Outpatient Registered Nurse

Fresenius Medical Care•Marietta, GA

About The Position

The Outpatient 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 eligible new employees or attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in decision-making, patient and family teaching, leadership, and quality improvement activities to support patient outcomes and facility operations. Duties are performed 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 health care facility and may involve travel to training sites or other facilities. The nurse works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. After completing specified education and training and meeting the experience requirement, the nurse may oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing 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.
To provide oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees 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, prolonged standing; and bending.
Ability, occasionally with assistance, to move machines and equipment weighing up to 200 lbs., and to lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
May be exposed to infectious and contagious diseases or materials.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies appropriate clinical personnel or physicians as needed.
Assesses, collaborates on, and documents patients’ and families’ basic learning needs, and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
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, leader, coach, mentor, and role model for new and incumbent employees, including setting appropriate examples of behavior and work habits.
Ensures correct laboratory collection, processing, and shipping procedures, and reschedules missed or insufficient laboratory 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.
Participates in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Completes CAP requirements to maintain or advance.
Performs other duties assigned by the Supervisor.
May provide oversight of Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience conditions.