Outpatient Registered Nurse - RN

Fresenius Medical Care•Pensacola, FL

21h

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN 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 such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease health care team, the RN 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 RN works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position includes direct hemodialysis patient care, patient and family education, medication administration, emergency response, laboratory handling, care planning, and participation in staff training and orientation. The RN must complete CAP requirements to advance. The role involves direct patient care and regular heavy lifting, moving patients, and assisting with ambulation. Work includes prolonged standing, bending, desk and computer work, and interaction with patients, facility or hospital staff, and physicians. The employee may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. The work environment is a health care facility with air temperature control and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations under the same 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.
For assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge: successfully complete all FKC education and training requirements for new employees.
For assigned oversight as Team Leader or Nurse in Charge: have at least 9 months of RN experience and at least 3 months of chronic or acute hemodialysis experience as an RN.
Entry-level designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
Be able to perform the described physical functions, including regular heavy lifting, moving patients, assisting with ambulation, prolonged standing, and bending; reasonable accommodations may be made.

Nice To Haves

Chronic or acute hemodialysis experience.

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 systematically before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical staff or 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 direct and ancillary patient-care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications under 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 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 CAP requirements to advance.
Perform other duties assigned by the Supervisor.