Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Hackensack, NJ

About The Position

The Outpatient Registered Nurse (RN CAP 2) provides and coordinates clinically competent care for an assigned group of dialysis patients, including assessment, planning, intervention, and evaluation. The nurse may delegate appropriate tasks to patient-care staff and, as part of the End Stage Kidney Disease (ESKD) health care team, participates in decision-making, patient education, leadership, and quality-improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations, under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position includes direct patient care and collaboration with patients, families, interdisciplinary team members, physicians, and facility staff. The work environment is a healthcare facility with controlled air temperature and moderate noise. The role may involve exposure to infectious or contagious diseases and materials and may require travel to training sites or other facilities. Direct care regularly involves heavy lifting, moving and assisting patients with ambulation, prolonged standing, bending, and occasionally moving equipment with assistance. Employees may need to move machines or equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. Desk and computer work are also part of the day-to-day work. The role requires graduation from an accredited school of nursing, appropriate state licensure, and current or successfully completed CPR BLS certification. The posting describes the experience level as entry level for RNs with a minimum of two years of nephrology nursing experience. Oversight of Patient Care Technicians, LVN/LPNs, and RNs as Team Leader or Nurse in Charge requires completion of FKC new-employee education and training and at least three months of chronic or acute hemodialysis experience as an RN. The position requires completion of CAP requirements to maintain or advance within the program.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successful completion of CPR BLS Certification.
  • Meet the practice requirements in the state of employment.
  • Minimum of two years of nephrology nursing experience, as stated for entry-level RNs.
  • To provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as Team Leader or Nurse in Charge: complete all FKC education and training requirements for new employees and have at least three months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform direct patient-care physical demands, including frequent and prolonged standing, bending, assisting with patient movement and ambulation, and lifting or moving loads as described in the posting.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans when indicated, and notify the appropriate clinical personnel 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 safe and effective daily delivery of hemodialysis therapy to assigned patients.
  • Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness as appropriate.
  • Initiate or assist with emergency response measures.
  • Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees at the facility and area level.
  • Ensure correct laboratory collection, processing, and shipping procedures, and 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.
  • Participate in facility- and area-level education and quality-improvement projects as directed by the Supervisor.
  • May serve as a Preceptor to new employees.
  • Complete CAP requirements to maintain or advance.
  • Perform other duties assigned by the Supervisor.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave
  • Potential performance-based bonuses, depending on company and individual performance, for bonus-eligible positions
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