Outpatient Registered Nurse - RN

Fresenius Medical Care•Chehalis, WA

6d•$45 - $52•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient-care staff and participating as a member of the End Stage Kidney Disease (ESKD) health care team in decision-making, patient teaching, 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 RNs. Responsibilities include monitoring patients before, during, and after hemodialysis; documenting care and updating treatment plans; providing patient and family education; coordinating safe hemodialysis care; administering prescribed medications; responding to emergencies; supporting staff training; handling laboratory collections; and collaborating with the Interdisciplinary Team on assessments and plans of care. The RN must complete CAP requirements to advance. This position provides direct patient care in a health care facility. Work includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. The role may require travel to training sites or other facilities, and the employee may be asked to perform 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 demands include regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending; occasionally moving machines or equipment weighing up to 200 pounds with assistance; and lifting chemical or water solutions weighing up to 30 pounds as high as five feet. The hourly pay range is $45.00–$52.00, depending on work location and the successful candidate’s qualifications, including education, experience, skills, and competencies. The position offers medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Must meet the practice requirements in the state of employment.
Entry-level position for Registered Nurses with less than two years of Nephrology Nursing experience as an RN.
To provide assigned oversight as a Team Leader or designated Nurse in Charge: successfully complete all FKC 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 described physical demands, including heavy lifting, moving patients, assisting with ambulation, prolonged standing, bending, and lifting or moving equipment and solutions as specified.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Provide and coordinate clinically competent patient care, including assessment, planning, intervention, and evaluation for assigned patients.
Perform duties 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 lead or physician when needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Direct and provide the daily delivery of safe and effective hemodialysis therapy in collaboration with direct and ancillary patient-care staff.
Administer medications as prescribed or according to approved algorithms, documenting 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 CAP requirements to advance.
Perform 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 the stated education, training, and experience conditions.