINCIPAL
DUTIES AND RESPONSIBILITIES: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 and 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 documentation in a timely manner.
- Maintains direct supervision of the new employee until the
employee is released to work independently by the Education
Department and PM.
- Encourages the new employee to function independently within
the constraints of the training schedule and supplies positive
feedback as well as suggestions to improve knowledge and
skills.
- Performs essential functions of a Supervising Nurse as assigned
by the Manager or Charge Nurse.
- Instructs hospital/facility staff on aspects of specialized
care related to renal replacement and apheresis therapies.
- Collaborates with the interdisciplinary team to update the
nursing assessment and plan of care for assigned patients.
- Initiates, documents, and completes ongoing QAI activities
including monthly reports as directed by manager or designee.
- Serves as a resource for health care team, participates in
staff training and orientation of new staff as assigned.
- Participates in all required staff meetings as scheduled.
- May be assigned to assist in an Outpatient facility on an as
needed basis. - - - - - - -
- Supports and promotes the FMCNA's mission, vision, values, and
customer service philosophy.
- Provides education to staff members regarding updates to policy
and procedures as directed by Manager.
- Participates in education and quality improvement projects at
the facility and area level as directed by Manager.
- Performs all other duties as assigned by Supervisor.PHYSICAL
DEMANDS AND WORKING CONDITIONS:
- The 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.
- Areas of practice are diverse, including, but not limited to,
the fields of hemodialysis, peritoneal dialysis, continuous renal
replacement therapies, and apheresis.
- The 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.
- May be asked to provide essential functions of this position in
other locations with the same physical demands and working
conditions as described above.
- Day 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.
- Position requires participation in on-call rotation. (Night,
Weekend or as defined by individual program needs).SUPERVISION:
- Assigned oversight of Patient Care Technicians/LPNs as a
designated Supervising Nurse, after the following:
- -Successful completion of all FKC education and modality
specific training requirements for new employees plus
- -Must have a minimum of 9 months experience as an RN plus
- 6 months experience in dialysis
- Achieve and maintain all CAP RN 2 level criteria.EDUCATION:
- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Must meet the practice requirements in all states in which he
or she is employed. -EXPERIENCE AND REQUIRED SKILLS:
- Entry level for RNs with 2 years or more of nephrology nursing
experience within the last two years or BSN plus 1 year of
nephrology nursing experience within the last two years.
- Minimum 6 months nephrology experience required before working
independently without a qualified dialysis RN.
- 6 months dialysis experience required to be on-call.
- Inpatient specific experience (preferred).
- Successful completion of FKC Education and Training
requirements for new employees.
- Successful completion and maintenance of CPR BLS
Certification.
- Meet all conditions of employment including Ishihara's Color
Blindness Test.
- Successful completion of all annual required
education/training/competencies.
- Successful completion of on-going training and education as
assigned or required. -EO/AA Employer:
Minorities/Females/Veterans/Disability/Sexual Orientation/Gender
IdentityFresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state
laws.
Keywords: Fresenius Medical Care, Saint Charles , Inpatient Registered Nurse - RN - PRN, Healthcare , Florissant, Missouri
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