Outpatient Registered Nurse - RN

Fresenius Medical Care•Apollo Beach, FL

6d•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 be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in patient-care decisions, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations, under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The RN provides and coordinates safe hemodialysis care, monitors and documents patient status before, during, and after treatment, and updates care plans in collaboration with the Interdisciplinary Team. The role includes patient and family education, medication administration, emergency response, laboratory procedures, and supporting coworkers through coaching and mentorship. The RN must complete CAP requirements to maintain or advance within the program. The position involves direct patient care, including regularly lifting and moving patients and assisting with ambulation. It requires frequent, prolonged standing and bending. With assistance, the employee may occasionally move machines and equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. The healthcare facility environment has controlled air temperature and moderate noise, and may involve exposure to infectious or contagious diseases or materials. Daily work also includes desk and computer work and interactions with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of the certification.
Must meet the practice requirements in the state of employment.
Entry-level RN designation requires a minimum of 2 years of Nephrology Nursing experience.
For assigned oversight as a Team Leader or designated 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 involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and occasional assisted movement of equipment up to 200 pounds and lifting solutions up to 30 pounds to a height of five feet.
Ability to work in a healthcare facility environment that may involve exposure to infectious or contagious diseases or materials.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
Assess, document, and address patients’ and families’ basic learning needs through initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary care staff, safe and effective hemodialysis therapy for assigned patients.
Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensure laboratory specimens are correctly collected, processed, and shipped; 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.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Perform other duties assigned by the Supervisor.
May provide oversight of Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after meeting stated training and experience conditions.