Outpatient Registered Nurse - RN

Fresenius Medical Care•Marrero, LA

21d•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 2) provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, patient and family teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Work is performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and state and federal regulations, under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor or in collaboration with other RNs. The RN provides and coordinates safe hemodialysis care, monitors and documents patient status before, during, and after treatment, updates care plans, administers prescribed medications, provides education, and responds to emergencies. The RN may delegate appropriate tasks and serve as a resource, coach, mentor, role model, or Preceptor. Direct patient care involves regular heavy lifting, moving patients, and assisting with ambulation. The role is based in a health care facility and may involve exposure to infectious or contagious diseases and materials, as well as travel to training sites or other facilities.

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 requirement.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
For assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as Team Leader or Nurse in Charge: successful completion of all FKC education and training requirements for new employees 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 regular heavy lifting, moving patients, assisting with ambulation, frequent and prolonged standing, bending, and occasionally moving machines or equipment with assistance.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment, document findings in the medical record, adjust or modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess 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 delivery of safe and effective hemodialysis therapy to assigned patients.
Administer medications as prescribed or in accordance with approved algorithms, and document medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and current employees; may serve as a Preceptor to new employees.
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.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
Complete CAP requirements to maintain or advance in the program.
Perform other duties assigned by the Supervisor.