Outpatient Registered Nurse - RN

Fresenius Medical Care•Clarksville, IN
•Onsite

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient care staff such as 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, teaching, leadership functions, 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 a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes direct patient care related to hemodialysis, patient and family education, medication administration, documentation, laboratory procedures, and participation in emergency response. Assigned oversight of other clinical staff as Team Leader or Nurse in Charge is conditional on completing specified training and meeting experience requirements. The position involves direct care in a health care facility and may require travel to training sites or other facilities. Work includes prolonged standing, bending, moving and assisting patients, and occasionally moving equipment or lifting supplies and solutions. The employee may be exposed to infectious or contagious diseases and materials.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successful completion of CPR BLS Certification.
  • Meet the practice requirements in the state of employment.
  • Entry level 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: complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic or 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; document findings, modify treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
  • Assess, collaborate on, and document patients’ and families’ 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 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 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 CAP 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 or Preceptor, or in collaboration with other Registered Nurses.
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