Outpatient Registered Nurse - RN

Fresenius Medical Care•Oxnard, CA

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, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities to enhance patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The position operates on a rotating schedule after successful training. The RN works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role involves direct patient care, including monitoring patients before, during, and after hemodialysis; delivering hemodialysis therapy; medication administration; patient and family education; and coordination with the interdisciplinary team. The RN must complete CAP requirements to advance. The role regularly involves lifting and moving patients and assisting with ambulation. It requires frequent, prolonged standing and bending. With assistance, the employee may occasionally move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment is a health care facility with controlled air temperature and moderate noise; exposure to infectious and contagious diseases or materials may occur. Work includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the RN may be asked to perform essential functions at other locations under the same conditions.

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.
Must meet physical demands that include lifting and moving patients, assisting with ambulation, prolonged standing, bending, and occasionally moving equipment or lifting solutions within the stated weight limits, with assistance where specified.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collect and analyze patient data systematically before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate team member 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications under 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 new-staff orientation when 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.
Perform essential functions under the Supervisor’s direction and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience conditions.