Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Portsmouth, VA

8d•$29 - $50

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 assessment, planning, intervention, and evaluation—for an assigned group of patients. As part of the End Stage Kidney Disease health care team, the RN contributes to clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN provides safe and effective hemodialysis care in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and state and federal regulations. The role works under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. Oversight of patient care technicians and nursing staff as a Team Leader or designated Nurse in Charge is assigned only after the stated training and experience requirements are met. The work takes place in a health care facility and includes direct patient care, desk and computer work, and interaction with patients, facility or hospital staff, and physicians. The position may involve travel to training sites or other facilities and may require providing essential functions at other locations. Physical demands include regularly lifting and moving patients and assisting with ambulation, prolonged standing, bending, occasionally moving equipment weighing up to 200 pounds with assistance, and lifting chemical and water solutions weighing up to 30 pounds as high as five feet. The employee may be exposed to infectious and contagious diseases or materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and must meet the practice requirements of the state of employment.
Current CPR BLS certification or successful completion of CPR BLS certification.
Entry-level designation for Registered Nurses with less than 2 years of nephrology nursing experience.
To receive assigned oversight as a Team Leader or designated Nurse in Charge, complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Provide and coordinate clinically competent care, including assessment, planning, intervention, and evaluation, for an assigned group of patients.
Perform ongoing, systematic collection and analysis of patient data before, during, and after hemodialysis treatment; document findings, adjust the treatment plan as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess, collaborate on, 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 delivery of safe and effective hemodialysis therapy.
Administer prescribed medications or medications under 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 correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory collections.
Identify expected outcomes and collaborate with the Interdisciplinary Team to document and update nursing assessments and plans of care.
Ensure patients are aware of transplant and treatment modality options.
Complete Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.