Outpatient Registered Nurse - RN

Fresenius Medical Care•Providence, RI
•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 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 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 position provides direct patient care in a health care facility and may require travel to training sites or other facilities. CAP requirements must be completed to advance.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successfully completed CPR BLS Certification.
  • Must meet the practice requirements in the state of employment.
  • Entry-level role for Registered Nurses with less than 2 years of Nephrology Nursing experience as an RN.
  • To receive assigned oversight as Team Leader or designated Nurse in Charge, complete all Fresenius Kidney Care education and training requirements for new employees and have at least 9 months of RN experience and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; stand for frequent prolonged periods and bend over; occasionally 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 exposed to infectious and contagious diseases or materials.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Perform ongoing, systematic collection and analysis of 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 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 in accordance with 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 requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or collaborating Registered Nurses.
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