Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Santa Ana, CA

3d•$25 - $59

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 be an entry-level designation in the Clinical Advancement Program (CAP) for qualifying new employees or may be attained through advancement from RN CAP 1. The RN may delegate 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 contributes to decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are carried out in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The position involves direct patient care in a health care facility and may include travel to training sites or other facilities. Pay depends on work location and qualifications; the stated hourly rate is $25–$59.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Must meet practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience.
To be assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees and a minimum of 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may assist.
Ability to stand for frequent, prolonged periods and bend over.
May need to move machines and equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
May be exposed to infectious and contagious diseases or materials.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, modifies treatment plans as indicated, and notifies appropriate clinical leaders or physicians as needed.
Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
Directs and provides the daily delivery of safe and effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
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 current employees.
Ensures laboratory specimens are collected, processed, and shipped correctly, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and care plans 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.
May oversee Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after meeting stated training and experience requirements.
Performs other duties as assigned by the Supervisor.