Outpatient Registered Nurse- RN

Fresenius Medical Care • Wilmington, DE

1d • $33 - $56

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The RN 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 RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations.

The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and state and federal regulations. The position works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor or in collaboration with other Registered Nurses. The RN provides and coordinates safe hemodialysis care, documents patient assessments and treatment, educates patients and families, and collaborates with the Interdisciplinary Team. Completion of CAP requirements is required for advancement.

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 position for candidates with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
• To provide oversight as Team Leader or designated Nurse in Charge, must successfully complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.
• Able to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation, with equipment or coworker assistance as needed.
• Able to stand frequently for prolonged periods and bend over.
• May need to 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 required to travel to training sites or other facilities and to perform essential functions at other locations with the same physical demands and working conditions.

Nice To Haves

• Chronic or acute hemodialysis experience.

Responsibilities

• Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts the treatment plan as indicated, and notifies appropriate clinical staff or the physician as needed.
• Assesses and documents the basic learning needs of patients and families and provides initial and ongoing education.
• Directs and provides, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
• Administers prescribed medications or medications in accordance with approved algorithms, and documents medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource for the health care team and participates in staff training and new-staff orientation as assigned.
• Ensures correct laboratory collection, processing, and shipping procedures, and reschedules missed or insufficient laboratory collections.
• Identifies expected outcomes and documents and updates nursing assessments and plans of care for assigned patients in collaboration with the Interdisciplinary Team.
• Ensures patients are aware of transplant and treatment modality options.
• Completes Clinical Advancement Program (CAP) requirements to advance.
• Performs other duties assigned by the Supervisor.
• May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k) with company match
• Paid time off
• Parental leave
• Potential performance-based bonuses, depending on company and individual performance, for bonus-eligible positions

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level