Outpatient Registered Nurse- RN

Fresenius Medical Care•Norristown, PA

13d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. As part of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to decision-making, patient and family education, team leadership, 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 RN provides safe and effective hemodialysis care, monitors and documents patient status before, during, and after treatment, administers prescribed medications, supports emergency response, and collaborates with the Interdisciplinary Team on assessments and care plans. The position may involve oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or Nurse in Charge after completing required training and meeting experience criteria. The role involves direct patient care, including lifting and moving patients, assisting with ambulation, prolonged standing, bending, and occasional assisted movement of equipment. The employee may be exposed to infectious or contagious materials and may need to travel to training sites or other facilities. The work environment is a health care facility with controlled air temperature and moderate noise levels.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Meet the practice requirements in the state of employment.
Entry-level RN designation for nurses with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To provide assigned oversight as a Team Leader or Nurse in Charge: 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 or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation, with equipment or coworker assistance as needed.
Ability to stand for frequent, prolonged periods and bend over.
Ability, with assistance, to occasionally 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.
Ability to perform the role in a health care facility environment and potentially travel to training sites or other facilities.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Perform assigned essential functions under the direction of the Supervisor, with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis; document findings, modify treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
Assess, collaborate on, and document patients’ and families’ learning needs, and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient care staff, daily safe and effective hemodialysis therapy for assigned patients.
Administer medications as prescribed or according to approved algorithms, documenting 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 plans of care in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Complete Clinical Advancement Program (CAP) requirements to advance.
Perform other duties assigned by the Supervisor.
After completing required training and meeting experience criteria, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.