Outpatient Registered Nurse - RN

Fresenius Medical Care•Westlake, OH

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 eligible 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 contributes to clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN performs duties under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Responsibilities include coordinating safe and effective hemodialysis care, monitoring and documenting patient status, administering medications, responding to emergencies, and collaborating with the Interdisciplinary Team. The role may include oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience requirements. All work must follow Fresenius Kidney Care policies, nursing practice standards, and applicable state and federal regulations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and satisfaction of practice requirements in the state of employment.
Current CPR BLS certification or successful completion of certification.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
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 at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation.

Responsibilities

Collect, analyze, and document patient data before, during, and after hemodialysis treatment; modify treatment plans as indicated and notify appropriate clinical personnel or physicians when needed.
Assess, collaborate on, and document patients’ and families’ learning needs, and provide initial and ongoing education.
Direct and provide, in collaboration with patient care and ancillary staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administer medications as prescribed or in accordance with 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 correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient collections.
Identify expected outcomes and collaborate with the Interdisciplinary Team to document and update nursing assessments and plans of care.
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 in the program.
Perform other duties assigned by the Supervisor.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after completing required education and training and meeting the experience requirement.