Outpatient Registered Nurse - RN

Fresenius Medical Care•Sellersville, PA

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse provides and coordinates 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 such as 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, teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The position performs duties in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations. The expected initial schedule is 11:00 AM to 9:30 PM; shift times may change to 11:30 AM to 10:00 PM based on operational needs. The RN works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The RN must complete CAP requirements to advance.

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 the practice requirements in the state of employment.
  • Entry-level role for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To be assigned oversight as a Team Leader or designated Nurse in Charge, must successfully 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/acute hemodialysis experience as an RN.
  • Able to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; assistance from equipment or coworkers may be available.
  • Must frequently stand for prolonged periods and be able to bend over.
  • May need to move machines and equipment weighing up to 200 lbs with assistance and lift chemical and water solutions weighing up to 30 lbs to a height of 5 feet.
  • May be required to travel to training sites or other facilities and may be asked to perform essential functions at other locations.

Nice To Haves

  • Chronic/acute hemodialysis experience is preferred.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
  • Assesses, collaborates on, and documents patients’ and families’ basic learning needs to provide initial and ongoing education.
  • Directs and provides the daily delivery of safe and effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
  • Administers prescribed medications or medications according to approved algorithms and documents medical justification and effectiveness.
  • Initiates or assists with emergency response measures.
  • Serves as a resource for the health care team and participates in staff training and new-staff orientation as assigned.
  • Ensures laboratory specimens are correctly collected, processed, and shipped; 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.
  • Performs duties under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or other Registered Nurses.
  • Completes CAP requirements to advance.
  • Performs other duties assigned by the Supervisor.
  • May have assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.
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