Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Pearland, TX
•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 include delegating appropriate tasks to direct patient care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in clinical decision-making, patient and family education, 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 state and federal regulations. The RN works under the direction of a Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The position includes direct patient care in a healthcare facility and may require travel to training sites or other facilities. The work includes desk and computer work and interaction with patients, facility and hospital staff, and physicians. The role may involve exposure to infectious or contagious diseases and materials, prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation. Equipment or coworkers may assist with physical tasks.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet the 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 for entry-level RNs.
  • To provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as Team Leader or 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 activities that regularly involve heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and occasional assisted movement of machines and equipment up to 200 lbs. and lifting chemical and water solutions 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 the appropriate clinical personnel or physician when needed.
  • Assesses and documents patient and family learning needs and provides initial and ongoing education.
  • Directs and provides, in collaboration with direct and ancillary 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 correct laboratory collection, processing, and shipping procedures, 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.
  • Performs other duties as assigned by the Supervisor.
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