Outpatient Registered Nurse - RN

Fresenius Medical Care•Dayton, OH

18h•Onsite

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program. This registered nurse 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, such as 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 intended to enhance patient care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and state and federal regulations. The nurse performs essential functions under a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role provides and coordinates safe hemodialysis care, monitors and documents patient status, educates patients and families, administers medications, and contributes to interdisciplinary care planning and facility operations. Direct patient care involves heavy lifting, moving patients, and assisting with ambulation. The role requires frequent, prolonged standing and bending. With assistance, the employee may occasionally 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. The work environment is a health care facility with controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials. Work includes desk and computer tasks 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’s essential functions at other locations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry-level RN designation for registered nurses with less than two years of nephrology nursing experience.
For assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge: complete all Fresenius Kidney Care education and training requirements for new employees, have at least nine months of RN experience, and have at least three months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending; and occasional assisted movement of equipment weighing up to 200 pounds and lifting solutions weighing up to 30 pounds as high as five feet.
May be required to travel to training sites or other facilities and work at other locations with the same physical demands and working conditions.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

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 team member 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 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 correctly collected, processed, and shipped; reschedule missed or insufficient collections.
Identify expected outcomes and, in collaboration with the Interdisciplinary Team, document and update nursing assessments and plans of care for assigned patients.
Ensure patients are aware of transplant and treatment modality options.
Complete Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.