Outpatient Registered Nurse - RN

Fresenius Medical Care•Paducah, KY

7d•Onsite

About The Position

The professional registered nurse Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The role is accountable for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. It 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 (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 performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge is possible after completing required FKC training and meeting the stated RN and hemodialysis experience requirements. The role provides direct patient care in a health care facility. Work includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. The position involves frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation. Equipment or coworkers may assist with patient movement. The employee may occasionally move machines and equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role’s essential functions at other locations under the same conditions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To qualify for assigned oversight as a Team Leader or designated 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.
Ability to perform the physical demands of the role, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; occasional assisted movement of machines and equipment up to 200 pounds; and lifting chemical and water solutions up to 30 pounds to a height of five feet.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data systematically before, during, and after hemodialysis treatment; document findings in the medical record; adjust or modify treatment plans as indicated; and notify the appropriate Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient-care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administer medications as prescribed or in accordance with 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 new-staff orientation 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 for assigned patients 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.
Provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the specified training and experience requirements.