Outpatient Registered Nurse - RN

Fresenius Medical Care•Fort Mill, SC

20d•Onsite

About The Position

The Outpatient Registered Nurse 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 part of the End Stage Kidney Disease health care team, the RN 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 and procedures, nursing practice standards, and applicable state and federal regulations. The position provides direct patient care in a health care facility and includes desk and computer work and interaction with patients, facility and hospital staff, and physicians. The RN may need to travel to training sites or other facilities, and may be asked to perform essential functions at other locations. The work environment has air temperature control and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. The role involves regular heavy lifting, moving patients, and helping with ambulation; frequent and 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. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

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 two 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 nine months of RN experience, and at least three months of chronic or acute hemodialysis experience as an RN.
Ability to perform the described physical demands, with equipment or coworker assistance where applicable.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor, with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data systematically before, during, and after hemodialysis treatment; document findings in the medical record, adjust or modify treatment plans as indicated, and notify the appropriate Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs to 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 orientation of new staff as assigned.
Ensure laboratory collection, processing, and shipping procedures are performed correctly, and reschedule missed or insufficient laboratory 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 assigned by the Supervisor.