Outpatient Registered Nurse- RN

Fresenius Medical Care•Norristown, PA

12d

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. This may include delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease health care team, the RN participates in decision-making, teaching, leadership functions, and quality improvement activities that support patient care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The RN works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes direct hemodialysis patient care, patient and family education, coordination with the interdisciplinary team, and participation in staff training and orientation as assigned. Completion of CAP requirements is required for advancement. The position involves direct patient care and regular heavy lifting, moving patients, and assisting with ambulation. It requires frequent, prolonged standing and bending. With assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment is a health care facility with controlled air temperature and moderate noise, with possible exposure to infectious and contagious diseases or materials. Work includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations under the same conditions.

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 role for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
For assigned oversight as Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic/acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of equipment up to 200 pounds; and lifting chemical and water solutions up to 30 pounds as high as five feet.
May be required to travel to training sites or other facilities and perform essential functions at other locations.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform ongoing, systematic collection and analysis of patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, providing 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, 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 correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory collections.
Identify expected outcomes and document and update nursing assessments and plans of care for assigned patients 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.
After meeting the stated experience and training conditions, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge.