Outpatient Registered Nurse - RN

Fresenius Medical Care•Antioch, TN

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. As part of the End Stage Kidney Disease health care team, the RN contributes to decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN provides safe, effective hemodialysis care in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. Work is performed under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position may include oversight of patient care staff after the specified training and experience requirements are met. The work environment is a health care facility with temperature control and moderate noise. The role involves direct patient care, 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 under the same working conditions.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS Certification or successful completion of CPR BLS Certification.
  • Must meet the practice requirements in the state of employment.
  • Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • For assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may assist.
  • Ability to stand for frequent, prolonged periods and bend over.
  • May 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.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify 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, in collaboration with patient care and ancillary staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administer medications as prescribed or according to approved algorithms, documenting 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 correct laboratory collection, processing, and shipping procedures, and 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.
  • Complete Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • Perform essential functions under the Supervisor’s direction and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses.
  • After meeting the stated training and experience requirements, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.
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