Outpatient Registered Nurse - RN

Fresenius Medical Care•Starke, FL

26d

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. Duties may include delegating appropriate tasks to direct patient care staff, such as RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to clinical decisions, patient and family education, leadership activities, and quality improvement efforts that support patient outcomes and facility operations. The RN provides care under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position involves assessing patients before, during, and after hemodialysis; coordinating and delivering safe treatment; administering prescribed medications; responding to emergencies; documenting care; supporting patient education and treatment planning; and participating in staff training and orientation as assigned. Advancement requires completion of CAP requirements. Direct patient care regularly involves lifting and moving patients and assisting with ambulation. The work includes frequent, prolonged standing and bending. The employee may sometimes move machines and equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds to a height of 5 feet. The setting is a health care facility with controlled air temperature and moderate noise. Exposure to infectious or contagious diseases or materials may occur. Work includes desk and computer tasks 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 under the same conditions.

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.
For assigned oversight as Team Leader or designated Nurse in Charge: successfully complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Entry-level designation is 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 essential functions under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data systematically before, during, and after hemodialysis; document findings, adjust or modify treatment plans as indicated, and notify appropriate clinical staff or physicians as needed.
Assess and document patient and family learning needs and provide initial and ongoing education.
Coordinate and provide, with direct and ancillary patient care staff, safe and effective hemodialysis therapy for assigned patients.
Administer medications as prescribed or according to approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource to 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 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.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting the stated training and experience conditions, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge.