Outpatient Registered Nurse - RN

Fresenius Medical Care•Detroit, MI

3d•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 (ESKD) health care team, the RN contributes to decision-making, patient and family teaching, 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 RN performs essential functions under a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Responsibilities include monitoring patients before, during, and after hemodialysis; coordinating safe and effective therapy; administering prescribed medications; supporting emergency response; and documenting assessments, interventions, and care plans. The RN may also provide oversight to patient care staff as a Team Leader or Nurse in Charge after completing required training and meeting experience criteria. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. Work includes prolonged standing, bending, moving and assisting patients, and occasional assisted movement of equipment and lifting of supplies. The employee may be exposed to infectious or contagious materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successfully completed CPR BLS Certification.
Must meet practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
For assigned oversight as a Team Leader or designated 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 perform the physical functions described, including prolonged standing, bending, patient movement and assistance with ambulation, and occasional movement or lifting of equipment and supplies.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings and modifies treatment plans as indicated, notifying appropriate clinical personnel 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, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administers medications as prescribed or according to approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensures appropriate laboratory collection, processing, and shipping procedures and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Participates in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Completes CAP requirements to maintain or advance.
May provide oversight of Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience criteria.
Performs other duties as assigned by the Supervisor.