Outpatient Registered Nurse - RN

Fresenius Medical Care•Midland, TX

About The Position

The professional registered nurse Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The role is accountable and responsible for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. Duties 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, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. The nurse performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes assessing patients before, during, and after hemodialysis; coordinating and delivering safe and effective treatment; educating patients and families; administering prescribed medications; supporting emergency response; and collaborating with the Interdisciplinary Team to maintain assessments and care plans. The nurse must complete CAP requirements to advance and may perform other duties assigned by the Supervisor. The position provides direct patient care in a health care facility and involves regular heavy lifting, moving patients, and assisting with ambulation. Work also includes prolonged standing, bending, desk and computer work, and interaction with patients, facility or hospital staff, and physicians. The employee may occasionally move equipment with assistance, may be exposed to infectious or contagious diseases and materials, and may need to travel to training sites or other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis; document findings, modify treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary 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 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.