Outpatient Registered Nurse - RN

Fresenius Medical Care•Berkley, MI
•Onsite

About The Position

This Area Float RN position is based at the Berkley clinic and floats to several clinics in the Detroit area. The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse provides and coordinates clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to patient-care staff and participating in the End Stage Kidney Disease health care team’s decision-making, teaching, leadership, and quality-improvement activities to enhance patient outcomes and facility operations. Duties must be performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities. The nurse works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role may involve oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge after the specified training and experience requirements are met. The Berkley clinic is open Monday through Saturday, 4:15 a.m. to 9:00 p.m. Dialysis experience is required by the posting. Fresenius Medical Care maintains a drug-free workplace and is an equal opportunity employer.

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.
  • Dialysis experience is required, as stated in the posting.
  • Entry-level designation for RNs with less than two years of nephrology nursing experience as a Registered Nurse.
  • To provide assigned oversight as Team Leader or Nurse in Charge: complete all Fresenius Kidney Care 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.
  • Ability to perform direct patient-care duties involving regular heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing; bending; occasional assisted movement of machines and equipment weighing up to 200 pounds; and lifting chemical and water solutions weighing up to 30 pounds as high as five feet.
  • Ability to work in an environment where exposure to infectious and contagious diseases or materials may occur.

Nice To Haves

  • Chronic or acute hemodialysis experience is listed as preferred in the Experience and Required Skills section.

Responsibilities

  • Collect and analyze patient data systematically before, during, and after hemodialysis; document findings, adjust treatment plans as indicated, and notify the appropriate clinical personnel 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 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 new-staff orientation as assigned.
  • Ensure correct laboratory collection, processing, and shipping procedures, 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.
  • Complete Clinical Advancement Program (CAP) requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • Float from the Berkley clinic to several clinics in the Detroit area.
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