Outpatient Registered Nurse - RN

Fresenius Medical Care•Iron Mountain, MI

5d•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse is accountable for coordinating and providing clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient care staff and participating as a member of the End Stage Kidney Disease health care team in decision-making, patient education, leadership, and quality improvement activities. The nurse provides safe and effective hemodialysis care, monitors patients before, during, and after treatment, updates care plans, administers medications, supports emergency response, and educates patients and families. Dialysis-specific experience is not required; comprehensive on-the-job training is provided. The position is based at the Iron Mountain, Michigan clinic. Clinic hours are 5 a.m.–5 p.m. Monday, Wednesday, and Friday, and 5 a.m.–5 p.m. Tuesday, Thursday, and Saturday. Shifts are 10–12 hours, every other Saturday is required, Sundays are off, and there is no on-call duty.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level position for Registered Nurses with less than 2 years of nephrology nursing experience as an RN.
No dialysis-specific experience is required; comprehensive on-the-job training is provided.
Every other Saturday is required; Sundays are off, and there is no on-call duty.
Shifts are 10–12 hours.
The role involves regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending; occasional assisted movement of equipment up to 200 lbs.; and lifting chemical and water solutions up to 30 lbs. as high as 5 feet.
May be exposed to infectious and contagious diseases or materials.
May require travel to training sites or other facilities.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor, 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 appropriate clinical staff or physicians as needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Coordinate and provide, with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy.
Administer prescribed medications or medications according to 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 proper laboratory collection, processing, and shipping, and 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 CAP requirements to advance.
Perform other duties assigned by the Supervisor.