Outpatient Registered Nurse - RN

Fresenius Medical Care•Muskogee, OK

24d

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in decision-making, patient teaching, 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 position involves direct patient care in a health care facility, including frequent and prolonged standing, bending, and assisting with patient movement and ambulation. The work environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials. Daily work also includes desk and computer work 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 with the same physical demands and working conditions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successfully completed CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry-level role for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To provide assigned oversight as a 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.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may provide assistance.
Ability to stand frequently for prolonged periods and bend over.
May need to move, with assistance, machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings in the medical record, modify the treatment plan as indicated, and notify the Team Leader, Charge Nurse, Supervisor, 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 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 for the health care team and participate in staff training and new staff orientation as assigned.
Ensure correct laboratory collection, processing, and shipping procedures; reschedule missed or insufficient laboratory 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.
May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.