Outpatient Registered Nurse - RN

Fresenius Medical Care•Madras, OR

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN 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 such as 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, patient 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 and procedures, nursing practice standards, and applicable state and federal regulations. Essential functions are performed under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role provides direct patient care and may require travel to training sites or other facilities. The RN may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after completing required training and meeting the stated experience criteria.

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 designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
To be 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 chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing; and bending.
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.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment, documents findings in the medical record, modifies treatment plans as indicated, and notifies appropriate clinical leaders or physicians as needed.
Assesses and documents patient and family learning needs and provides initial and ongoing education.
Coordinates and provides safe, effective daily hemodialysis therapy in collaboration with direct and ancillary patient care staff.
Administers prescribed medications or medications in accordance with approved algorithms, and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource for the health care team and participates in staff training and new-staff orientation as assigned.
Ensures correct laboratory collection, processing, and shipping procedures 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 Clinical Advancement Program (CAP) requirements to advance.
May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.
Performs other duties as assigned by the Supervisor.