Outpatient Registered Nurse - RN

Fresenius Medical Care•Augusta, GA
•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The position is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The RN may delegate appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, teaching, leadership functions, and quality improvement activities intended to enhance patient care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations. The RN works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Team Leader or Nurse in Charge oversight of other patient care staff may be assigned after the specified training and experience requirements are met. The role provides direct patient care in a health care facility. Work includes frequent and prolonged standing, bending, and assisting patients with lifting, movement, and ambulation. With assistance, the employee may move equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. The environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials. The work also includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successfully completed CPR BLS Certification.
  • Meet the practice requirements in the state of employment.
  • Entry-level RN designation is for RNs with less than 2 years of Nephrology Nursing experience.
  • To be assigned oversight as a Team Leader or designated Nurse in Charge, complete all FKC education and training requirements for new employees and have at least 9 months of RN experience and 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform the stated physical functions, with reasonable accommodations available as applicable, including frequent prolonged standing, bending, and assisting with patient movement and ambulation; may need to move equipment with assistance and lift specified supplies.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Perform ongoing, systematic collection and analysis of patient data before, during, and after hemodialysis treatment; document findings in the medical record, modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
  • Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
  • Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administer medications as prescribed or according to 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; reschedule missed or insufficient laboratory collections.
  • Identify expected outcomes and document and update nursing assessments and plans of care for assigned patients 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.
  • After meeting the stated training and experience requirements, may provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.
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