Outpatient Registered Nurse - RN

Fresenius Medical Care•Laredo, TX

1d•Onsite

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. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to decision-making, patient and family teaching, 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. The RN performs duties under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. Responsibilities are carried out in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The RN must complete CAP requirements to advance. The position involves direct patient care in a health care facility, including frequent and prolonged standing, bending, and assistance with patient movement and ambulation. The RN may move equipment with assistance, handle chemical and water solutions, and may be exposed to infectious or contagious materials. Work also 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.

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 practice requirements in the state of employment.
Entry-level RN designation for nurses with less than 2 years of nephrology nursing experience as a Registered Nurse.
To receive assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic or acute hemodialysis experience as an RN.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, modifies treatment plans as indicated, and notifies the appropriate team member or physician as needed.
Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administers prescribed medications or medications in accordance with approved algorithms, documenting medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource for the health care team and participates in staff training and new-staff orientation as assigned.
Ensures correct laboratory collection, processing, and shipping procedures; 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.
Completes CAP requirements to advance.
May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience requirements.
Performs other duties as assigned by the Supervisor.