Outpatient Registered Nurse - RN

Fresenius Medical Care•Mililani, HI

12d•$35 - $60•Onsite

About The Position

The Outpatient Registered Nurse 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 nurse 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 nurse participates in decision-making, patient teaching, leadership functions, and quality improvement activities to enhance patient outcomes and facility operations. This shared position requires work at both the Mililani and Waianae/Nanakuli locations to support staffing needs and operational continuity. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and state and federal regulations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current or successfully completed CPR BLS Certification.
Entry-level position for Registered Nurses with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To undertake assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge, complete all FKC education and training requirements for new employees and have at least 9 months of RN experience and at least 3 months of chronic or acute hemodialysis RN experience.
Able to meet the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; assistance may be provided by equipment or coworkers.
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.
May be exposed to infectious and contagious diseases or materials and may need to travel to training sites or other facilities.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify the appropriate team member or physician when needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Coordinate and provide safe and effective daily 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 for the health care team and participate in staff training and new-staff orientation as assigned.
Ensure laboratory specimens are correctly collected, processed, and shipped; reschedule missed or insufficient collections.
Identify expected outcomes and document and update nursing assessments and care plans 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 as assigned by the Supervisor.