Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Philadelphia, PA

4d•Onsite

About The Position

The Outpatient 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 qualifying new employees or attained through advancement from RN CAP 1. The nurse may delegate appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease health care team in decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The position delivers and coordinates safe hemodialysis care in accordance with Fresenius Kidney Care policies, procedures, nursing standards, and applicable state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. After completing required training and meeting experience criteria, the nurse may oversee Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or Nurse in Charge. The work takes place in a health care facility and includes direct patient care, computer and desk work, and interaction with patients, facility or hospital staff, and physicians. It involves frequent prolonged standing and bending, and may require lifting or moving patients and equipment, with assistance as needed. Travel to training sites or other facilities may be required.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with the practice requirements of the state of employment.
Current CPR BLS certification or successful completion of the certification.
Minimum of 2 years of Nephrology Nursing experience.
To provide assigned oversight as a Team Leader or Nurse in Charge: complete all FKC education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform the position’s physical duties, including frequent prolonged standing and bending, and direct patient care involving lifting, moving patients, and assisting with ambulation; assistance may be available.
May 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

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess, collaborate on, 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 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, leader, coach, mentor, and role model for new and current employees, demonstrating appropriate behavior and work habits.
Ensure correct laboratory collection, processing, and shipping procedures, and 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.
Perform other duties assigned by the Supervisor.