Outpatient Registered Nurse - RN

Fresenius Medical Care•Collierville, TN

About The Position

The Outpatient Registered Nurse (RN) CAP 2 is an entry-level designation in the Clinical Advancement Program for eligible new employees or nurses advancing from RN CAP 1. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. It may involve delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and 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 Registered Nurses. After meeting specified training and experience requirements, the RN may oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or Nurse in Charge. The role involves direct patient care in a healthcare facility, including frequent and prolonged standing, bending, and regular heavy lifting, moving patients, and assisting with ambulation. The RN may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. Work also includes desk and computer work and interaction with patients, facility and hospital staff, and physicians. The employee may be exposed to infectious or contagious diseases and materials, and may need to travel to training sites or other facilities.

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 CPR BLS certification.
At least 2 years of Nephrology Nursing experience.
To be assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as Team Leader or Nurse in Charge: successful completion of all FKC education and training requirements for new employees and at least 3 months of chronic or acute hemodialysis experience as an RN.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess, collaborate on, 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, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and current employees at the facility and area level.
Ensure correct laboratory collection, processing, and shipping procedures; reschedule missed or insufficient laboratory 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.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Perform other duties assigned by the Supervisor.