Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Anderson, SC

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. 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 (ESKD) 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, nursing practice standards, and state and federal regulations. The nurse works under a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care and may involve travel to training sites or other facilities. It is an entry-level role for RNs with less than two years of nephrology nursing experience. Chronic or acute hemodialysis experience is preferred.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet practice requirements in the state of employment.
  • Current CPR BLS Certification or successful completion of CPR BLS Certification.
  • Entry-level designation for RNs with less than two years of nephrology nursing experience as a Registered Nurse.
  • To be assigned oversight as a Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees, have at least nine months of RN experience, and have at least three 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 and prolonged standing; bending; and, occasionally with assistance, moving machines and equipment weighing up to 200 pounds and lifting chemical and water solutions weighing up to 30 pounds as high as five feet.
  • May be required to travel to training sites or other facilities.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify the appropriate clinical personnel or physician when needed.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administer medications as prescribed or according to 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 new staff orientation 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 as assigned by the Supervisor.
  • May provide 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 requirements.
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