Outpatient Registered Nurse - RN

Fresenius Medical Care•Bristol, TN

1d•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 2) provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program (CAP) for eligible new employees or may be attained through advancement from RN CAP 1. As part of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient education, leadership, and quality improvement activities that support patient outcomes and facility operations. This is a float position. The RN performs duties under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes direct and coordinated delivery of hemodialysis care, patient and family education, medication administration, documentation, and collaboration with the Interdisciplinary Team. The nurse may also provide oversight to Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience conditions. Work takes place in a health care facility with air temperature control and moderate noise levels. The position involves direct patient care, frequent prolonged standing, bending, heavy lifting and assisting patients with mobility. It may also involve exposure to infectious or contagious materials and travel to training sites or other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
For 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.
Must complete CAP requirements to maintain or advance.
Able to perform physical functions that include frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; may need to move machines and equipment up to 200 lbs. with assistance and lift chemical and water solutions up to 30 lbs. as high as 5 feet.
May be exposed to infectious and contagious diseases or materials.
May be required to travel to training sites or other facilities.

Responsibilities

Perform ongoing, systematic collection and analysis of patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify appropriate clinical personnel 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 delivery of safe and effective 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, leader, coach, mentor, and role model for new and current employees at the facility and area level.
Ensure laboratory specimens are correctly collected, processed, and shipped; 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.
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 within the program.
Perform other duties assigned by the Supervisor.
May provide oversight of Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after completing required education and training and meeting the experience requirement.