Outpatient Registered Nurse - RN

Fresenius Medical Care•Kaukauna, WI

11d•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for assigned patients. The role may include delegating appropriate tasks to direct patient care staff and participating in decision-making, teaching, leadership, and quality improvement as part of the End Stage Kidney Disease health care team. Comprehensive on-the-job training is provided; dialysis-specific experience is not required. The position provides direct hemodialysis care in a health care facility. Clinic hours are Monday, Wednesday, and Friday from 4 a.m. to 9 p.m., and Tuesday, Thursday, and Saturday from 4 a.m. to 5 p.m. Shifts are 10–12 hours. Every other Saturday is required; Sundays are off, and there is no on-call requirement. The position may require travel to training sites or other facilities and may be asked to provide essential functions at other locations.

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.
Entry-level role for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
Must complete required Fresenius Kidney Care education and training before being assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.
To receive assigned oversight as a Team Leader or designated Nurse in Charge, must have at least 9 months of RN experience and at least 3 months of chronic or acute hemodialysis experience.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing; bending; occasionally moving machines or equipment weighing up to 200 lbs with assistance; and lifting chemical and water solutions weighing up to 30 lbs as high as 5 feet.
Every other Saturday is required.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Provide care under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis; document findings, adjust or modify treatment plans as indicated, and notify the appropriate team member or physician as 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 delivery of safe and effective hemodialysis therapy.
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; 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 CAP requirements to advance.
Perform other duties assigned by the Supervisor.