Outpatient Registered Nurse - RN

Fresenius Medical Care•Grayson, KY

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The role provides and coordinates clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The nurse may delegate appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in clinical decision-making, patient teaching, leadership functions, and quality improvement activities to improve 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. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. The nurse works under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. Oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or Nurse in Charge may be assigned after completing required education and training and meeting the specified RN and hemodialysis experience thresholds.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To receive assigned oversight duties as a Team Leader or Nurse in Charge: successfully complete all FKC education and training requirements for new employees; have at least 9 months of RN experience; and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform the position’s physical demands, including frequent prolonged standing, bending, assisting with patient movement and ambulation, and lifting as described in the posting.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis; document findings, modify treatment plans when indicated, and notify appropriate clinical personnel 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 with direct and ancillary patient care staff.
Administer prescribed medications or medications under approved algorithms, and document 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 laboratory collections.
Identify expected outcomes and collaborate with the Interdisciplinary Team to document and update nursing assessments and plans of care.
Ensure patients are aware of transplant and treatment modality options.
Complete Clinical Advancement Program requirements for advancement.
Perform other duties assigned by the Supervisor.