Outpatient Registered Nurse - RN

Fresenius Medical Care•Salisbury, MD

12d•$34 - $44•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 2) provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in clinical decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Work is performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN performs duties under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Clinic operating hours are Monday, Wednesday, and Friday from 5:00 a.m. to 9:00 p.m., and Tuesday, Thursday, and Saturday from 5:00 a.m. to 4:00 p.m. Shifts are 10 or 12 hours, include rotating Saturdays, and require availability to report as early as 4:00 a.m. The role provides direct patient care in a healthcare facility. Work includes frequent standing and bending, assisting patients with movement and ambulation, and may involve moving equipment or lifting supplies. The employee may be exposed to infectious and contagious diseases or materials, and may need to travel to training sites or other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience.
To provide oversight as a Team Leader or designated Nurse in Charge, successful completion of all FKC education and training requirements for new employees and at least 3 months of chronic or acute hemodialysis experience as an RN are required.
Must be able to work 10- or 12-hour shifts, rotating Saturdays, and report to work as early as 4:00 a.m.
The position involves regular heavy lifting, moving patients and assisting with ambulation; frequent, prolonged standing and bending; occasionally moving machines or equipment weighing up to 200 lbs. with assistance; and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
May be required to travel to training sites or other facilities and to perform essential functions at other locations.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts treatment plans as indicated, and notifies appropriate clinical personnel or the physician as needed.
Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, safe and effective hemodialysis therapy for assigned patients.
Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource, leader, coach, mentor, and role model for new and incumbent employees at the facility and area level.
Ensures proper laboratory collection, processing, and shipping, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Participates in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Completes CAP requirements to maintain or advance within the Clinical Advancement Program.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience conditions.
Performs other duties assigned by the Supervisor.