Outpatient Registered Nurse - RN

Fresenius Medical Care•Houston, TX

4d•Onsite

About The Position

The Outpatient Registered Nurse 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. The nurse may delegate 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, 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 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 position involves direct patient care in a health care facility and may require travel to training sites or other facilities. After meeting specified training and experience requirements, the nurse may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge.

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 in the state of employment.
Entry-level RN designation for nurses with less than 2 years of nephrology nursing experience as a Registered Nurse.
To be assigned oversight as Team Leader or 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 regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 lbs.; and lifting 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 is preferred.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify appropriate clinical staff or physicians 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 delivery of safe and effective hemodialysis therapy to assigned patients.
Administer prescribed medications or medications 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 orientation of new staff as assigned.
Ensure laboratory specimens are collected, processed, and shipped correctly; 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 CAP requirements to advance.
Perform other duties assigned by the Supervisor.
May oversee Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge after completing required training and meeting the stated experience requirements.