Outpatient Registered Nurse - RN

Fresenius Medical Care•Kalamazoo, MI

27d

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role provides and coordinates clinically competent care—including patient 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 part of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The role performs its duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The RN may provide oversight to Patient Care Technicians, LPNs/LVNs, and RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of it.
Must 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 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/acute hemodialysis experience as an RN.

Nice To Haves

Chronic/acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies the appropriate clinical staff or physician when needed.
Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administers medications as prescribed or under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource to the health care team and participates in staff training and new-staff orientation as assigned.
Ensures laboratory specimens are collected, processed, and shipped correctly; reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Completes requirements for advancement in the Clinical Advancement Program.
Performs other duties assigned by the Supervisor.
May provide oversight to Patient Care Technicians, LPNs/LVNs, and RNs as a Team Leader or designated Nurse in Charge after completing required training and meeting the specified experience requirements.