Outpatient Registered Nurse - RN

Fresenius Medical Care•Charlotte, NC

36d

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN 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 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 a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. Team Leader or Nurse in Charge oversight may be assigned after specified education and training and experience requirements are met.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current or successful completion of CPR BLS Certification.
Entry-level RN designation for registered nurses with less than two years of nephrology nursing experience.
To receive assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least nine months of RN experience, and at least three months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may provide assistance.
Ability to stand for frequent, prolonged periods and bend over.
May need to move, with assistance, machines and equipment weighing up to 200 pounds, and lift chemical and water solutions weighing up to 30 pounds as high as five feet.
May be exposed to infectious and contagious diseases or materials.
May be required to travel to training sites or other facilities and perform essential functions at other locations.

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 treatment plans when indicated, and notifies appropriate clinical staff or physicians as needed.
Assesses and documents patients’ and families’ learning needs and provides 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 under 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 Clinical Advancement Program (CAP) requirements to advance.
Performs other duties assigned by the Supervisor.