Outpatient Registered Nurse - RN

Fresenius Medical Care•Warrensville Heights, OH
•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 1) is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients receiving outpatient hemodialysis. The role is part of the End Stage Kidney Disease health care team and contributes to decision-making, patient education, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The position works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor and collaboration with other Registered Nurses. The Warrensville Heights clinic operates Monday, Wednesday, and Friday, from 6 a.m. to 6:30 p.m., with three shifts per week. No prior dialysis experience is required, and comprehensive paid training is provided. The position may involve travel to training sites or other facilities and may require performing essential duties at other locations.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and ability to meet practice requirements in the state of employment.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • For assigned oversight as Team Leader or designated Nurse in Charge: successful completion of all FKC 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 perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation, with equipment or coworker assistance as needed.
  • Ability to stand for frequent, prolonged periods and bend over.
  • Ability to move, with assistance, machines and equipment weighing up to 200 pounds, and lift chemical and water solutions weighing up to 30 pounds as high as 5 feet.
  • Ability to work in a health care facility environment with moderate noise and possible exposure to infectious and contagious diseases or materials.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Provide and coordinate clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation.
  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify appropriate clinical staff or physicians as needed.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Coordinate and provide safe, effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
  • 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 laboratory specimens are collected, processed, and shipped correctly; 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 Clinical Advancement Program requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • After meeting stated training and experience requirements, may oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.

Benefits

  • Comprehensive paid training.
  • Predictable schedule of three shifts per week.
  • Career advancement opportunities.
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