Outpatient Registered Nurse - RN

Fresenius Medical Care•Independence, MO
•Onsite

About The Position

The Outpatient Registered Nurse (RN) 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 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 decision-making, patient teaching, leadership functions, and quality improvement activities intended to enhance patient outcomes and facility operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. Work is performed under a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The role involves direct patient care in a health care facility and may require travel to training sites or other facilities. After meeting specified training and experience requirements, the RN may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and compliance with practice requirements in the state of employment.
  • Current CPR BLS certification or successful completion of the certification.
  • Entry-level RN designation for nurses with less than 2 years of nephrology nursing experience as an RN.
  • For assigned oversight as Team Leader or Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • For the FTN Group–International RN addendum: bachelor’s degree in nursing and either a CGFNS Visa Screen Certificate, an NCLEX pass letter, or an RN license in the state of intended employment; current appropriate state licensure, CPR BLS certification or successful completion, and compliance with state practice requirements.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, modifies treatment plans when indicated, and notifies appropriate clinical personnel or physicians as needed.
  • Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
  • Coordinates and provides, with direct and ancillary patient 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 for the health care team and participates in staff training and new-staff orientation as assigned.
  • 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.
  • Completes Clinical Advancement Program requirements to advance.
  • May oversee Patient Care Technicians, LPNs/LVNs, and RNs as Team Leader or Nurse in Charge after meeting the stated training and experience requirements.
  • Performs other duties assigned by the Supervisor.
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