Outpatient Registered Nurse - RN

Fresenius Medical Care•Knoxville, TN

13d•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 eligible 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 nurse participates in decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and state and federal regulations, under the direction of the Supervisor and with appropriate clinical guidance or collaboration. The position provides direct patient care in a health care facility. Work includes interaction with patients, facility and hospital staff, and physicians, as well as desk and computer work. The nurse may need to travel to training sites or other facilities, and may be asked to perform the role at other locations under the same conditions. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious or contagious diseases and materials. Physical demands include frequent, prolonged standing, bending, heavy lifting and moving patients, and assisting with ambulation. With assistance, the employee may occasionally move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. Equipment or coworkers may assist with physical tasks; reasonable accommodations may be made for employees with disabilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state 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.
For assigned oversight as Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees and at least 3 months of chronic or acute hemodialysis experience as an RN.
Able to meet the described physical demands, including frequent prolonged standing, bending, heavy lifting and moving patients, assisting with ambulation, and occasionally moving or lifting equipment and solutions within the stated weight limits.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings in the medical record, adjust treatment plans as indicated, and notify the appropriate clinical personnel or physician as 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 patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administer prescribed medications or medications according to approved algorithms, and document 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 at the facility and area level.
Ensure laboratory collections, processing, and shipping are performed correctly; 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.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.