Outpatient Registered Nurse - RN

Fresenius Medical Care•Euclid, OH
•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including patient assessment, planning, intervention, and evaluation—for an assigned group of patients. The nurse 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 health care team, the nurse participates in decision-making, patient 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 role performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor or in collaboration with other Registered Nurses. Team-leader or Nurse-in-Charge oversight of patient-care staff may be assigned after the stated education, training, and experience requirements are met. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. Physical demands include regularly lifting and moving patients and assisting with ambulation, frequent and prolonged standing, bending, and occasionally moving equipment or lifting chemical and water solutions within the limits described in the posting. The employee may be exposed to infectious and contagious diseases or materials.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successful completion of CPR BLS Certification.
  • Meet the practice requirements in the state of employment.
  • For assigned oversight as a Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees.
  • For assigned oversight as a Team Leader or designated Nurse in Charge: have at least 9 months of RN experience.
  • For assigned oversight as a Team Leader or designated Nurse in Charge: have at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify the appropriate team member 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 medications as prescribed or 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 orientation of new staff as assigned.
  • Ensure laboratory specimens are collected, processed, and shipped correctly; 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.
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