Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Indian Trail, NC

6d•Onsite

About The Position

The Outpatient Registered Nurse CAP 3 is a designation in the Clinical Advancement Program attained through advancement from RN CAP 2. The nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease health care team, the nurse participates in decision-making, teaching, leadership, and quality improvement activities to enhance patient care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and state and federal regulations. The nurse performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a healthcare facility and may require travel to training sites or other facilities, or work at other locations with the same physical demands and working conditions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Minimum of 5 years’ experience in Nephrology Nursing as a registered nurse.
Complete CAP requirements to maintain or advance.
For assigned oversight as a Team Leader or designated Nurse in Charge: at least 3 months of experience in chronic or acute hemodialysis as a registered nurse.
Ability to perform direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing; and bending over.
Ability, occasionally and with assistance, to move machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. to a height of 5 feet.

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 or modify treatment plans as indicated, and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs to 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 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, leader, coach, mentor, and role model for new and incumbent employees at the facility, area, and regional level.
Ensure laboratory specimens are correctly collected, processed, and shipped; 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 as a lead or participant in educational or quality improvement projects at the facility, area, or regional level, as directed or approved by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance within the program.
Perform other duties assigned by the Supervisor.
May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated experience requirement.