Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Buford, GA
•Onsite

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. 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 that support patient outcomes and facility operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. Essential functions are performed under a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes direct patient care and may include oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after specified training and experience requirements are met. The work takes place in a health care facility with temperature control and moderate noise levels. It involves patient and staff interaction, desk and computer work, and possible travel to training sites or other facilities. The RN may encounter infectious or contagious diseases or materials and may be asked to perform the role at other locations with the same working conditions and physical demands.

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 RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • For assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic/acute hemodialysis experience as an RN.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may assist.
  • Ability to stand for frequent, prolonged periods and bend over.
  • May need to move, with assistance, machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
  • May be required to travel to training sites or other facilities.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies the appropriate clinical personnel or physician as needed.
  • Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
  • Directs and provides, in collaboration with direct and ancillary patient-care staff, safe and effective hemodialysis therapy to assigned patients.
  • Administers prescribed medications or medications under approved algorithms, and documents medical justification and effectiveness.
  • Initiates or assists with emergency response measures.
  • Serves as a resource for the health care team and participates in staff training and orientation of new staff as assigned.
  • Ensures correct laboratory collection, processing, and shipping procedures; reschedules missed or insufficient collections.
  • Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensures patients are aware of transplant and treatment-modality options.
  • Completes Clinical Advancement Program (CAP) requirements to advance.
  • Performs other duties assigned by the Supervisor.
  • 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 requirements.
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