Outpatient Registered Nurse - RN

Fresenius Medical Care•Baltimore, MD

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is responsible 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 functions, and quality improvement activities that support patient outcomes and facility operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The position provides direct patient care in a healthcare facility and requires collaboration with patients, families, care team members, facility and hospital staff, and physicians. The role may require travel to training sites or other facilities, or providing essential functions at other locations. The position is an entry-level role for RNs with less than two years of nephrology nursing experience. Chronic or acute hemodialysis experience is preferred. The hourly rate is $31.00–$52.00, based on work location and the candidate’s qualifications, including education, experience, skills, and competencies. The position offers medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave, and potential performance-based bonuses depending on company and individual performance.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS Certification or successful completion of CPR BLS Certification.
  • Meet the practice requirements in the state of employment.
  • Entry-level RN role for applicants with less than two years of nephrology nursing experience as a Registered Nurse.
  • Direct patient care involves regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may provide assistance.
  • Must be able to stand for frequent, prolonged periods and bend over.
  • May need to move, with assistance, machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. to heights of up to 5 feet.
  • May be exposed to infectious and contagious diseases or materials.
  • Must be able to perform desk and computer work and interact with patients, facility and hospital staff, and physicians.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Perform essential functions under the direction of the Supervisor, with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings; adjust or modify treatment plans as indicated; and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
  • Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
  • Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administer medications as prescribed or in accordance with approved algorithms, and document medical justification and effectiveness.
  • Initiate or assist with emergency response measures.
  • Serve as a resource for the healthcare team and participate in staff training and new-staff orientation as assigned.
  • Ensure correct laboratory collection, processing, and shipping procedures; reschedule missed or insufficient laboratory collections.
  • Identify expected outcomes and document and update nursing assessments and plans of care for assigned patients in collaboration with the Interdisciplinary Team.
  • Ensure patients are aware of transplant and treatment-modality options.
  • Complete Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave
  • Potential performance-based bonuses, depending on company and individual performance
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