Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Houston, TX
•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. As a member of the End Stage Kidney Disease health care team, the RN contributes to decision-making, patient education, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN may delegate appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and state and federal regulations. The RN performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position includes direct patient care in a healthcare facility and may require travel to training sites or other facilities.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet the practice requirements in the state of employment.
  • Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
  • To serve in assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform the physical demands of direct patient care, including frequent prolonged standing and bending, heavy lifting, moving patients, and assisting with ambulation. May occasionally need to move machines or equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings and adjusts the treatment plan as indicated, notifying appropriate clinical staff or a physician when needed.
  • Assesses and documents patient and family learning needs and provides initial and ongoing education.
  • Directs and provides the daily delivery of safe and effective hemodialysis therapy in collaboration with patient care and ancillary staff.
  • Administers prescribed medications or medications according to approved algorithms and documents medical justification and effectiveness.
  • Initiates or assists with emergency response measures.
  • Acts as a resource, leader, coach, mentor, and role model for new and incumbent employees at the facility and area level.
  • Ensures correct laboratory collection, processing, and shipping procedures and reschedules missed or insufficient collections.
  • Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensures patients are aware of transplant and treatment modality options.
  • Participates in facility- and area-level education and quality improvement projects as directed by the Supervisor.
  • May serve as a Preceptor to new employees.
  • Completes CAP requirements to maintain or advance.
  • 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 conditions.
  • Performs other duties as assigned by the Supervisor.
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