Outpatient Registered Nurse - RN

Fresenius Medical Care•Lebanon, MO

9h•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, 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 and family teaching, leadership functions, and quality improvement activities that support 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 RN works under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The role involves direct patient care in a healthcare facility and may require travel to training sites or other facilities, or provision of essential functions at other locations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current 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.
Must complete all Fresenius Kidney Care education and training requirements for new employees before qualifying for the described oversight responsibilities.
At least 9 months of experience as an RN and at least 3 months of experience in chronic or acute hemodialysis as an RN are required before qualifying for the described oversight responsibilities.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing; and bending.
Ability, with assistance, to move machines and equipment weighing up to 200 lbs. occasionally and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

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 appropriate clinical personnel or physicians as needed.
Assesses and documents patients’ and families’ basic 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 and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource to 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 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 requirements to advance.
Performs other duties as assigned by the Supervisor.
May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated experience and training requirements.