Outpatient Registered Nurse - RN

Fresenius Medical Care•Queen Creek, AZ

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. The RN may delegate appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN 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 RN works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities. The role involves frequent standing and bending, patient movement and assistance with ambulation, and occasional assisted movement of equipment and lifting of supplies. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious or contagious materials.

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 applies to RNs with less than two years of nephrology nursing experience.
To be assigned oversight duties as a Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least nine months of RN experience, and at least three 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 in the patient medical record, modifies treatment plans as indicated, and notifies the appropriate clinical personnel 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 delivery of safe and effective hemodialysis therapy to assigned patients.
Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource to the health care team and participates in staff training and new-staff orientation as assigned.
Ensures proper 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.
Completes Clinical Advancement Program requirements for advancement.
May oversee Patient Care Technicians, LPNs/LVNs, and RNs as a Team Leader or designated Nurse in Charge after meeting the stated education, training, and experience requirements.
Performs other duties assigned by the Supervisor.