Outpatient Registered Nurse - RN

Fresenius Medical Care•Middletown, NY

18h•$35 - $59

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 eligible new employees or may be attained through advancement from RN CAP 1. The RN may delegate appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, patient teaching, leadership, and quality improvement activities to support patient outcomes and facility operations. The RN performs duties under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position involves direct hemodialysis patient care and collaboration with patients, families, care team members, and physicians. Dialysis experience is preferred but not required, and paid training is provided. The work is performed in a health care facility with controlled air temperature and moderate noise. It involves direct patient care, frequent and prolonged standing, bending, heavy lifting and moving patients, and possible exposure to infectious or contagious materials. Travel to training sites or other facilities may be required.

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.
Minimum of 2 years of Nephrology Nursing experience.
To provide assigned oversight as Team Leader or designated Nurse in Charge: complete all Fresenius Kidney Care education and training requirements for new employees and have a minimum of 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; frequent prolonged standing and bending; and, occasionally with assistance, moving machines or equipment up to 200 lbs. and lifting chemical and water solutions up to 30 lbs. as high as 5 feet.
May be required to travel to training sites or other facilities.

Nice To Haves

Dialysis experience is preferred but not required.

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 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 prescribed medications or medications in accordance with 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 at the facility and area level.
Ensures laboratory specimens are collected, processed, and shipped correctly; 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 Clinical Advancement Program requirements to maintain or advance.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as Team Leader or designated Nurse in Charge after completing required education and training and meeting the stated hemodialysis experience requirement.
Performs other duties assigned by the Supervisor.