Outpatient Registered Nurse - RN

Fresenius Medical Care•Fayetteville, TN

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the 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. The role may include delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease health care team, the RN participates in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The position provides direct patient care in a health care facility and includes interaction with patients, facility and hospital staff, and physicians, as well as desk and computer work. The role may involve travel to training sites or other facilities and may require performing essential functions at other locations. Work may involve exposure to infectious or contagious diseases and materials.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet practice requirements in the state of employment.
  • Entry-level RN designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To provide assigned oversight as a Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have 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; assistance from equipment or coworkers may be available.
  • Ability to stand for frequent, prolonged periods and bend over.
  • May need to move machines or equipment weighing up to 200 lbs. with assistance 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

  • Provide and coordinate clinically competent care, including assessment, planning, intervention, and evaluation, for assigned patients.
  • Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust 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.
  • Coordinate and provide safe and effective daily hemodialysis therapy in collaboration with direct and ancillary patient care staff.
  • Administer prescribed medications or medications in accordance with 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 new-staff orientation as assigned.
  • Ensure correct laboratory collection, processing, and shipping procedures; 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.
  • May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after completing required education and training and meeting the stated experience requirements.
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