Outpatient Registered Nurse - RN

Fresenius Medical Care•Durham, NC

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 health care team, the RN participates in decision-making, teaching, leadership functions, and quality improvement activities to enhance 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 a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The role includes providing hemodialysis care, educating patients and families, supporting safe facility operations, and completing CAP requirements to advance.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and must meet practice requirements in the state of employment.
Current CPR BLS certification or successful completion of CPR BLS certification.
Entry level for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
For assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation, with equipment or coworker assistance as needed.
Ability to stand for frequent, prolonged periods and bend over.
Ability, occasionally with assistance, to move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as 5 feet.
May be required to travel to training sites or other facilities and perform essential functions at other locations.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Collect, analyze, and document patient data before, during, and after hemodialysis; adjust the treatment plan as indicated and notify the appropriate clinical personnel or physician as needed.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications under 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 correctly collected, processed, and shipped; 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.
Perform duties in accordance with applicable company policies, nursing practice standards, and state and federal regulations.