Outpatient Registered Nurse - RN

Fresenius Medical Care•Bowling Green, KY

12d

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating 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 such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN 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, standards of nursing practice, and applicable state and federal regulations. The RN performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities, or providing 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 practice requirements of the state in which employed.
Entry-level RN designation for nurses with less than 2 years of nephrology nursing experience as a Registered Nurse.
To provide 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 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform the position’s physical functions, including regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasionally moving machines and equipment weighing up to 200 pounds with assistance; and lifting chemical and water solutions weighing up to 30 pounds as high as 5 feet.
May be exposed to infectious and contagious diseases or materials.

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 care team member 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 delivery of safe and effective hemodialysis therapy to assigned patients.
Administer medications as prescribed or in accordance with approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource for the health care team and participate in staff training and new-staff orientation as assigned.
Ensure laboratory specimens are collected, processed, and shipped correctly; reschedule missed or insufficient collections.
Identify expected outcomes and, in collaboration with the Interdisciplinary Team, document and update nursing assessments and plans of care for assigned patients.
Ensure patients are aware of transplant and treatment modality options.
Complete Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.
May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the specified training and experience requirements.