Outpatient Registered Nurse - RN

Fresenius Medical Care•Sioux City, IA

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 patient-care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to clinical decisions, patient teaching, leadership functions, quality improvement, and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing standards, and applicable state and federal regulations. The position provides direct patient care in a health care facility and may involve travel to training sites or other facilities, or providing essential functions at other locations.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successfully completed CPR BLS Certification.
  • Meet the practice requirements in the state of employment.
  • Entry-level RN designation applies to RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To receive assigned oversight as a Team Leader or designated Nurse in Charge, complete all FKC education and training requirements for new employees and have at least 9 months of RN experience and 3 months of chronic/acute hemodialysis experience as an RN.
  • Ability to perform the described physical demands, with reasonable accommodations where applicable, including prolonged standing, bending, and assisting with patient movement and ambulation.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses.
  • Collect and analyze patient data before, during, and after hemodialysis; document findings, adjust treatment plans as indicated, and notify the appropriate clinical staff or physician when needed.
  • Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
  • Coordinate and provide, in collaboration with patient-care and ancillary staff, safe and effective hemodialysis therapy for 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 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 Clinical Advancement Program (CAP) requirements to advance.
  • Perform 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 completing required FKC training and meeting the stated RN and hemodialysis experience requirements.
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