Outpatient Registered Nurse - RN

Fresenius Medical Care•Largo, FL

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 patient assessment, planning, intervention, and evaluation for an assigned group of patients. It 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) health care 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, nursing practice standards, and applicable 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. Assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge is contingent on completing the required FKC education and training and meeting the stated RN and hemodialysis experience minimums. The position provides direct patient care in a health care facility. Work includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. The role may require travel to training sites or other facilities and may involve exposure to infectious or contagious diseases or materials. Physical demands include regularly lifting, moving, or assisting patients; frequent, prolonged standing and bending; occasionally moving machines and equipment weighing up to 200 pounds with assistance; and lifting chemical and water solutions weighing up to 30 pounds to a height of five feet. Equipment or coworkers may assist with patient movement. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level RN designation for nurses with less than two years of nephrology nursing experience as a Registered Nurse.
To receive assigned oversight as Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees, have at least nine months of RN experience, and have at least three months of chronic or acute hemodialysis experience as an RN.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Systematically collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify the treatment plan as indicated, and notify the Team Leader, Charge Nurse, Supervisor, or Physician 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 patient-care staff, the daily safe and effective delivery of 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 for the health care team and participate in staff training and orientation of new staff as assigned.
Ensure laboratory samples are collected, processed, and shipped correctly, and reschedule missed or insufficient laboratory collections.
Identify expected outcomes and, in collaboration with the Interdisciplinary Team, document and update nursing assessments and plans of care for assigned patients.
Ensure patients are aware of transplant and treatment-modality options.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting the stated training and experience conditions, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge.