Outpatient Registered Nurse - RN

Fresenius Medical Care•Palmetto, GA

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient care staff such as 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, patient teaching, leadership functions, and quality improvement activities to enhance 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 works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The position provides direct patient care and may involve heavy lifting, moving and assisting patients, prolonged standing, bending, and occasional movement of machines or equipment with assistance. The work environment is a health care facility with temperature control and moderate noise levels, and may involve exposure to infectious or contagious diseases and materials. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations under the same conditions. Assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge is available after completion of FKC education and training requirements, at least 9 months of RN experience, and at least 3 months of chronic or acute hemodialysis experience as an RN.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must meet practice requirements in the state of employment.
Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
For assigned Team Leader or Nurse in Charge oversight: successful completion of FKC education and training requirements for new employees, a minimum of 9 months of RN experience, and a minimum of 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care tasks that regularly involve heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and occasional movement with assistance of machines and equipment weighing up to 200 lbs. and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
May be required to travel to training sites or other facilities.

Nice To Haves

Chronic or 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 appropriate clinical personnel or physicians when needed.
Assesses, collaborates on, 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 prescribed medications or medications under approved algorithms, documenting 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 orientation of new staff as assigned.
Ensures correct laboratory collection, processing, and shipping procedures, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care for assigned patients in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Completes Clinical Advancement Program requirements to advance.
Performs other duties assigned by the Supervisor.