Outpatient Registered Nurse - RN

Fresenius Medical Care•Ottumwa, IA

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, such as RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease health care team, the nurse participates in decision-making, teaching, leadership, and quality improvement activities to enhance patient outcomes and facility operations. The nurse performs duties under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. Care and other responsibilities must follow Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The role includes direct patient care and may involve travel to training sites or other facilities. Advancement requires completion of CAP requirements.

Requirements

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

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Direct and provide, in collaboration with direct and ancillary 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.
  • 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, and reschedule missed or insufficient collections.
  • Identify expected outcomes and document and update nursing assessments and care plans in collaboration with the Interdisciplinary Team.
  • Ensure patients are aware of transplant and treatment modality options.
  • Complete CAP requirements to advance.
  • Perform other duties as assigned by the Supervisor.
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