Outpatient Registered Nurse - RN

Fresenius Medical Care•Shelbyville, IN

12d•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program. The role provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. It may include delegating appropriate tasks to patient-care staff. As part of the End Stage Kidney Disease health care team, the nurse participates in decision-making, patient teaching, leadership functions, and quality-improvement activities that support patient outcomes and facility operations. The nurse performs duties under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor or in collaboration with other Registered Nurses. The role includes collecting and analyzing patient data before, during, and after hemodialysis; documenting care and modifying treatment plans as indicated; educating patients and families; coordinating safe hemodialysis therapy; administering prescribed medications; responding to emergencies; supporting staff training; and collaborating with the Interdisciplinary Team on assessments and plans of care. The nurse also supports patient awareness of transplant and treatment modality options and completes CAP requirements for advancement. The position provides direct patient care in a health care facility and may involve travel to training sites or other facilities. Work includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. The employee may be exposed to infectious or contagious materials. Physical demands include frequent, prolonged standing, bending, heavy lifting and moving patients, and occasionally moving equipment with assistance or lifting chemical and water solutions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must 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 a Registered Nurse.
To receive assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic/acute hemodialysis experience as an RN.
Ability to perform direct patient care involving heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of machines and equipment up to 200 lbs.; and lifting chemical and water solutions up to 30 lbs. as high as 5 feet.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment, document findings, modify treatment plans as indicated, and notify appropriate clinical staff or physicians as needed.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Direct and provide safe and effective hemodialysis therapy in collaboration with patient-care and ancillary staff.
Administer medications as prescribed or 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 new-staff orientation as assigned.
Ensure correct laboratory collection, processing, and shipping procedures, 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.
Perform duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations.