Outpatient Registered Nurse - RN

Fresenius Medical Care•Hamilton, OH

14d

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. As part of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The role operates under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and state and federal regulations. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities, or providing essential functions at other locations. Work includes desk and computer work and interaction with patients, facility and hospital staff, and physicians. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Physical demands include regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 pounds; and lifting chemical and water solutions weighing up to 30 pounds as high as five feet. Equipment or coworkers may assist, and reasonable accommodations may be made for individuals with disabilities.

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.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To receive assigned oversight as 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, with assistance or reasonable accommodations where applicable.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the Team Leader, Charge Nurse, Supervisor, 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 in accordance with 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 as assigned.
Ensure correct 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 for assigned patients in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Complete Clinical Advancement Program requirements to advance.
Perform other duties as assigned by the Supervisor.
After meeting the stated training and experience requirements, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge.