Outpatient Registered Nurse - RN

Fresenius Medical Care•Longview, WA

12d

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The position 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, teaching, leadership functions, and quality improvement activities to enhance patient care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and 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 Registered Nurses. This position provides direct patient care in a healthcare facility and may require travel to training sites or other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of 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 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; frequent prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 lbs.; and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
May be exposed to infectious and contagious diseases or materials.

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 treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with patient care and ancillary staff, the daily safe and effective delivery of hemodialysis therapy to 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 healthcare team and participate in staff training and orientation of new staff as assigned.
Ensure correct laboratory collection, processing, and shipping procedures, and 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.
Provide assigned 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 conditions.