Outpatient Registered Nurse - RN

Fresenius Medical Care•Portsmouth, VA

About The Position

The Outpatient Registered Nurse (RN) CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for eligible new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN provides safe and effective hemodialysis care in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. Duties are performed under the direction of a Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role may include oversight of Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after required training and experience are completed. The position involves direct patient care in a health care facility. Work includes desk and computer tasks and interaction with patients, facility and hospital staff, and physicians. The work environment has controlled air temperature and moderate noise, with possible exposure to infectious and contagious diseases or materials. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role 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.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
To be assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 lbs.; and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Ability to perform the role in a health care facility and potentially travel to training sites or other facilities.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings in patient medical records, adjust treatment plans as indicated, and notify appropriate clinical personnel or physicians 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 according to approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and current employees at the facility and area level.
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.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance in the program.
Perform other duties assigned by the Supervisor.
May oversee Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.