Outpatient Registered Nurse - RN

Fresenius Medical Care•Noblesville, IN

3d•Onsite

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 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 a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role involves direct patient care in a health care facility and may require travel to training sites or other facilities. The RN may also be asked to perform the position’s essential functions at other locations with the same physical demands and working conditions. The position regularly involves heavy lifting, moving patients, and assisting with ambulation, with equipment or coworker assistance available. It requires frequent, prolonged standing and bending. The employee may occasionally move machines and equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases and materials. Daily work also includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws and is an equal opportunity employer that does not discriminate on the listed protected or other non-merit-based factors.

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 for RNs with less than two years of nephrology nursing experience as a Registered Nurse.
To provide assigned oversight as a Team Leader or designated Nurse in Charge: successfully 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 the position’s physical demands, including frequent prolonged standing and bending; heavy lifting, moving patients, and assisting with ambulation; and, occasionally with assistance, moving equipment up to 200 pounds and lifting solutions up to 30 pounds to a height of five feet.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings in patient medical records; adjust or modify treatment plans as indicated; and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assess and document patient and family learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective 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 orientation of new staff 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 CAP requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting the specified experience and training requirements, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.