Outpatient Registered Nurse - RN

Fresenius Medical Care•Memphis, TN
•Onsite

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 for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. This 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 support patient care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations. The nurse works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes direct patient care related to hemodialysis, patient and family education, medication administration, emergency response, laboratory procedures, and collaboration with the Interdisciplinary Team. CAP requirements must be completed to advance. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities. The work involves frequent standing and bending, heavy lifting and moving patients, and may include moving equipment with assistance. Exposure to infectious and contagious diseases or materials is possible.

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 designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
  • For assigned oversight as 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 heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and, occasionally, moving machines and equipment weighing up to 200 lbs. with assistance and lifting chemical and water solutions 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 team member or physician as needed.
  • Assesses, collaborates on, 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, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administers prescribed medications or medications under approved algorithms, documenting 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, and reschedules missed or insufficient laboratory 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 CAP requirements to advance.
  • Performs other duties assigned by the Supervisor.
  • May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, and RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience requirements.
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