Outpatient Registered Nurse - RN

Fresenius Medical Care•Jackson, MI

26d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is responsible 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 (ESKD) health care team, the RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The RN performs duties under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a health care facility and may involve travel to training sites or other facilities. Jackson Oaks Clinic hours are Monday, Wednesday, and Friday, 5 a.m.–10:30 p.m.; Tuesday, Thursday, and Saturday, 5 a.m.–6 p.m.; and closed Sunday. Rotating days and shifts are typical, with shifts generally lasting 8–14 hours. No prior dialysis experience is required; on-the-job training is provided. The position may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after completion of required FKC education and training, at least nine months of RN experience, and at least three months of RN experience in chronic or acute hemodialysis. The employee must complete CAP requirements to advance.

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 designation is for RNs with less than two years of Nephrology Nursing experience as a Registered Nurse.
To receive assigned oversight as a Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees, have at least nine months of RN experience, and have at least three months of RN experience in chronic or acute hemodialysis.
Ability to meet the described physical demands, including prolonged standing, bending, assisting with patient movement and ambulation, and lifting or moving equipment and supplies, with assistance where indicated.

Nice To Haves

Chronic or acute hemodialysis experience is preferred; prior dialysis experience is not required, and on-the-job training is provided.

Responsibilities

Perform ongoing, systematic collection and analysis of patient data before, during, and after hemodialysis treatment; document findings, adjust or modify the treatment plan as indicated, and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assess, collaborate on, 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administer medications as prescribed or according to approved algorithms, and document appropriate 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 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.
Perform all duties in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations.