Outpatient Registered Nurse - RN

Fresenius Medical Care•Oxnard, CA

4d•$34 - $50

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN 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 part of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient education, leadership functions, and quality improvement activities to enhance 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. Duties are performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. After completing required training and meeting experience criteria, the RN may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge. The role provides direct patient care in a health care facility. Work includes patient interaction, desk and computer work, and collaboration with facility or hospital staff and physicians. The position involves physical activity, including prolonged standing, bending, lifting, moving patients, and assisting with ambulation. Travel to training sites or other facilities may be required. The schedule rotates after successful training.

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 RN designation for nurses with less than two years of nephrology nursing experience as a Registered Nurse.
To receive assigned oversight as a Team Leader or designated Nurse in Charge: successfully complete all Fresenius Kidney Care education and training requirements for new employees, have at least nine months of RN experience, and have at least three months of chronic or acute hemodialysis experience as an RN.
Ability to meet the physical demands of the position, including frequent prolonged standing and bending; direct patient care involving heavy lifting, moving patients, and assisting with ambulation; occasional assisted movement of machines or equipment weighing up to 200 pounds; and lifting chemical and water solutions weighing up to 30 pounds as high as five feet.
Ability to work in a health care facility environment with moderate noise, possible exposure to infectious and contagious diseases or materials, and potential travel to training sites or other facilities.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans when indicated, and notify the appropriate clinical personnel or physician as 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 in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Complete Clinical Advancement Program (CAP) requirements to advance.
Perform other duties assigned by the Supervisor.