Outpatient Dialysis RN

Fresenius Medical Care•Cookeville, TN

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The registered nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The RN performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. After completing required education and training and meeting the specified experience requirements, the RN may be assigned oversight of other patient care staff as a Team Leader or designated Nurse in Charge. The role involves direct patient care in a health care facility and may include travel to training sites or other facilities. Work includes frequent and prolonged standing, bending, moving or assisting patients, and occasional movement of equipment or lifting of chemical and water solutions. The employee may be exposed to infectious or contagious diseases and materials.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successful completion of CPR BLS Certification.
  • Must meet practice requirements in the state of employment.
  • Entry-level position for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis; document findings, adjust or modify treatment plans as indicated, and notify appropriate clinical staff or physicians as 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, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administer prescribed medications or medications in accordance with approved algorithms, documenting medical justification and effectiveness.
  • Initiate or assist with emergency response measures.
  • Serve as a resource for the health care team and participate in staff training and orientation of new staff as assigned.
  • Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient collections.
  • Identify expected outcomes and document and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensure patients are aware of transplant and treatment modality options.
  • Complete Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
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