Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Port Aransas, TX

About The Position

The Outpatient Registered Nurse (RN) CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease (ESKD) healthcare team, the RN participates in clinical decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The RN provides safe, effective hemodialysis care in accordance with Fresenius Kidney Care policies and procedures, nursing standards, and state and federal regulations. Duties are performed under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role may include oversight of patient care staff after required training and experience criteria are met.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and must meet practice requirements in the state of employment.
Current or successful completion of CPR BLS Certification.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
At least 3 months of chronic or acute hemodialysis experience as an RN is required for assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge.
Successful completion of all Fresenius Kidney Care education and training requirements for new employees is required for assigned oversight of patient care staff.
Ability to perform direct patient care involving heavy lifting, moving patients, and assisting with ambulation; stand for frequent, prolonged periods and bend over; move machines and equipment weighing up to 200 lbs. with assistance; and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Ability to work around potential exposure to infectious and contagious diseases or materials.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify appropriate clinical personnel or the physician 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 patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administer medications as prescribed or in accordance with approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
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.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Perform other duties as assigned by the Supervisor.