Outpatient Registered Nurse - RN

Fresenius Medical Care•Bethesda, MD

5d•$35 - $59

About The Position

The Outpatient Registered Nurse (RN) CAP 2 is an entry-level Clinical Advancement Program designation for eligible new employees or a designation attained through advancement from RN CAP 1. The position provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The RN may delegate appropriate tasks to direct patient care staff and, as a member of the End Stage Kidney Disease health care team, participates in decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN performs duties under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Responsibilities include monitoring patients before, during, and after hemodialysis, maintaining documentation and care plans, educating patients and families, administering medications, responding to emergencies, and supporting safe and effective delivery of hemodialysis therapy. The position may also include mentoring employees, serving as a Preceptor, and oversight of Patient Care Technicians and nursing staff after the specified training and experience requirements are met. This role involves direct patient care and work in a health care facility. Physical demands include heavy lifting, moving and assisting patients, prolonged standing, bending, and occasionally moving equipment or lifting supplies. The role may involve exposure to infectious materials and may require travel to training sites or other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of the certification.
Meet the practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience.
For oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees and a minimum of 3 months of chronic or acute hemodialysis experience as an RN.
Complete CAP requirements to maintain or advance.
Able to perform the physical demands of the role, including heavy lifting, assisting with patient movement and ambulation, prolonged standing, and bending.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment, document findings, adjust treatment plans as indicated, and notify the appropriate clinical personnel when needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with patient care staff, the daily safe and effective delivery of 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, 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 assigned by the Supervisor.
May provide oversight of Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after meeting required training and experience criteria.