Outpatient Registered Nurse - RN

Fresenius Medical Care•Charlotte, NC

16d•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 1) is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient care staff and participating as a member of the End Stage Kidney Disease health care team in decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN works under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities. Clinic hours are 5 a.m. to 5 p.m., Monday through Saturday. The schedule consists of three 11–12-hour shifts on a rotating schedule, with no Sundays.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of certification.
Must meet the practice requirements in the state of employment.
Entry-level RN designation for Registered Nurses with less than two years of nephrology nursing experience.
To be assigned oversight duties as a Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least nine months of RN experience, and at least three months of RN experience in chronic or acute hemodialysis.
Ability to perform direct patient care duties involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and occasional assisted movement of machines and equipment weighing up to 200 pounds and lifting chemical and water solutions weighing up to 30 pounds as high as five feet.
May be exposed to infectious and contagious diseases or materials.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis; documents findings, adjusts treatment plans as indicated, and notifies appropriate clinical personnel or physicians as needed.
Assesses, collaborates on, and documents patients’ and families’ basic 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 under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource for the health care team and participates in staff training and new-staff orientation as assigned.
Ensures laboratory specimens are collected, processed, and shipped correctly; 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.
Completes Clinical Advancement Program requirements to advance.
Performs other duties assigned by the Supervisor.
May provide assigned oversight of Patient Care Technicians, LPNs, LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience requirements.