Outpatient Registered Nurse - RN

Fresenius Medical Care•Lafayette, IN

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The position may involve 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 education, leadership functions, and quality improvement activities intended to enhance 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 role is performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Willing to train.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet the practice requirements in the state of employment.
  • The role is entry-level for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
  • To provide assigned oversight as a Team Leader or designated Nurse in Charge, must successfully 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 chronic or acute hemodialysis experience as an RN.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may provide assistance.
  • Ability to stand for frequent, prolonged periods and bend over.
  • May need to move machines and equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
  • May be exposed to infectious and contagious diseases or materials.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, make indicated treatment-plan adjustments, and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
  • Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
  • Coordinate and provide, with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy.
  • 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 Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.

Benefits

  • Wellness plans
  • Health insurance
  • Matching 401(k)
  • Flexible schedules
  • Paid time off
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