Dialysis Outpatient Registered Nurse - RN

Fresenius Medical Care•Creve Coeur, MO

8d•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 2) provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The position performs duties under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor and in collaboration with other Registered Nurses. Work must follow Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN provides direct hemodialysis care, monitors patients before, during, and after treatment, administers prescribed medications, and responds to emergencies. The role also involves documenting and updating assessments and care plans, coordinating laboratory collections, supporting patients’ awareness of transplant and treatment options, and contributing to staff development and quality improvement. A minimum of two years of nephrology nursing experience is specified for this RN entry level designation. Evening shift is required.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and ability to meet practice requirements in the state of employment.
Current CPR BLS certification or successful completion of certification.
Minimum of two years of nephrology nursing experience.
To oversee staff as a Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees and have at least three months of chronic or acute hemodialysis experience as an RN.
Complete CAP requirements to maintain or advance.
Able to perform the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation.
Evening shift availability is required.

Responsibilities

Collect, analyze, and document patient data before, during, and after hemodialysis; adjust treatment plans as indicated and notify appropriate clinical staff or physicians as needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Coordinate and provide safe, effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
Administer medications as prescribed or under approved algorithms, documenting medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for employees at the facility and area level.
Ensure laboratory specimens are collected, processed, and shipped correctly; reschedule missed or insufficient collections.
Identify expected outcomes and document and update nursing assessments and care plans in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
May oversee Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after completing required training and meeting the stated experience requirement.
Perform other duties as assigned by the Supervisor.