RN Full-time
Fresenius Medical Care

Acute Inpatient Registered Nurse - RN - Dialysis

$35 - $59 / hour

Locations: Jackson Park, Roseland, South Shore, St. Bernard, Franciscan Health – Olympia Fields, Insight Hospital & Medical Center

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. 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.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations.

· 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 – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated.

· Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.

· 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 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 FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed 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 appropriate blood supplier.

· Administers medications as prescribed and documents appropriate medical justification and effectiveness.

· Initiates and assists with emergency response measures.

· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

· May be asked to 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.

· 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.

· The position provides direct patient care that regularly involves heavy lifting, 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, interaction with patients, facility/hospital staff and physicians.

· The 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.

SUPERVISION:

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

· Successful completion of all FKC education and modality specific training requirements for new employees.

· Must have a minimum of 9 months experience as a RN.

· 6 months experience in acute dialysis as a RN.

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 he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

· Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN

· 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. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative

"The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work 17perience, skills, and competencies.

Hourly Rate: $35 - $59


Benefit 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."
 

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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Registered Nurse-Medical Inpatient Full Time Weekend Days

Description The Registered Nurse Weekend embodies the attributes of the Relationship Based Care model and performs to PPM core functions. Under the direction of the department leadership, consistently reflects the mission, vision, and values of NM, adheres to the State of Illinois Nurse Practice Act, the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsibilities: Relationship to Patient/Family and Community Care Coordination Performs a comprehensive assessment on all assigned patients as evidenced by completed documentation. Communicates changes in patient’s condition promptly. Utilizes appropriate nursing diagnosis and data from the assessment to derive realistic outcomes and documents them as measurable goals on the plan of care; modifies care plan, if indicated, in order to identify realistic patient goals. Identifies and prioritizes patient needs and/or nursing diagnosis for patients and documents. Collaborates with patient, family, and other members of the health care team when planning patient care and documents accordingly. Assesses patients with regard to discharge planning and makes the appropriate referrals as necessary. Evaluates and documents the patient response to nursing interventions and alters the plan of care as necessary. Assesses patients with regard to discharge planning and makes the appropriate referrals as necessary, including palliative care. Assures a completed discharge instructions, medication reconciliation and provide information to patient/family regarding the use of the patient portal and other pertinent resources. Patient Education/Ethic and Diversity Supports patient/family/spiritual/cultural needs when assessing the patient and family needs for teaching; identifies the patient's learning level and readiness, and documents education record. Utilizes the teach back methodology for advancing patient education about medication side effects and new medication education. Utilizes and distributes Krames for patient education /clinical condition. Utilizes culture vision as a resource in care planning and delivery. Treats patients, families and staff in a caring manner with respect and dignity. Acknowledges and values the contributions of patient’s significant others as an integral part of the plan of care. Adheres to ethical standards of practice. Calls for an ethics consult when appropriate. EBP and Research Implements nursing interventions consistent with the established plan of care based on evidenced based care. Maintains and advances the professional image and science of nursing and the practice of professional nursing through use of best available evidence utilizing resources such as Ovid/Joanna Briggs, Up to Date, Culture Vision, and other reliable sources of evidence. Demonstrates active involvement in clinical LADDER project or process improvement at the unit/organization level. Healing Safe Environment Demonstrates safe medication administration through the use of bar coding Promotes and strives to protect the health, safety and rights of the patient Conveys complete, timely, and accurate information at bedside shift report/hand-off Rounds hourly in collaboration with patient care technician Protects patients by maintaining a safe environment of excellence Demonstrates innovation and participation in meeting unit based and organizational quality metrics on the exceptional care dashboard Ensures clinical practice excellence that focuses on preventing pressure ulcers, falls, CAUTI’s and central line infections (as appropriate to area of practice). Participates as a unit safety facilitator or as identified resource for quality initiatives as requested Participates in unit huddles Relationship to Colleagues Shared Leadership Oversees and directs the work of patient care or support techs; maintains overall accountability for the care of assigned patients. Demonstrates effective interpersonal skills in leading and directing others; deals with conflict directly and appropriately. Demonstrates proficiency in the charge nurse/preceptor role when assigned; assumes responsibility for coordinating patient care for the entire unit. Takes the clinical lead when patient’s condition changes and confers with the primary care physician about the appropriate treatment plan or the need to transfer to the appropriate level of care. Serves as a resource and role model for new staff, students, and other system personnel Assists with precepting, unit orientation, and mentoring as requested. Participates in the peer evaluation process by providing feedback to colleagues on a regular basis, and through participation in clinical case peer review. Works collaboratively with all hospital services to responsibly accomplish daily work and maintain an environment of excellence. Identifies barriers to effective clinical practice and communicates to nursing leadership and practice operations council. Resource Utilization Ensures an appropriate level of care order is documented in the EMR for all admissions. Understands and adheres to the charging of supplies. Participates in any value based unit/organizational initiative. Demonstrates a personal commitment to decreasing utilization overtime hours. Use of Technology Assures all electronic and paper documentation is complete. Utilizes the guardrails for the Alaris pump. Understands physiologic monitoring and the implications to drive changes to clinical management of the patient. Utilizes the bed management system Identifies new technologies for unit, hospital or system use. Participates in CEOC activities for the advancement and optimization of the medical record as requested. Relationship to Self Professional Practice Attends internal professional development offerings i.e. Schwartz Rounds, Nursing Grand Rounds. Obtains certification in the nursing specialty of practice. Demonstrates accountability for his/her professional practice-competencies, ELM learning, dress code adherence Participates in professional organization through membership, leadership, or committee work Takes assigned lunch breaks. Qualifications Required: Registered Nursing license issued by the State of Illinois. Bachelors of Science Nursing BLS through American Heart Association Preferred: National Certification in area of specialty Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility (if sign-on bonus offered for position): Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.