Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Gilbert, AZ

13d

About The Position

The professional registered nurse Outpatient RN CAP 2 may be an entry-level designation in the Clinical Advancement Program (CAP) for new employees who meet RN CAP 2 criteria, or may be attained through advancement from RN CAP 1. The position is accountable and responsible for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. This 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 (ESKD) health care team, the nurse participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, and state and federal regulations. The nurse performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. After completing required education and training and gaining at least three months of chronic or acute hemodialysis experience as an RN, the nurse may have oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge. This position provides direct patient care in a health care facility and may require travel to training sites or other facilities, or performing essential functions at other locations. The work includes desk and computer work and interaction with patients, facility and hospital staff, and physicians. The role involves frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation. With assistance, the employee may occasionally move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious and contagious diseases or materials. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Minimum of 2 years of Nephrology Nursing experience.
Must complete Fresenius Kidney Care education and training requirements for new employees before assigned oversight duties.
Must have a minimum of 3 months of chronic or acute hemodialysis experience as an RN before assigned oversight duties.
Ability to perform the position’s physical demands, including frequent prolonged standing and bending; heavy lifting, moving patients, and assisting with ambulation; and, occasionally with assistance, moving equipment up to 200 pounds and lifting chemical and water solutions up to 30 pounds as high as five feet.

Responsibilities

Collect and analyze patient data systematically before, during, and after hemodialysis treatment; document findings, adjust or 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administer medications as prescribed or in accordance with approved algorithms, documenting medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and current employees at the facility and area level.
Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory 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.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Perform other duties assigned by the Supervisor.