Outpatient Registered Nurse - RN

Fresenius Medical Care•Siler City, NC

12d

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The position 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 RN participates in clinical 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 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 related to hemodialysis, patient education, medication administration, emergency response, laboratory procedures, and coordination of the nursing assessment and plan of care with the Interdisciplinary Team. CAP requirements must be completed for advancement. The role involves direct patient care and may require travel to training sites or other facilities. The work environment is a health care facility with controlled air temperature and moderate noise levels; exposure to infectious or contagious diseases and materials is possible. Physical duties include frequent and prolonged standing, bending, lifting and moving patients, and assisting with ambulation. With assistance, the employee may need to move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. Desk and computer work and interactions with patients, facility or hospital staff, and physicians are also part of the day-to-day work.

Requirements

Graduate of an accredited School of Nursing.
Hold current appropriate state licensure and meet the practice requirements in the state of employment.
Hold or successfully complete CPR BLS Certification.
For RN oversight as Team Leader or designated Nurse in Charge, complete all FKC 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.
Entry-level role for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.

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 or modify treatment plans when indicated, and notify the appropriate clinical staff 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 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 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 the nursing assessment and plan of care in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment-modality options.
Complete CAP requirements for advancement.
Perform other duties assigned by the Supervisor.