Outpatient Registered Nurse - RN

Fresenius Medical Care•Smithfield, NC

4d•Onsite

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 new employees who meet RN CAP 2 criteria or may be attained through advancement from RN CAP 1. The nurse may delegate 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 nurse participates in clinical decision-making, patient and family teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and state and federal regulations. The position performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.

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 practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
At least 3 months of chronic or acute hemodialysis experience as an RN, plus completion of all Fresenius Kidney Care education and training requirements for new employees, to be assigned oversight as a Team Leader or designated Nurse in Charge.
Ability to meet the physical demands of direct patient care, including regularly lifting and moving patients and assisting with ambulation; frequent, prolonged standing and bending; moving machines and equipment with assistance; and lifting chemical and water solutions as described in the posting.
May be required to travel to training sites or other facilities.

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 leaders or physicians as needed.
Assesses and documents patients’ and families’ 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 under 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 employees at the facility and area level.
Ensures laboratory specimens are correctly collected, processed, and shipped; 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.
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.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the specified training and experience requirements.
Performs other duties assigned by the Supervisor.