Outpatient Registered Nurse - RN

Fresenius Medical Care•Hillsboro, OR
•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease health care team in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with company policies and procedures, nursing practice standards, and state and federal regulations. The RN works under a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a healthcare facility and may require travel to training sites or other facilities. The RN must complete CAP requirements to advance.

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.
  • Entry-level RN designation for nurses with less than two years of nephrology nursing experience as a Registered Nurse.
  • For oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least nine months of RN experience, and at least three months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing; and bending.
  • Ability, occasionally and with assistance, to move machines and equipment weighing up to 200 pounds and to lift chemical and water solutions weighing up to 30 pounds as high as five feet.
  • Ability to work in an environment where exposure to infectious and contagious diseases or materials may occur.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, modifies treatment plans as indicated, and notifies appropriate clinical personnel or physicians as needed.
  • Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
  • Coordinates and provides safe, effective hemodialysis therapy with direct and ancillary patient care staff.
  • Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
  • Initiates or assists with emergency response measures.
  • Serves as a resource for the healthcare team and participates in staff training and new-staff orientation 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 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.
  • May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the specified training and experience conditions.
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