Outpatient Registered Nurse - RN

Fresenius Medical Care•Casselberry, FL

18d•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 participates in clinical decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Care and other duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN provides direct patient care related to hemodialysis, coordinates with patient care and ancillary staff, and may delegate appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians. Under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other RNs, the nurse completes assigned duties and may serve as a resource or preceptor for employees. The position includes direct patient care in a healthcare facility, desk and computer work, and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations.

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.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
To receive assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees and 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; occasional assisted movement of machines and equipment weighing up to 200 lbs.; and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Ability to work in a healthcare facility environment with moderate noise and possible exposure to infectious or contagious diseases and materials.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings and adjusts or modifies treatment plans as indicated, notifying the Team Leader, Charge Nurse, Supervisor, or Physician 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, documenting 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 correct 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.
Performs other duties assigned by the Supervisor.