Outpatient Registered Nurse - RN

Fresenius Medical Care•Madisonville, KY

12d•Onsite

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. As part of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, teaching, leadership, 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 role provides and coordinates safe hemodialysis care, monitors and documents patient status before, during, and after treatment, supports patient and family education, administers medications, and collaborates with the Interdisciplinary Team on assessments and plans of care. The RN may serve as a resource to the health care team and, after meeting specified training and experience conditions, may oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge. The position involves direct patient care in a health care facility. Physical activities include frequent prolonged standing, bending, lifting and moving patients, and assisting with ambulation. With assistance, the employee may move machines and equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds as high as five feet. The role may involve exposure to infectious or contagious diseases or materials, and may require travel to training sites or other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Complete all Fresenius Kidney Care education and training requirements for new employees before taking on the specified oversight responsibilities.
For specified oversight responsibilities, have at least 9 months of experience as an RN and at least 3 months of chronic or acute hemodialysis experience as an RN.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data systematically before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify the appropriate clinical leader or physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient-care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness as appropriate.
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 correct laboratory collection, processing, and shipping procedures, 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 (CAP) requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting required training and experience conditions, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.