Outpatient Registered Nurse - RN

Fresenius Medical Care • Green Bay, WI

6d • Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse 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 and participating in decision-making, teaching, leadership, and quality-improvement activities as part of the End Stage Kidney Disease (ESKD) health care team.

The position provides direct outpatient hemodialysis care under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor and in collaboration with other Registered Nurses. Comprehensive on-the-job training is provided, and dialysis-specific experience is not required. The nurse must complete CAP requirements to advance. The clinic operates Monday, Wednesday, and Friday from 9:30 a.m. to 8:00 p.m., and Tuesday, Thursday, and Saturday from 4:30 a.m. to 8:00 p.m. Shifts are 10–12 hours. Every other Saturday is required; Sundays are off, and there is no on-call requirement.

The role involves regular direct patient care and may require travel to training sites or other facilities. The work environment is a health care facility with air temperature control and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure and compliance with practice requirements in the state of employment.
• Current or successful completion of CPR BLS Certification.
• Entry-level position for Registered Nurses with less than 2 years of nephrology nursing experience.
• Able to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may assist.
• Able to stand for frequent, prolonged periods and bend over.
• May be required to move, with assistance, machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
• Must complete required education and training to qualify for assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge; this oversight additionally requires at least 9 months of RN experience and at least 3 months of chronic or acute hemodialysis experience as an RN.

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 before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical leader 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 safe and effective delivery of hemodialysis therapy to assigned patients.
• Administer prescribed medications or medications 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 orientation of new staff as assigned.
• Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient 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 CAP requirements to advance.
• Perform other duties assigned by the Supervisor.

Benefits

• Comprehensive on-the-job training is provided.
• Career Advancement Program (CAP) to advance a nephrology career from novice to expert.
• No on-call requirement.
• Sundays off.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level