Outpatient Registered Nurse - RN

Fresenius Medical Care•Poplar Bluff, MO
•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program. The nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to patient care staff and contributes to decision-making, patient education, leadership, and quality improvement as a member of the End Stage Kidney Disease health care team. Duties are performed in accordance with company policy and procedures, nursing practice standards, and applicable state and federal regulations. The nurse works 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 patient care, hemodialysis treatment support, documentation, medication administration, patient and family education, and coordination with the Interdisciplinary Team. CAP requirements must be completed for advancement.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet the practice requirements in the state of employment.
  • Entry-level position for Registered Nurses with less than 2 years of nephrology nursing experience as an RN.
  • For assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of RN experience in chronic or acute hemodialysis.
  • Ability to perform direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation; assistance from equipment or coworkers may be available.
  • Ability to stand for frequent, prolonged periods and bend over.
  • May need to move machines and equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing 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 and may be asked to 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 or modifies treatment plans as 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 patient care and ancillary 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 to the health care team and participates in staff training and new staff orientation as assigned.
  • Ensures laboratory specimens are correctly collected, processed, and shipped, 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 CAP requirements for advancement.
  • Performs other duties assigned by the Supervisor.
  • May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience requirements.
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