Outpatient Registered Nurse - RN

Fresenius Medical Care•Bowling Green, 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 patient assessment, planning, intervention, and evaluation for an assigned group of patients. The role 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) healthcare 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, standards of nursing practice, and applicable state and federal regulations. Essential functions are performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a healthcare facility and may require travel to training sites or other facilities.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of the certification.
  • Meet the practice requirements in the state of employment.
  • For assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge: 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.
  • Able to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may provide assistance.
  • Able to stand for frequent, prolonged periods and bend over.
  • May need to move machines and equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
  • Able to work in an environment with possible exposure 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; document findings, modify treatment plans as indicated, and notify appropriate clinical staff or a physician when needed.
  • Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
  • Coordinate and provide safe, effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
  • Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness.
  • Initiate or assist with emergency response measures.
  • Serve as a resource for the healthcare 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 Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
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