Outpatient Registered Nurse - RN

Fresenius Medical Care•La Junta, CO

5d•$35 - $48

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. It 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 clinical decision-making, patient and family teaching, leadership functions, and quality improvement activities that 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 RN provides hemodialysis care under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor or in collaboration with other Registered Nurses. The role includes collecting and analyzing patient data before, during, and after treatment; documenting care; modifying treatment plans as indicated; educating patients and families; administering medications; supporting emergency response; coordinating daily therapy delivery; and contributing to staff training and quality care. CAP requirements must be completed for advancement. The job involves direct patient care in a health care facility, with regular heavy lifting, moving and assisting patients, frequent prolonged standing, and bending. The employee may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds as high as five feet. The environment has controlled air temperature and moderate noise and may involve exposure to infectious or contagious diseases or materials. Work also includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
For assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge: successfully complete all FKC education and training requirements for new employees.
For assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge: have at least 9 months of RN experience.
For assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge: have at least 3 months of chronic or acute hemodialysis experience as an RN.
Entry-level position for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and 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; modify treatment plans as indicated; and notify the appropriate clinical lead or physician when needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Direct and provide, in collaboration with patient care and ancillary staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administer medications as prescribed or under approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource for the health care team and participate in staff training and orientation of new staff as assigned.
Ensure laboratory specimens are collected, processed, and shipped correctly, 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.
Complete Clinical Advancement Program requirements for advancement.
Perform other duties as assigned by the Supervisor.