Outpatient Registered Nurse - RN

Fresenius Medical Care•Berkley, MI
•Onsite

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, including assessment, planning, intervention, and evaluation for an assigned group of patients. The position is part of the End Stage Kidney Disease health care team and participates in decision-making, patient teaching, leadership functions, and quality improvement activities to enhance patient care outcomes and facility operations. This Area Float RN position is based at the Berkley clinic and floats to several clinics in the Detroit area. Berkley Clinic hours are Monday–Saturday, 4:15 a.m.–9 p.m. Dialysis experience is required by the posting. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The RN performs essential functions under a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet practice requirements in the state of employment.
  • Current CPR BLS Certification or successful completion of CPR BLS Certification.
  • Dialysis experience is required in the position introduction.
  • Must complete Fresenius Kidney Care education and training requirements for new employees and meet CAP requirements to advance.
  • To provide assigned oversight as Team Leader or Nurse in Charge, must have at least 9 months of RN experience and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • The position is described as entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending; occasionally moving equipment weighing up to 200 lbs. with assistance; and lifting 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 provide essential functions at other locations.

Nice To Haves

  • Chronic or acute hemodialysis experience is listed as preferred under Experience and Required Skills.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts treatment plans as indicated, and notifies the appropriate clinical team member or physician as needed.
  • Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
  • Directs and provides safe, effective daily hemodialysis therapy in collaboration with direct and ancillary patient care staff.
  • Administers prescribed medications or medications under 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 orientation of new staff as assigned.
  • Ensures proper laboratory collection, processing, and shipping, and reschedules missed or insufficient collections.
  • Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensures patients are aware of transplant and treatment modality options.
  • Completes Clinical Advancement Program (CAP) requirements to advance.
  • May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge after meeting the stated training and experience conditions.
  • Performs other duties assigned by the Supervisor.
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