Outpatient Registered Nurse - RN

Fresenius Medical Care•Detroit, MI

2d•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 for qualifying new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed according to Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations, under the direction of a Supervisor and with guidance from clinical educators, preceptors, or other RNs. The RN provides and coordinates safe, effective hemodialysis care; monitors patients before, during, and after treatment; documents findings and care; and updates treatment plans and nursing assessments in collaboration with the care team. The position may include oversight of patient care technicians and licensed practical or vocational nurses after the required training and experience criteria are met. CAP requirements must be completed to maintain or advance within the program. The position involves direct patient care, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation. Equipment or coworkers may help with these activities. The employee may occasionally move machines and equipment weighing up to 200 pounds with assistance, and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. The work environment is a health care facility with controlled air temperature and moderate noise, with possible exposure to infectious or contagious diseases and materials. Work also includes desk and computer tasks and interaction with patients, facility and hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role’s essential functions at other locations.

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.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
To receive assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees and at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform the physical demands of the position, including frequent prolonged standing, bending, patient handling and ambulation assistance, and the stated lifting and equipment-moving tasks, with assistance where indicated.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings in the medical record, adjust treatment plans as indicated, and notify the appropriate clinical staff or physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Direct and provide the daily delivery of safe and effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
Administer medications as prescribed or under approved algorithms, and document medical justification and effectiveness as appropriate.
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.
Perform other duties assigned by the Supervisor.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated training and experience criteria.