Outpatient Registered Nurse - RN

Fresenius Medical Care•Greensboro, NC

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The nurse may delegate 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, 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 state and federal regulations. The nurse performs essential functions under a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities. The work may involve exposure to infectious or contagious diseases or materials, and may require performing the role’s essential functions at other locations under similar conditions.

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.
Entry-level designation for Registered Nurses with less than two years of nephrology nursing experience as a Registered Nurse.
To provide oversight as a Team Leader or designated Nurse in Charge, must complete all Fresenius Kidney Care education and training requirements for new employees, have at least nine months of RN experience, and have at least three 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; equipment or coworkers may assist.
Ability to stand for frequent, prolonged periods and bend over.
May need to move machines and equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds to a height of five feet.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies the appropriate clinical personnel as needed.
Assesses 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 delivery of safe and effective 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 orientation of new staff as assigned.
Ensures laboratory specimens are correctly collected, processed, and shipped; 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 oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.