Outpatient Registered Nurse - RN

Fresenius Medical Care•Morehead City, NC

11d

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The RN may delegate appropriate tasks to direct patient-care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease health care team, the RN participates in decision-making, patient education, 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 RN works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care and may involve oversight of other clinical staff after specified experience and training requirements are met. The work takes place in a health care facility with controlled air temperature and moderate noise. Work includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. The role may require travel to training sites or other facilities and may involve exposure to infectious or contagious diseases and materials. Physical demands include frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation. With assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds as high as five feet. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

Graduate of an accredited School of Nursing.
Hold current appropriate state licensure.
Hold current CPR BLS Certification or successfully complete it.
Meet the practice requirements in the state of employment.
Complete all Fresenius Kidney Care education and training requirements for new employees before qualifying for assigned oversight duties.
For assigned oversight duties as a Team Leader or designated Nurse in Charge, have at least 9 months of experience as an RN and at least 3 months of experience in chronic or acute hemodialysis as an RN.
The CAP 1 designation is entry level for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform ongoing, systematic collection and analysis of patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical staff 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 in accordance with 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 correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory collections.
Identify expected outcomes and document and update the nursing assessment and plan of care in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment-modality options.
Complete Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.
Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
After meeting the stated training and experience requirements, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.