Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Kenilworth, NJ

About The Position

The Outpatient Registered Nurse CAP 5 is a designation in the Clinical Advancement Program attained through advancement from RN CAP 4. The role is accountable for coordinating and providing clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. As part of the End Stage Kidney Disease health care team, the nurse participates in clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The position may include delegating appropriate tasks to direct patient care staff. Work is performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The nurse works under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or another Registered Nurse. The role may include oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated experience condition.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and compliance with practice requirements in the state of employment.
  • Current CPR BLS certification or successful completion of the certification.
  • Minimum of 12 years of nephrology nursing experience as a Registered Nurse.
  • National certification in Dialysis Nursing (CDN), Nephrology Nursing (CNN), or Certified Hemodialysis Nurse (CHN).
  • To oversee Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge, at least 3 months of chronic or acute hemodialysis experience as an RN is required.
  • Ability to perform physical duties that regularly involve heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasionally moving, with assistance, equipment weighing up to 200 lbs.; and lifting chemical or water solutions weighing up to 30 lbs. as high as 5 feet.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Direct and provide, in collaboration with direct and ancillary care staff, the daily delivery of safe and effective chronic hemodialysis therapy to assigned patients.
  • Administer prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness.
  • Initiate or assist with emergency response measures.
  • Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
  • Ensure laboratory specimens are collected, processed, and shipped correctly, 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.
  • Lead educational or quality improvement projects at facility or broader organizational levels as directed or approved by the Supervisor.
  • Complete CAP requirements to maintain the CAP level.
  • Perform other duties assigned by the Supervisor.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave
  • Potential performance-based bonuses depending on company and individual performance, for bonus-eligible positions
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