Outpatient Registered Nurse - RN

Fresenius Medical Care•Kingsport, TN

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The nurse 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 nurse participates in decision-making, teaching, leadership functions, 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 nurse works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes direct hemodialysis patient care, patient and family education, medication administration, emergency response, laboratory coordination, and collaboration with the Interdisciplinary Team. The nurse must complete CAP requirements to advance. The work takes place in a health care facility with controlled air temperature and moderate noise levels. The role involves direct patient care and regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may provide assistance. It also involves frequent, prolonged standing and bending. The employee may occasionally move, with assistance, machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. Exposure to infectious and contagious diseases or materials is possible. Work 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, and the employee may be asked to perform the role’s essential functions at other locations.

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 in which employed.
Entry level for Registered Nurses with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To receive assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of experience as an RN, and at least 3 months of experience in chronic or acute hemodialysis as an RN.
Able to meet the role’s physical demands, including regular heavy lifting, moving patients, assisting with ambulation, prolonged standing, and bending; occasional assisted movement of equipment up to 200 pounds and lifting solutions up to 30 pounds as high as five feet.
May be required to travel to training sites or other facilities.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data systematically before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, 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.
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 in accordance with 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 orientation of new staff as assigned.
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 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 assigned by the Supervisor.
After meeting the stated education, training, and experience requirements, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, and RNs as a Team Leader or designated Nurse in Charge.