Outpatient Registered Nurse - RN

Fresenius Medical Care•Redlands, CA

2d•$37 - $59

About The Position

The professional registered nurse in Inpatient Services, RN CAP 1, is an entry-level designation in the Clinical Advancement Program. 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 kidney disease health care team, the nurse participates in decision-making, patient and family education, leadership functions, and quality improvement activities that support patient outcomes and program operations. The role performs essential functions under the direction of a Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse. Care and other duties must follow Fresenius Kidney Care policies, procedures, nursing practice standards, applicable contractual service agreements, and state and federal regulations. The position may provide care in other locations, including outpatient facilities as needed, and requires travel between assigned facilities and to training or meeting sites. The work involves direct patient care in a health care facility, with regular heavy lifting, moving patients, and assisting with ambulation. It includes frequent, prolonged standing and bending, and may involve moving equipment with assistance. The role may involve exposure to infectious and contagious diseases or materials, and participation in an on-call rotation, nights, weekends, or holidays as required by program needs.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and must meet practice requirements in every state in which employed.
Current CPR BLS certification or successful completion of the certification.
At least 9 months of experience as a Registered Nurse is specified for assigned oversight as Nurse in Charge; 12 months of RN experience is preferred.
For assigned oversight as Nurse in Charge, successful completion of all FKC education and modality-specific training requirements for new employees is required.
Perform direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending are required.
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. as high as 5 feet.
Travel to training or meeting sites and between assigned facilities is required.
Participation in an on-call rotation, nights, weekends, or holidays may be required based on program needs.

Nice To Haves

Entry-level RN designation for nurses with less than 2 years of nephrology nursing experience as an RN.
12 months of experience as a Registered Nurse.
6 months of acute dialysis experience.
Hemodialysis and/or ICU experience.

Responsibilities

Perform ongoing, systematic collection and analysis of assigned patients’ data before, during, and after treatment; document findings, adjust treatment plans as indicated, and notify appropriate personnel.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Recognize patient status that varies from normal and report or collaborate with appropriate health team members.
Direct and provide safe, effective care for assigned patients according to prescribed modality-specific treatment procedures.
Assess daily patient care needs and collaborate with direct and ancillary patient care staff as needed.
Coordinate communication with FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document patient responses to prescribed intradialytic transfusions, notifying the physician and blood supplier of adverse reactions as appropriate.
Administer prescribed medications and document medical justification and effectiveness.
Initiate and assist with emergency response measures.
Serve as a resource for the health care team and participate in staff training and new staff orientation as assigned.
Provide specialized nursing care instruction to hospital or facility staff when contractually stipulated.
Assist in an outpatient facility as needed.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.