Outpatient Registered Nurse - RN

Fresenius Medical Care•Mililani, HI

6d•$35 - $60

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). This role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The RN 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 (ESKD) health care team, the RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities to enhance patient care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The RN performs essential functions under the direction of the Supervisor, with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care and may involve oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after completing required training and meeting the stated experience requirements. Work takes place in a health care facility with controlled air temperature and moderate noise levels. The position involves regular heavy lifting, moving and assisting patients with ambulation, frequent and prolonged standing, and bending. The employee may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds as high as five feet. Exposure to infectious and contagious diseases or materials is possible. Daily work includes desk and computer work and interactions 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 work at other locations with the same physical demands and 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 position for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
To provide oversight as a Team Leader or designated Nurse in Charge: complete all FKC 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 the described physical demands, including regular heavy lifting and patient movement, frequent prolonged standing, and bending.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Provide and coordinate clinically competent care, including assessment, planning, intervention, and evaluation for assigned patients.
Perform ongoing, systematic collection and analysis of patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical personnel or physician when 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, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administer medications as prescribed or according to 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 new-staff orientation when assigned.
Ensure proper laboratory collection, processing, and shipping procedures, and 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 CAP requirements to advance.
Perform other duties assigned by the Supervisor.
May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, and RNs as a Team Leader or designated Nurse in Charge after meeting the specified training and experience requirements.