Outpatient Registered Nurse - RN

Fresenius Medical Care•Glasgow, KY

About The Position

The Outpatient Registered Nurse (RN) 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, 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, teaching, leadership functions, and quality improvement activities to improve 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 RN performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. Assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or Nurse in Charge is available after completion of required FKC education and training, at least nine months of RN experience, and at least three months of chronic or acute hemodialysis experience as an RN. The role provides direct patient care in a health care facility and may require travel to training sites or other facilities. The employee may also be asked to perform essential functions at other locations with the same physical demands and working conditions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry-level RN designation for candidates with less than two years of nephrology nursing experience as a Registered Nurse.
To qualify for assigned oversight as a Team Leader or Nurse in Charge: complete all FKC 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 that regularly involves heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may provide assistance.
Must be able to stand for frequent, prolonged periods and bend over.
May need to move, with assistance, machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as 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 or physician as needed.
Assesses, collaborates on, and documents the basic learning needs of patients and families, and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of 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 correct laboratory collection, processing, and shipping procedures, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care for assigned patients 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 Nurse in Charge after meeting the specified training and experience requirements.