Outpatient Registered Nurse - RN

Fresenius Medical Care•Marion, OH

2d•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse provides and coordinates 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. As part of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing standards, and applicable state and federal regulations. The position provides direct patient care in a health care facility and involves regular heavy lifting, moving patients, and assisting with ambulation, with equipment or coworker assistance as needed. It also involves frequent, prolonged standing and bending. The employee may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials. Daily 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 position’s essential functions at other locations. The role is an entry-level position for registered nurses with less than two years of nephrology nursing experience. Chronic or acute hemodialysis experience is preferred. The nurse must graduate from an accredited school of nursing, hold appropriate current state licensure, and have current or successfully complete CPR BLS certification. The nurse must meet practice requirements in the state of employment. CAP requirements must be completed to advance. After completing FKC education and training requirements for new employees, a nurse may receive assigned oversight of patient care technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the specified RN and hemodialysis experience thresholds.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level designation for RNs with less than two years of nephrology nursing experience as a Registered Nurse.
To receive assigned oversight as a Team Leader or designated Nurse in Charge, complete all FKC education and training requirements for new employees and have at least nine months of RN experience and at least three months of chronic or acute hemodialysis experience as an RN.

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, Preceptor, or other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate team member 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 according to 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 laboratory specimens are correctly collected, processed, and shipped; reschedule missed or insufficient 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.
Complete CAP requirements to advance.
Perform other duties as assigned by the Supervisor.