Outpatient Registered Nurse - RN

Fresenius Medical Care•North Platte, NE

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 clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. Care and other duties must be performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The RN provides safe and effective hemodialysis care, monitors and documents patient status before, during, and after treatment, and collaborates with the interdisciplinary team to update assessments and plans of care. The role may include delegation and oversight of patient care staff, and requires completion of Clinical Advancement Program requirements to maintain or advance within the program.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience for entry-level RN applicants.
To provide assigned oversight as a Team Leader or Nurse in Charge: successfully complete all Fresenius Kidney Care education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.

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; document findings, modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess and document patient and family learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administer prescribed medications or medications in accordance with approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensure laboratory collection, processing, and shipping procedures are followed; 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 Clinical Advancement Program requirements to maintain or advance.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting stated training and experience requirements.
Perform other duties as assigned by the Supervisor.