Outpatient Registered Nurse - RN

Fresenius Medical Care•Port Orange, FL

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN 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 (ESKD) health care team, the RN participates in decision-making, patient teaching, leadership functions, 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 applicable 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. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities, or work at other locations with similar conditions and demands. The position is an entry-level role for RNs with less than two years of nephrology nursing experience. Chronic or acute hemodialysis experience is preferred. Qualified staff may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or Nurse in Charge after completing required education and training and meeting specified RN and hemodialysis experience requirements.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successfully completed CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level RN designation applies to RNs with less than two years of nephrology nursing experience.
For oversight as a Team Leader or designated Nurse in Charge: complete all Fresenius Kidney Care education and training requirements for new employees, have at least nine months of RN experience, and have at least three months of chronic or acute hemodialysis experience as an RN.
Able to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation, with equipment or coworker assistance as available.
Able to stand for frequent, prolonged periods and bend over.
May need to move, with assistance, machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify the appropriate clinical staff or physician when needed.
Assess 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administer medications as prescribed or 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.
Provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge when eligibility requirements are met.