Outpatient Registered Nurse - RN

Fresenius Medical Care•Muskogee, OK
•Onsite

About The Position

The professional registered nurse Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). This position is accountable for providing and coordinating clinically competent care—including 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) health care team, the nurse 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 nurse works 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 health care facility 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.
  • Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To provide assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of experience as an RN, and at least 3 months of experience in chronic or acute hemodialysis as an RN.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing; and bending.
  • Ability, occasionally and with assistance, to move machines and equipment weighing up to 200 lbs., and to lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
  • May be exposed to infectious and contagious diseases or materials.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies appropriate clinical personnel or physicians as needed.
  • Assesses, collaborates on, and documents patients’ and families’ basic learning needs to provide initial and ongoing education.
  • Directs and provides, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administers prescribed medications or medications in accordance with approved algorithms and documents medical justification and effectiveness.
  • Initiates or assists with emergency response measures.
  • Serves as a resource for the health care team and participates in staff training and new-staff orientation as assigned.
  • Ensures correct laboratory collection, processing, and shipping procedures and reschedules missed or insufficient collections.
  • Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensures patients are aware of transplant and treatment modality options.
  • Completes CAP requirements to advance.
  • Performs other duties assigned by the Supervisor.
  • May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after completing required education and training and meeting the stated experience requirements.
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