Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Stanford, KY

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 is part of the End Stage Kidney Disease health care team and participates in decision-making, patient and family teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Appropriate tasks may be delegated to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. The nurse performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or attained by advancement from RN CAP 1. CAP requirements must be completed to maintain or advance.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successfully completed CPR BLS Certification.
  • Must meet the practice requirements in the state of employment.
  • For the entry-level RN designation, a minimum of 2 years of Nephrology Nursing experience is required.
  • To be assigned oversight as a Team Leader or designated Nurse in Charge, successfully complete all FKC education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Complete CAP requirements to maintain or advance.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust the treatment plan as indicated, and notify the appropriate clinical team members or physician when needed.
  • Assess and document the basic learning needs of patients and families and provide initial and ongoing education.
  • Direct and provide, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy.
  • Administer prescribed medications or medications in accordance with approved algorithms, documenting medical justification and effectiveness.
  • Initiate or assist with emergency response measures.
  • Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
  • Ensure correct laboratory collection, processing, and shipping procedures, and 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.
  • May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience requirements.
  • Perform other duties assigned by the Supervisor.
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