Outpatient Registered Nurse - RN

Fresenius Medical Care•Lenoir City, TN

11d•Onsite

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse 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, 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 decision-making, patient 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 position provides direct patient care in a health care facility and may require 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 meeting specified training and experience requirements, the nurse may have assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.

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.
Entry-level designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
To qualify for assigned oversight as Team Leader or designated Nurse in Charge: successfully complete all Fresenius Kidney Care education and training requirements for new employees; have at least 9 months of RN experience; and have at least 3 months of chronic/acute hemodialysis experience as an RN.
Ability to perform the position’s physical demands, including frequent prolonged standing, bending, regular heavy lifting and moving of patients, and assisting with ambulation; with assistance, may need to move 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

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical staff 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 in accordance with 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 new-staff orientation as assigned.
Ensure correct laboratory collection, processing, and shipping procedures; 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 to advance.
Perform other duties as assigned by the Supervisor.
Provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after completing required education and training and meeting the stated RN and hemodialysis experience requirements.