Outpatient Registered Nurse - RN

Fresenius Medical Care•Conway, SC

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse 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, 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 to enhance patient-care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The nurse performs essential functions under the direction of a Supervisor, 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.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS Certification or successful completion of it.
  • Meet the practice requirements in the state of employment.
  • The role is an entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To provide assigned oversight as Team Leader or designated Nurse in Charge, successfully complete all FKC education and training requirements for new employees and have at least 9 months of RN experience and at least 3 months of chronic/acute hemodialysis experience as an RN.
  • Ability to perform direct patient-care duties involving regular heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing; and bending over. Assistance from equipment or coworkers may be available.
  • May need to move, with assistance, machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data systematically before, during, and after hemodialysis; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical leader or physician when 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 prescribed medications or medications under 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 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.
  • May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.
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