Outpatient Registered Nurse - RN

Fresenius Medical Care•Grand Island, NE

8d•Onsite

About The Position

The professional registered nurse Inpatient Services RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse 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 a member of the kidney disease health care team, the nurse participates in decision-making, teaching, leadership functions, and quality improvement activities that support patient outcomes and program operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, applicable contractual service agreements, and state and federal regulations. The nurse works under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. The position may include assigned oversight of patient care staff as Nurse in Charge after required training and experience are completed. The role involves direct patient care in a healthcare facility and may require work at other assigned locations, travel between facilities and to training or meeting sites, and participation in an on-call rotation. Work may include nights, weekends, and holidays according to program needs. The position involves frequent standing and bending, patient lifting and movement, and possible exposure to infectious or contagious diseases and materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must meet practice requirements in all states in which employed.
Entry-level RN designation applies to RNs with less than 2 years of nephrology nursing experience.
Minimum 9 months of experience as a Registered Nurse is required for Nurse in Charge oversight.
Six months of acute dialysis experience is required for Nurse in Charge oversight.
Must complete FKC education and modality-specific training requirements for new employees before Nurse in Charge oversight.
Able to perform essential functions with or without reasonable accommodation.
Able to meet the physical demands of the role, including frequent prolonged standing, bending, and assisted patient movement and lifting.
Able to travel to training or meeting sites and between assigned facilities.
Must participate in an on-call rotation and may be required to work nights, weekends, and holidays according to program needs.

Nice To Haves

12 months of experience as a Registered Nurse is preferred.
Six months of acute dialysis experience is preferred.
Hemodialysis and/or ICU experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after treatment; documents findings in the medical record, modifies treatment plans as indicated, and notifies the Supervisor, Physician, primary nurse, and others as appropriate.
Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
Recognizes patient status variations from normal and reports or collaborates with appropriate health team members.
Directs and provides safe, effective care for assigned patients in accordance with prescribed modality-specific treatment procedures.
Assesses daily patient care needs and collaborates with direct and ancillary patient care staff as needed.
Coordinates communication with FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implements, administers, monitors, and documents patient responses to prescribed intradialytic transfusions, and reports adverse reactions to the physician and appropriate blood supplier.
Administers prescribed medications and documents medical justification and effectiveness.
Initiates and assists with emergency response measures.
Serves as a health care team resource and participates in staff training and orientation as assigned.
May provide specialized nursing care instruction to hospital or facility staff as contractually stipulated.
May assist in an outpatient facility as needed.
Completes CAP requirements to advance.
Performs other duties assigned by the Supervisor.
May oversee Patient Care Technicians, LVN/LPNs, and RNs as a designated Nurse in Charge after meeting the stated training and experience requirements.