Outpatient Registered Nurse - RN

Fresenius Medical Care•Centerville, OH

5d•Onsite

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 and, as part of the End Stage Kidney Disease (ESKD) health care team, participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The position provides direct patient care in a health care facility and includes frequent interaction with patients, facility and hospital staff, and physicians. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious or contagious diseases and materials. The role regularly involves heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may assist. It also requires frequent, prolonged standing and bending. The employee may occasionally move, with assistance, machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. Work includes desk and computer tasks. Travel to training sites or other facilities may be required, and the employee may be asked to perform essential functions at other locations under the same physical demands and working conditions.

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 practice requirements of the state in which employed.
Entry-level RN designation for nurses with less than two years of nephrology nursing experience as a Registered Nurse.
To receive assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least nine months of experience as an RN, and at least three months of experience in chronic or acute hemodialysis as an RN.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the Team Leader, Charge Nurse, Supervisor, 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 prescribed medications or medications 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 correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory collections.
Identify expected outcomes and document and update the nursing assessment and plan of care for assigned patients in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting required education, training, and experience conditions, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, and RNs as a Team Leader or designated Nurse in Charge.