Outpatient Registered Nurse - RN

Fresenius Medical Care•Ashland, KY

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The position provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The RN may delegate appropriate tasks to direct patient care staff and, as a member of the End Stage Kidney Disease (ESKD) health care team, participates in decision-making, teaching, leadership, and quality improvement activities to support patient outcomes and facility operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Team Leader or Nurse-in-Charge oversight of other staff may be assigned after the stated training and experience requirements are met.

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 CPR BLS Certification.
  • Entry-level role for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
  • To be assigned staff 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.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of equipment up to 200 lbs.; and lifting chemical and water solutions up to 30 lbs. as high as 5 feet.
  • May need to travel to training sites or other facilities and perform essential functions at other locations.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis; documents findings, adjusts or modifies treatment plans as indicated, and notifies appropriate clinical personnel or physicians as needed.
  • Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
  • Directs and provides, in collaboration with patient care and ancillary staff, safe and effective hemodialysis care 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 to the health care team and participates in staff training and 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.
  • Performs other duties assigned by the Supervisor.
  • May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting applicable training and experience requirements.
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