Outpatient Registered Nurse - RN

Fresenius Medical Care•Conway, NH

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease 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, standards of nursing practice, and applicable state and federal regulations, under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. No dialysis experience is required; extensive travel for training during the first three months of education is required.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and compliance with practice requirements in the state of employment.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Entry-level RN designation for nurses with less than two years of nephrology nursing experience as a Registered Nurse.
  • Extensive travel to training sites during the first three months of education is required.
  • Ability to perform the described physical duties, including frequent prolonged standing, bending, and direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation; assistance may be provided by equipment or coworkers.
  • Must meet all stated prerequisites before receiving assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge: complete new-employee education and training requirements, have at least nine months of RN experience, and have at least three months of chronic or acute hemodialysis experience as an RN.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust the treatment plan as indicated, and notify appropriate clinical staff or physicians as needed.
  • Assess and document the basic learning needs of patients and families and provide initial and ongoing education.
  • Coordinate and provide, in collaboration with direct and ancillary patient care staff, safe and effective hemodialysis therapy for 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 orientation of new staff 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 as assigned by the Supervisor.
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