Outpatient Registered Nurse - RN

Fresenius Medical Care•Elizabethton, TN

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. As part of the End Stage Kidney Disease (ESKD) care team, the RN participates in decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN performs essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position includes direct patient care related to hemodialysis, coordination with the interdisciplinary care team, documentation, medication administration, and support for staff training and orientation. Advancement requires completion of CAP requirements. The role involves regular heavy lifting, moving and assisting patients, 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 healthcare 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.
Meet the nursing practice requirements of the state of employment.
Entry-level role for registered nurses with less than two years of Nephrology Nursing experience as a Registered Nurse.
For assigned oversight as a Team Leader or designated Nurse in Charge: successfully complete all Fresenius Kidney Care education and training requirements for new employees, have at least nine months of experience as an RN, and have at least three months of chronic or acute hemodialysis experience as an RN.
Able to perform the physical demands of the role, including heavy lifting, moving and assisting patients, prolonged standing, and bending; with assistance, occasionally move equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet.

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 as indicated, and notify the appropriate clinical personnel 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource for the healthcare team and participate in staff training and orientation of new staff as assigned.
Ensure laboratory specimens are collected, processed, and shipped correctly; 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.
Complete Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.