Outpatient Registered Nurse - RN

Fresenius Medical Care•Grayson, KY

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. Duties may include delegating appropriate tasks to direct patient care staff, including 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, 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 RN performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor or in collaboration with other RNs. The position involves direct patient care, including hemodialysis treatment and patient and family education. The RN may provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements. The work environment is a health care facility with controlled air temperature and moderate noise. The role includes desk and computer work and interaction with patients, facility and hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the position’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.
Must meet the practice requirements in the state of employment.
Entry-level designation for RNs 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, successful completion of all FKC education and training requirements for new employees is required.
To provide assigned oversight as a Team Leader or designated Nurse in Charge, a minimum of 9 months of experience as an RN is required.
To provide assigned oversight as a Team Leader or designated Nurse in Charge, a minimum of 3 months of chronic/acute hemodialysis experience as an RN is required.

Nice To Haves

Chronic/acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies appropriate clinical personnel or physicians as needed.
Assesses, collaborates on, and documents patients’ and families’ basic learning needs to provide initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource for the health care team and participates in staff training and orientation of new staff as assigned.
Ensures laboratory specimens are correctly collected, processed, and shipped, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Completes CAP requirements to advance.
Performs other duties as assigned by the Supervisor.
May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.