Outpatient Registered Nurse - RN

Fresenius Medical Care•Abilene, TX

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program. This 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 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, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The RN collects and analyzes patient data before, during, and after hemodialysis; documents care and updates treatment plans as indicated; provides patient and family education; administers prescribed medications; supports emergency responses; and contributes to safe daily delivery of hemodialysis therapy. The position involves direct patient care in a health care facility. It regularly includes heavy lifting, moving patients, assisting with ambulation, prolonged standing, and bending. Employees may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases and materials. The workday also includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with the practice requirements of the state of employment.
Current CPR BLS certification or successful completion of CPR BLS certification.
Entry-level RN position for candidates with less than 2 years of nephrology nursing experience as a Registered Nurse.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

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