Outpatient Registered Nurse - RN

Fresenius Medical Care•Greensboro, NC
•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse 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 nurse participates in decision-making, patient teaching, leadership functions, and quality improvement activities to support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. 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 position provides direct patient care in a health care facility and may require travel to training sites or other facilities.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state nursing licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet practice requirements in the state of employment.
  • Entry-level role for RNs with less than two years of nephrology nursing experience as a Registered Nurse.
  • To be assigned oversight duties as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least nine months of RN experience, and at least three months of chronic/acute hemodialysis experience as an RN.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasionally moving machines and equipment of up to 200 pounds with assistance; and lifting chemical and water solutions of up to 30 pounds as high as five feet.
  • May be exposed to infectious and contagious diseases or materials.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts treatment plans as indicated, and notifies the appropriate team member or physician as needed.
  • Assesses and documents patients’ and families’ basic 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 medications as prescribed or according to 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 orientation of new staff as assigned.
  • Ensures laboratory specimens are collected, processed, and shipped correctly; reschedules missed or insufficient collections.
  • Identifies expected outcomes and documents and updates nursing assessments and care plans in collaboration with the Interdisciplinary Team.
  • Ensures patients are aware of transplant and treatment modality options.
  • Completes requirements for advancement in the Clinical Advancement Program.
  • May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience prerequisites.
  • Performs other duties assigned by the Supervisor.
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