Outpatient Registered Nurse - RN

Fresenius Medical Care•Redlands, CA

4d•$35 - $59

About The Position

The Outpatient Registered Nurse works as part of a hemodialysis health care team to provide quality daily patient care in accordance with Fresenius Medical Care North America (FMCNA) policies, procedures, and training. The role supports the company’s mission, vision, values, customer service philosophy, Compliance Program, and Quality Enhancement Program (QEP), including continuous quality improvement activities and efforts to achieve patient quality goals. The nurse coordinates and delivers safe, effective care for patients with end-stage renal disease (ESRD), including assessing patient needs, implementing and adjusting prescribed hemodialysis treatments, monitoring responses, and communicating concerns to physicians and team leaders. The role also delegates and monitors work performed by other patient care staff, provides patient and family education, manages clinical documentation, laboratory processes, medications, emergency readiness, and facility safety, and participates in quality improvement and required staff activities. The position involves direct patient care and may require heavy lifting and moving patients, assisting with ambulation, prolonged standing, bending, and occasionally moving equipment with assistance. The work takes place in a healthcare facility with controlled air temperature and moderate noise; exposure to infectious or contagious diseases and materials may occur. The employee must take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation may be considered.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with applicable practice requirements in the state of employment.
Successfully complete a training course in the theory and practice of hemodialysis.
Successfully complete CPR certification.
Meet applicable state requirements, if any.
Take the Ishihara Color Blindness test as a condition of employment; reasonable accommodation may be considered.
Provide coverage at any or all area facilities as required by management.
Ability to perform the described physical demands, including frequent and prolonged standing, bending, assisting with patient movement and ambulation, and lifting or moving specified weights with assistance where applicable.

Nice To Haves

Minimum of one year of medical-surgical nursing experience preferred.
Hemodialysis experience preferred.
ICU experience preferred.
ICD-9 coding training.
Nurses Technical Training.

Responsibilities

Direct and monitor Patient Care Technicians and other direct patient care staff to ensure safe, effective hemodialysis care and adherence to policies and procedures.
Assess daily patient care needs and make appropriate patient care assignments; participate in staff training, new-staff orientation, and required staff meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid restrictions, medications, laboratory values, adequacy measures, transplant and modality options, and treatment compliance.
Provide and oversee hemodialysis care, including treatment initiation, monitoring, termination, access care, and post-treatment evaluation; implement prescriptions and adjust care according to patient response and physician direction.
Assess and document patient care needs, nursing history, treatment response, progress notes, care plans, and other required clinical information.
Communicate patient issues, abnormal or alert laboratory results, and treatment concerns to physicians, the Team Leader, and other healthcare team members; coordinate care as needed.
Review, transcribe, and enter physician orders and laboratory orders into the Medical Information System; ensure accurate laboratory collection, processing, packaging, delivery, follow-up, and reporting.
Administer prescribed and PRN medications, document responses and justifications, maintain controlled-substance records, and support prescription refills in accordance with policy.
Maintain emergency readiness, verify emergency equipment, and initiate CPR and emergency measures when required.
Ensure appropriate vaccinations, immunizations, and annual tuberculosis testing are provided.
Maintain safe, clean, and sanitary treatment areas and ensure proper operation, cleanliness, and placement of dialysis equipment, machines, and patient chairs.
Ensure accurate and complete patient and staff documentation, including Hemodialysis Treatment Sheets, treatment data, medical records, and Medical Information System entries.
Implement patient admission, transfer, and discharge procedures, and follow facility opening and closing procedures.
Initiate, document, and complete ongoing Continuous Quality Improvement activities, including monthly reports and required patient care records.
Coordinate patient transportation when necessary and provide coverage at area facilities as required by management.
Perform additional duties as assigned.