Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Philadelphia, PA

About The Position

The Outpatient Registered Nurse (RN) CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in clinical decision-making, patient and family teaching, leadership functions, 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 applicable state and federal regulations. The RN performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a health care facility and may involve travel to training sites or other facilities, or providing essential functions at other locations. The role may include assigned oversight of Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge, after completion of required education and training and at least three months of chronic or acute hemodialysis experience as an RN. The RN is required to complete CAP requirements to maintain or advance.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successful completion of CPR BLS Certification.
  • Must meet the practice requirements in the state in which employed.
  • Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
  • To receive assigned oversight responsibilities as Team Leader or designated Nurse in Charge: completion of all Fresenius Kidney Care education and training requirements for new employees and a minimum of 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing; and bending.
  • Ability, occasionally with assistance, to move machines and equipment weighing up to 200 lbs., and to lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

Nice To Haves

  • Dialysis experience preferred.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment, documents findings in the medical record, modifies treatment plans as indicated, and notifies appropriate clinical staff or physicians as needed.
  • Assesses and documents patient and family 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 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 new and incumbent employees.
  • 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.
  • 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.
  • Performs other duties assigned by the Supervisor.
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