Outpatient Registered Nurse - RN

Fresenius Medical Care•Sebastian, FL

15d•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 2) is accountable for providing and coordinating clinically competent care, including patient assessment, planning, intervention, and evaluation for an assigned group of patients. The role may be an entry-level designation in the Clinical Advancement Program (CAP) for eligible new employees or attained through advancement from RN CAP 1. The nurse may delegate 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, 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 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. The position includes direct patient care in a health care facility and may require travel to training sites or other facilities. The employee may be asked to perform essential functions at other locations under the same physical demands and working conditions. The role requires regular heavy lifting, moving patients, and assisting with ambulation. Equipment or coworkers may assist. Frequent, prolonged standing and bending are required. The employee may occasionally move machines and equipment weighing up to 200 pounds with assistance, and lift chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment has controlled air temperature and moderate noise, with potential exposure to infectious and contagious diseases or materials. Daily work also includes desk and computer work and interaction with patients, facility or hospital staff, and physicians.

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.
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 and at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to meet the physical demands of the role, including regular heavy lifting, moving patients, assisting with ambulation, frequent prolonged standing, bending, and occasional assisted movement of equipment weighing up to 200 pounds and lifting of solutions weighing up to 30 pounds as high as five feet.

Responsibilities

Perform essential functions under the direction of the Supervisor, with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs to 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 to assigned patients.
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, leader, coach, mentor, and role model for new and incumbent employees, demonstrating appropriate conduct, work habits, and attitudes toward patients, coworkers, supervisors, and the company at facility and area levels.
Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory collections.
Identify expected outcomes and document and update nursing assessments and plans of care for assigned patients 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.
Perform other duties assigned by the Supervisor.
May provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience conditions.