Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Philadelphia, PA

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 qualifying new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease health care team, the RN contributes to clinical decision-making, patient education, leadership, quality improvement, and facility operations. The position works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Duties must follow Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN provides direct outpatient hemodialysis care, coordinates with patient-care and ancillary staff, supports patient and family education, and may oversee or mentor other employees. The role requires completion of CAP requirements to maintain or advance. Direct patient care involves physical activity and potential exposure to infectious or contagious materials. Work takes place in a health care facility and may include travel to training sites or other facilities, or providing the position’s essential functions at other locations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
To receive assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care that regularly involves 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.
Ability to work in a health care facility environment with moderate noise and possible exposure to infectious or contagious diseases or materials.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess, coordinate, 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 prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensure laboratory specimens are collected, processed, and shipped correctly; 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.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor for new employees.
Complete CAP requirements to maintain or advance in the program.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience conditions.
Perform other duties assigned by the Supervisor.