Outpatient Registered Nurse - RN

Fresenius Medical Care

13d•$33 - $56

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. It may include delegating appropriate tasks to direct patient care staff, including 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, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The role performs its duties in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations. The RN works under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. Advancement requires completion of CAP requirements. The position provides direct patient care in a health care facility and may involve travel to training sites or other facilities. Work includes patient and staff interactions as well as desk and computer work. Physical demands include regular heavy lifting, moving patients, assisting with ambulation, prolonged standing, bending, and occasionally moving machines or equipment weighing up to 200 pounds with assistance and lifting chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment has air temperature control and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials.

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 CPR BLS certification.
Entry-level RN designation applies to registered nurses with less than two years of Nephrology Nursing experience.
To receive assigned oversight as a Team Leader or designated Nurse in Charge: completion of all FKC education and training requirements for new employees, at least nine months of RN experience, and at least three months of chronic or acute hemodialysis experience as an RN.

Nice To Haves

Chronic or 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 appropriate clinical personnel or physicians as needed.
Assesses, collaborates on, 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administers prescribed medications or medications under 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 collection, processing, and shipping procedures are performed correctly, 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.
Completes Clinical Advancement Program requirements for advancement.
Performs other duties assigned by the Supervisor.
May provide 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.