Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•DuBois, PA

21h•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. The role may be an entry-level designation in the Clinical Advancement Program for eligible new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to decision-making, patient teaching, leadership, and quality improvement to support patient outcomes and facility operations. Duties are performed according to Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN performs essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The role includes providing safe hemodialysis care, educating patients and families, coordinating with care-team members, and supporting employees through leadership and mentoring. The RN must complete CAP requirements to maintain or advance. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. Work includes prolonged standing, bending, desk and computer work, and regular heavy lifting or moving patients, with assistance or equipment when available. The employee may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical or water solutions weighing up to 30 pounds as high as five feet. The work environment has air temperature control and moderate noise, with possible exposure to infectious and contagious diseases or materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current CPR BLS certification or successful completion of CPR BLS Certification.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
To provide assigned oversight as Team Leader or designated Nurse in Charge, successful completion of all FKC education and training requirements for new employees and at least 3 months of chronic/acute hemodialysis experience as an RN.
Ability to perform the physical demands of direct patient care, including frequent prolonged standing, bending, assisting with patient movement and ambulation, and occasional lifting or moving as described in the posting.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatments; documents findings, adjusts treatment plans as indicated, and notifies appropriate clinical personnel or physicians as needed.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient-care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administers prescribed medications or medications in accordance with approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource, leader, coach, mentor, and role model for new and current employees at the facility and area level.
Ensures correct laboratory collection, processing, and shipping procedures and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment-modality options.
Participates in facility- and area-level education and quality-improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Completes CAP requirements to maintain or advance.
Performs other duties assigned by the Supervisor.
May provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as Team Leader or designated Nurse in Charge after completing required new-employee education and training and meeting the minimum chronic/acute hemodialysis experience requirement.