Outpatient Registered Nurse - RN

Fresenius Medical Care•Honolulu, HI

6d•$35 - $60•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The role is accountable for providing and coordinating clinically competent care—including patient assessment, planning, intervention, and evaluation—for an assigned group of patients. The nurse may delegate appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease (ESKD) health care team in decision-making, teaching, 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 applicable state and federal regulations. The nurse works under a Supervisor’s direction, with guidance from clinical education and nursing colleagues. The position provides direct care in a health care facility and is shared across clinics, so work at another clinic may be required based on operational needs. Travel to training sites or other facilities may also be required.

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.
Entry-level designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
For assigned oversight as Team Leader or Nurse in Charge: 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.
Ability to perform direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of machines and equipment up to 200 lbs.; and lifting chemical and water solutions up to 30 lbs. as high as 5 feet.
May be exposed to infectious and contagious diseases or materials.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Collect, analyze, and document patient data before, during, and after hemodialysis; adjust the treatment plan as indicated and notify appropriate clinical personnel or the physician when needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Coordinate and provide safe, effective hemodialysis therapy 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 health care team and participate in staff training and new-staff orientation as assigned.
Ensure laboratory specimens are collected, processed, and shipped correctly; 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 CAP requirements to advance.
Perform other duties assigned by the Supervisor.
May provide assigned 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 requirements.