Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Newport News, VA

8d•$29 - $50

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse is responsible for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may involve 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 health care team, the nurse participates in clinical decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The nurse works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor and in collaboration with other Registered Nurses. The role includes monitoring patients before, during, and after hemodialysis; delivering and coordinating safe dialysis care; educating patients and families; administering prescribed medications; responding to emergencies; and contributing to care planning and staff development. The role provides direct patient care in a health care facility and may require travel to training sites or other facilities. Compensation is $29.00–$50.00 per hour, depending on work location and the candidate’s qualifications.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of certification.
Meet the practice requirements of the state in which employed.
Entry-level RN designation applies to Registered Nurses with less than 2 years of nephrology nursing experience.
Must meet all Fresenius Kidney Care education and training requirements for new employees before assigned oversight as Team Leader or Nurse in Charge.
Must have at least 9 months of RN experience and at least 3 months of RN experience in chronic or acute hemodialysis before assigned oversight as Team Leader or Nurse in Charge.
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 equipment weighing up to 200 lbs. and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis; document findings, modify treatment plans as indicated, and notify appropriate clinical leaders or physicians when needed.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary care staff, the daily delivery of safe and effective hemodialysis therapy.
Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource for the health care team and participate in staff training and new staff orientation as assigned.
Ensure laboratory specimens are collected, processed, and shipped correctly; reschedule missed or insufficient collections.
Identify expected outcomes and, with the Interdisciplinary Team, document and update nursing assessments and plans of care.
Ensure patients are aware of transplant and treatment modality options.
Complete Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.