Outpatient Registered Nurse - RN

Fresenius Medical Care•Milwaukee, WI

3d•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. As part of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to clinical decision-making, patient and family education, team leadership, and quality improvement activities that support patient outcomes and facility operations. No dialysis-specific experience is required; comprehensive on-the-job training is provided. The role involves direct outpatient hemodialysis care and is performed under the direction of a Supervisor, with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The schedule consists of 10–12-hour shifts. Clinic hours are Monday, Wednesday, and Friday from 0445 to 2030, and Tuesday, Thursday, and Saturday from 0445 to 1530. Every other Saturday is required; Sundays are off, and there is no on-call requirement. The clinic is located at 7795 W. Appleton Ave., Suite B, Milwaukee, WI 53222. The work environment is a health care facility with controlled air temperature and moderate noise. The position includes direct patient care, desk and computer work, and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations. Direct patient care regularly involves heavy lifting, moving patients, and assisting with ambulation. The job also requires frequent, prolonged standing and bending; occasionally, with assistance, moving machines or equipment weighing up to 200 pounds and lifting chemical or water solutions weighing up to 30 pounds as high as five feet. Exposure to infectious and contagious diseases or materials may occur.

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 practice requirements in the state of employment.
Entry-level role for Registered Nurses with less than two years of nephrology nursing experience.
Must be able to perform the described physical demands, including patient handling, prolonged standing, bending, and occasional lifting or movement of equipment and solutions, with assistance where specified.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.
No dialysis-specific experience is required; comprehensive on-the-job training is provided.

Responsibilities

Perform essential functions 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 Team Leader, Charge Nurse, Supervisor, 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, safe and effective daily hemodialysis therapy for assigned patients.
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 new-staff orientation as assigned.
Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory 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 (CAP) requirements to advance.
Perform other duties assigned by the Supervisor.