Outpatient Registered Nurse - RN- Dialysis

Fresenius Medical Care•Columbus, OH

1d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse 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 nurse participates in decision-making, patient teaching, leadership functions, and quality-improvement activities that support patient outcomes and facility operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. Essential functions are performed under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes patient assessment and education, coordination and delivery of hemodialysis care, medication administration, emergency response, laboratory processes, and development and documentation of patient care plans. CAP requirements must be completed for advancement. The position provides direct patient care in a health care facility. Work includes interaction with patients, facility and hospital staff, and physicians, as well as desk and computer work. The employee may be exposed to infectious and contagious diseases or materials and may need to travel to training sites or other facilities. The role can involve heavy lifting, moving patients, assisting with ambulation, prolonged standing, bending, and occasionally moving equipment with assistance.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry-level position for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To provide assigned oversight as a Team Leader or designated Nurse in Charge, must complete all FKC new-employee education and training requirements, have at least 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Must be able to perform direct patient-care activities that regularly involve heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may provide assistance.
Must be able to stand for frequent, prolonged periods and bend over.
May occasionally need to move, with assistance, machines and equipment weighing up to 200 lbs. and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
May be required to travel to training sites or other facilities.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies the appropriate clinical personnel or physician as needed.
Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient-care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administers medications as prescribed or according to approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource for the health care team and participates in staff training and new-staff orientation as assigned.
Ensures laboratory specimens are correctly collected, processed, and shipped; reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment-modality options.
Completes CAP requirements for advancement.
May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the specified training and experience conditions.
Performs other duties assigned by the Supervisor.