Outpatient Registered Nurse - RN

Fresenius Medical Care•Georgetown, TX

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 (CAP) for qualifying new employees or may be attained through advancement from RN CAP 1. As part of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to clinical decision-making, patient education, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations, under the direction of a Supervisor and with guidance from clinical education and nursing colleagues. The RN provides and coordinates safe hemodialysis care, monitors and documents patient status before, during, and after treatment, and works with patients, families, and the Interdisciplinary Team to develop and update assessments and plans of care. The position also includes medication administration, emergency response, laboratory collection processes, patient education about transplant and treatment options, and support for staff development and quality improvement. The role involves direct patient care and regular lifting and movement of patients, frequent and prolonged standing, bending, and occasional movement of heavy equipment with assistance. Work takes place in a health care facility and includes desk and computer work and interaction with patients, facility or 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.

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.
Minimum of 2 years of Nephrology Nursing experience.
To be assigned 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.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing; and bending.
Ability, occasionally and with assistance, to move machines and equipment weighing up to 200 lbs., and to lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

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 physicians as needed.
Assesses, collaborates on, and documents patients’ and families’ basic learning needs, providing initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, the daily delivery of 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 current employees at the facility and area level.
Ensures laboratory specimens are collected, processed, and shipped correctly, 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 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 requirements.
Performs other duties assigned by the Supervisor.