Outpatient Registered Nurse - RN

Fresenius Medical Care•Northfield, NJ
•$33 - $56

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The position is accountable for providing and coordinating clinically competent care, including patient assessment, planning, intervention, and evaluation for an assigned group of patients. The RN may delegate 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 RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The RN performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Work must follow Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. After completing required training and meeting experience criteria, the RN may have assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge. The work is performed in a health care facility and includes direct patient care, desk and computer work, and interaction with patients, facility or hospital staff, and physicians. The role involves frequent, prolonged standing and bending, and regular heavy lifting, moving patients, and assisting with ambulation. With assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds as high as five feet. Travel to training sites or other facilities may be required. The employee may be exposed to infectious and contagious diseases or materials.

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 the certification.
  • Entry-level RN designation for nurses with less than two years of nephrology nursing experience as a Registered Nurse.
  • To be assigned oversight responsibilities 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 the stated physical functions, including frequent prolonged standing and bending, patient handling and ambulation assistance, and occasional assisted movement or lifting of specified equipment and solutions.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment, documents findings in the medical record, modifies treatment plans as indicated, and notifies the appropriate team member or physician as needed.
  • Assesses 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, safe and effective daily hemodialysis therapy for 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 new staff orientation as assigned.
  • Ensures laboratory specimens are correctly collected, processed, and shipped, and reschedules missed or insufficient collections.
  • Identifies expected outcomes and documents and updates nursing assessments and care plans in collaboration with the Interdisciplinary Team.
  • Ensures patients are aware of transplant and treatment modality options.
  • Completes Clinical Advancement Program (CAP) requirements to advance.
  • Performs other duties assigned by the Supervisor.
  • May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave
  • Potential performance-based bonuses depending on company and individual performance (for bonus-eligible positions)
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