Outpatient Registered Nurse - RN

Fresenius Medical Care • Christiana, DE

14d • $33 - $56

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating 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 nurse participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations.

Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The position works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor and in collaboration with other Registered Nurses. After meeting specified training and experience requirements, the nurse may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.

The position provides direct patient care in a health care facility. Work includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. The role may involve travel to training sites or other facilities and may require providing essential functions at other locations. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Physical duties include regular heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing; bending; occasionally moving, with assistance, equipment weighing up to 200 pounds; and lifting chemical and water solutions weighing up to 30 pounds as high as five feet. Equipment or coworkers may assist with physical tasks. Reasonable accommodations may be made for individuals with disabilities.

The hourly rate is $33.00–$56.00 and depends on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. The listed benefit overview includes medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave. Some positions may also be eligible for potential performance-based bonuses, depending on company and individual performance.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet the practice requirements in the state of employment.
• Entry-level RN designation for nurses with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
• To receive assigned oversight responsibilities as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic/acute hemodialysis experience as an RN.
• Ability to perform the physical demands described, including regular heavy lifting, moving patients and assisting with ambulation, frequent prolonged standing, bending, and occasional assisted movement of equipment and lifting of solutions.

Nice To Haves

• Chronic or acute hemodialysis experience is preferred.

Responsibilities

• Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
• Collect and analyze patient data systematically before, during, and after hemodialysis treatment; document findings in the medical record, modify treatment plans as indicated, and notify the appropriate clinical personnel or physician when needed.
• Assess, collaborate on, and document patients’ and families’ basic 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, and document medical justification and effectiveness.
• Initiate or assist with emergency response measures.
• Serve as a resource for the health care team and participate in staff training and orientation of new staff as assigned.
• Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory collections.
• Identify expected outcomes and document and update nursing assessments and plans of care for assigned patients in collaboration with the Interdisciplinary Team.
• Ensure patients are aware of transplant and treatment modality options.
• Complete CAP requirements to advance.
• Perform other duties assigned by the Supervisor.
• After completing required training and meeting experience requirements, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k) with company match
• Paid time off
• Parental leave
• Potential performance-based bonuses for bonus-eligible positions, depending on company and individual performance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree