Outpatient Registered Nurse - RN

Fresenius Medical Care

22d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for new employees who meet RN CAP 2 criteria, or may be attained through advancement from RN CAP 1. The RN may delegate appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease health care team in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The position performs duties under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. Responsibilities are carried out in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The role may include oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after completing required training and meeting the experience criteria. This is a direct patient-care position in a health care facility. Work involves frequent and prolonged standing, bending, patient lifting and movement, and possible exposure to infectious materials. The role also includes desk and computer work and may require travel to training sites or other facilities.

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 CPR BLS certification.
Minimum of 2 years of Nephrology Nursing experience for entry-level RN consideration.
To provide assigned oversight as a Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving frequent, prolonged standing and bending; heavy lifting, moving patients, and assisting with ambulation; moving machines and equipment up to 200 pounds with assistance; and lifting chemical and water solutions up to 30 pounds as high as 5 feet.
Ability to work in a health care facility environment with moderate noise, possible exposure to infectious and contagious diseases or materials, and interaction with patients, facility or hospital staff, and physicians.
May need to travel to training sites or other facilities.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
Assess and document patients’ and families’ basic 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 hemodialysis therapy to assigned patients.
Administer prescribed medications or medications in accordance with approved algorithms, and document 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.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance within the program.
Perform other duties assigned by the Supervisor.