Outpatient Registered Nurse - RN

Fresenius Medical Care•Wappingers Falls, NY

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role is part of the End Stage Kidney Disease (ESKD) health care team and contributes to decision-making, patient and family education, staff leadership, and quality improvement activities that support patient outcomes and facility operations. The position is a float role and requires dialysis experience. Duties are performed in accordance with Fresenius Kidney Care policies, nursing standards, and applicable state and federal regulations, under the direction of a Supervisor and with guidance from clinical educators, preceptors, or other RNs. The RN collects and analyzes patient data before, during, and after hemodialysis; documents care and modifies treatment plans as indicated; provides and coordinates safe hemodialysis therapy; administers medications; responds to emergencies; and collaborates with the Interdisciplinary Team on patient assessments and plans of care. The RN also supports patient and family education, laboratory procedures, staff training, and awareness of transplant and treatment-modality options. CAP requirements must be completed for advancement. The role involves direct patient care, including regular heavy lifting, moving and assisting patients, and prolonged standing. The employee may need to bend, move equipment with assistance, and lift chemical or water solutions. The work takes place in a healthcare facility with controlled air temperature and moderate noise, and may involve exposure to infectious materials. Duties include desk and computer work and interaction with patients, facility and hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current CPR BLS Certification or successful completion of the certification.
Float position requires dialysis experience.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Perform duties under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis, document findings, adjust treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Direct and provide the daily delivery of safe and effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
Administer prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource for the healthcare team and participate in staff training and new staff orientation as assigned.
Ensure proper laboratory collection, processing, and shipping, and 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 Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.