International Registered Nurse - AMN

Fresenius Medical Care•Abilene, TX

3d•Onsite

About The Position

The Outpatient 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 health care team, the nurse participates in decision-making, patient and family education, leadership, and quality improvement activities to enhance patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations, under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position provides direct patient care involving hemodialysis treatment and collaboration with patient care staff. It may include appropriate delegation and oversight of RNs, LVN/LPNs, and Patient Care Technicians. The role may also include serving as a resource, coach, mentor, role model, or Preceptor. Employees must complete CAP requirements to maintain or advance within the program. The work takes place in a healthcare facility with air temperature control and moderate noise. The role includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. It may require travel to training sites or other facilities, or work at other locations with similar conditions. Direct care regularly involves heavy lifting, moving patients, and assisting with ambulation. The employee frequently stands for prolonged periods and bends, and may need to move equipment weighing up to 200 pounds with assistance or lift chemical and water solutions weighing up to 30 pounds to a height of five feet. Exposure to infectious or contagious diseases or materials may occur. Reasonable accommodations may be made for individuals with disabilities to perform essential functions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Must meet the practice requirements in the state of employment.
Entry-level RNs must have a minimum of 2 years of Nephrology Nursing experience.
To provide assigned oversight as a Team Leader or designated Nurse in Charge, must successfully complete all FKC education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Must be able to perform the described essential physical functions, with reasonable accommodations where applicable.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify the appropriate clinical staff or physician when needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient care staff, safe and effective hemodialysis therapy for assigned patients.
Administer prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensure correct laboratory collection, processing, and shipping procedures; 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.
Perform other duties assigned by the Supervisor.
May provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience conditions.