Outpatient Registered Nurse - RN

Fresenius Medical Care•Portsmouth, VA

5d•$31 - $52

About The Position

The Outpatient RN CAP 2 is a professional registered nurse role that may be an entry-level designation in the Clinical Advancement Program for new employees who meet RN CAP 2 criteria, or may be attained through advancement from RN CAP 1. The position is accountable for coordinating and providing clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. It may include delegating appropriate tasks to direct patient care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease health care team, the nurse contributes to decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and 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. After completing required education and training and having at least three months of chronic or acute hemodialysis experience as an RN, the nurse may have assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge. The role involves direct patient care in a health care facility. It regularly includes heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing; and bending. With assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. The environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials. Work also includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations under the same conditions. The hourly pay rate is $31.00–$52.00, depending on work location and the successful candidate’s qualifications, including education, experience, skills, and competencies. Benefits include medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Meet the practice requirements of the state in which employed.
Minimum of two years of Nephrology Nursing experience.
Complete all FKC education and training requirements for new employees before being assigned oversight as a Team Leader or designated Nurse in Charge.
Have a minimum of three months of chronic or acute hemodialysis experience as an RN before being assigned oversight as a Team Leader or designated Nurse in Charge.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess, collaborate on, 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administer medications as prescribed or according to approved algorithms, and document appropriate 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 laboratory specimens are collected, processed, and shipped correctly, 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.