Outpatient Registered Nurse - RN

Fresenius Medical Care•Portsmouth, VA
•$35 - $48

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The RN 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 (ESKD) 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 RN works under the direction of a Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position includes direct patient care and may involve assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after completing required education and training and meeting specified experience requirements. The work takes place in a healthcare facility with controlled air temperature and moderate noise. It involves frequent and prolonged standing, bending, heavy lifting and moving patients, and assisting with ambulation. With assistance, the employee may need to move equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. The RN may be exposed to infectious and contagious diseases or materials, and may travel to training sites or other facilities. Day-to-day work also includes desk and computer work and interaction with patients, facility or hospital staff, and physicians.

Requirements

  • Graduate of an accredited School of Nursing.
  • Hold current appropriate state licensure and meet the practice requirements of the state of employment.
  • Hold current CPR BLS Certification or successfully complete it.
  • For assigned oversight as Team Leader or designated Nurse in Charge: complete all Fresenius Kidney Care education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Entry level for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
  • Be able to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and, with assistance, moving equipment weighing up to 200 pounds and lifting chemical or water solutions weighing up to 30 pounds as high as five feet.
  • Be able to perform the essential functions in a healthcare facility environment and may be required to travel to training sites or other facilities.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans 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.
  • Coordinate and provide, 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 new-staff orientation as assigned.
  • Ensure laboratory specimens are collected, processed, and shipped correctly, 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 for advancement.
  • Perform other duties assigned by the Supervisor.
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