Outpatient Registered Nurse - RN

Fresenius Medical Care•Huber Heights, OH

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse 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. As a member of the End Stage Kidney Disease health care team, the nurse participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The nurse performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes direct patient care and may involve oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after completing required training and meeting experience requirements. Work takes place in a health care facility with air temperature control and moderate noise levels. Duties involve desk and computer work, interaction with patients and health care personnel, and may require travel to training sites or other facilities. The position includes frequent patient handling and physical activity, and possible exposure to infectious or contagious diseases and materials.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of certification.
  • Meet the practice requirements in the state of employment.
  • Entry-level designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
  • To provide assigned oversight as Team Leader or designated Nurse in Charge: successfully complete all Fresenius Kidney Care education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; assistance from equipment or coworkers may be available.
  • Ability to stand for frequent, prolonged periods and bend over.
  • Ability, occasionally with assistance, to move machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
  • May be required to travel to training sites or other facilities.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify appropriate clinical personnel or a physician as 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 delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administer prescribed medications or medications in accordance with approved algorithms, and document 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 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.
  • Complete Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • After meeting eligibility requirements, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge.
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