Outpatient Registered Nurse - RN

Fresenius Medical Care•Allegan, MI

4d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. 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, teaching, leadership functions, and quality improvement activities that support patient care 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 and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities, or providing essential functions at other locations. Assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge is possible after completing all FKC education and training requirements for new employees, and meeting the stated RN and hemodialysis experience minimums. Advancement in the Clinical Advancement Program requires completion of CAP requirements.

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 of the state in which employed.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
For Team Leader or designated Nurse in Charge oversight: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic/acute hemodialysis experience as an RN.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, make indicated changes to treatment plans, and notify appropriate clinical staff or physicians as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and 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 medications as prescribed or according to 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 correct laboratory collection, processing, and shipping procedures, 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.
Provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience conditions.