Outpatient Registered Nurse - RN

Fresenius Medical Care•Smithfield, NC

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 position may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or attained through advancement from RN CAP 1. The RN may delegate appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease (ESKD) health care team in decision-making, teaching, leadership, and quality improvement activities. 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. Responsibilities include assessing patients before, during, and after hemodialysis; coordinating safe and effective treatment; educating patients and families; administering prescribed medications; responding to emergencies; supporting and mentoring staff; and contributing to care planning and quality improvement. Duties must comply with Fresenius Kidney Care policies and procedures, standards of nursing practice, and applicable state and federal regulations. The job involves direct patient care and regular heavy lifting, moving patients, and assisting with ambulation. The RN frequently stands for prolonged periods and must be able to bend. With assistance, the employee may move machines or equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. The healthcare facility environment has controlled air temperature and moderate noise; exposure to infectious or contagious diseases or materials may occur. Work also includes 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 RN may be asked to work at other locations with similar demands and conditions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Meet the practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing; and bending.
Ability, with assistance, to move machines or equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet.

Responsibilities

Provide and coordinate clinically competent care, including assessment, planning, intervention, and evaluation for assigned patients.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify appropriate clinical personnel or the physician as needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy.
Administer medications as prescribed or according to approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensure laboratory specimens are collected, processed, and shipped correctly, and reschedule missed or insufficient collections.
Identify expected outcomes and document and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance in the program.
Perform other duties assigned by the Supervisor.