Outpatient Registered Nurse - RN

Fresenius Medical Care•Mililani, HI

10d•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. This shared position works at both the Mililani and Waianae/Nanakuli locations to support staffing needs and operational continuity. The RN 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 health care team, the RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities that enhance patient outcomes and facility operations. The RN works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Duties must be performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The role requires completion of CAP requirements for advancement. Compensation is $35.00–$60.00 per hour, depending on work location and the successful candidate’s qualifications.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and must meet practice requirements in the state of employment.
Current CPR BLS certification or successful completion of CPR BLS certification.
Entry-level position for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
For assigned oversight as Team Leader or Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic/acute hemodialysis experience as an RN.
Ability to perform direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 lbs.; and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Ability to work in an environment where exposure to infectious and contagious diseases or materials may occur.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

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 staff or physicians as needed.
Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, safe and effective hemodialysis therapy for assigned patients.
Administers prescribed medications or medications in accordance with approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource for the health care team and participates in staff training and new-staff orientation as assigned.
Ensures correct laboratory collection, processing, and shipping procedures and reschedules missed or insufficient laboratory 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.
Completes Clinical Advancement Program requirements to advance.
May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated training and experience criteria.
Performs other duties assigned by the Supervisor.