Outpatient Registered Nurse - RN

Fresenius Medical Care•Siler City, NC

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease health care team in decision-making, teaching, leadership, 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 the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role provides direct hemodialysis patient care and includes patient and family education, coordination with the Interdisciplinary Team, and support for safe facility operations. The position may require travel to training sites or other facilities and may involve providing the role’s essential functions at other locations.

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 RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To receive assigned oversight responsibilities, must complete all Fresenius Kidney Care education and training requirements for new employees.
  • To receive assigned oversight responsibilities, must have at least 9 months of experience as an RN.
  • To receive assigned oversight responsibilities, must have at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to meet the physical demands described, including frequent prolonged standing, bending, and assisting with patient lifting, movement, and ambulation; equipment or coworkers may provide assistance.
  • May occasionally need to move machines or equipment weighing up to 200 lbs. with assistance and lift chemical or water solutions weighing up to 30 lbs. as high as 5 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, modifies treatment plans as indicated, and notifies the appropriate clinical lead or physician as needed.
  • Assesses and documents patient and family learning needs 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, documenting medical justification and effectiveness as appropriate.
  • Initiates or assists with emergency response measures.
  • Serves as a health care team resource 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 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 oversee Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated training and experience prerequisites.
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