Outpatient Registered Nurse - RN

Fresenius Medical Care•Phenix City, AL
•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. As a member of the End Stage Kidney Disease health care team, the nurse contributes to decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. Care is delivered in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The nurse performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Responsibilities include collecting and analyzing patient data before, during, and after hemodialysis; documenting findings and responding to changes in the treatment plan; coordinating safe and effective dialysis therapy; administering prescribed medications; and responding to emergencies. The nurse also supports patient education, laboratory processes, care planning, staff training, and awareness of transplant and treatment modality options. Completion of CAP requirements is required for advancement. The role involves direct patient care in a healthcare facility and may require travel to training sites or other facilities. Physical demands include frequent and prolonged standing, bending, lifting and moving patients, and occasionally moving equipment or lifting solutions. The employee may be exposed to infectious or contagious diseases and materials.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successfully completed CPR BLS Certification.
  • Must meet the practice requirements in the state of employment.
  • Entry-level role for Registered Nurses with less than 2 years of Nephrology Nursing experience.
  • To be assigned oversight as Team Leader or Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to meet the physical demands of direct patient care, including frequent prolonged standing and bending, assisting with patient movement and ambulation, and occasional movement of equipment and lifting of chemical and water solutions.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
  • Assess, collaborate on, and document patients’ and families’ 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 in accordance with approved algorithms, documenting medical justification and effectiveness.
  • Initiate or assist with emergency response measures.
  • Serve as a resource for the healthcare team and participate in staff training and orientation of new staff as assigned.
  • Ensure laboratory specimens are collected, processed, and shipped correctly; reschedule missed or insufficient collections.
  • Identify expected outcomes and document and update nursing assessments and care plans in collaboration with the Interdisciplinary Team.
  • Ensure patients are aware of transplant and treatment modality options.
  • Complete Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • When assigned as Team Leader or Nurse in Charge and after meeting specified prerequisites, oversee Patient Care Technicians, LPNs/LVNs, and RNs.
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