Outpatient Registered Nurse - RN

Fresenius Medical Care•Madras, OR

21h

About The Position

The Outpatient Registered Nurse, CAP 1, is an entry-level designation in the Clinical Advancement Program. The RN 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, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, teaching, leadership, 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 role is directed by the Supervisor and receives guidance from a Clinical Educator, Preceptor, or other Registered Nurses. CAP requirements must be completed to advance. The work involves direct patient care in a health care facility. It includes regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and occasional assisted movement of machines and equipment weighing up to 200 pounds and lifting chemical and water solutions weighing up to 30 pounds as high as five feet. The employee may encounter infectious or contagious diseases and materials. Daily work also includes desk and computer work and interaction with patients, facility and 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 under the same physical demands and working conditions.

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 role for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
To provide assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of experience as an RN, and at least 3 months of chronic/acute hemodialysis experience as an RN.
Ability to perform the described physical duties, including frequent prolonged standing and bending, regular heavy lifting and patient movement, and occasional assisted movement or lifting of specified equipment and solutions.
Compliance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Provide and coordinate assessment, planning, intervention, and evaluation of care for assigned patients.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess 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 according to 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 orientation of new staff as assigned.
Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory 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 Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting stated experience and training conditions, may provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.