Outpatient Registered Nurse - RN

Fresenius Medical Care•Knoxville, TN

13d•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in Fresenius Kidney Care’s 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. It 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 health care team, the nurse participates in decision-making, teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with company policies and procedures, nursing practice standards, and applicable state and federal regulations. The nurse works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role provides direct hemodialysis patient care and involves patient and family education, documentation, medication administration, coordination with the care team, and participation in emergency response and staff training. CAP requirements must be completed to advance. The role involves direct patient care and regular heavy lifting, moving patients, and assisting with ambulation. Work includes frequent, prolonged standing and bending. With assistance, the employee may occasionally 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. The work environment is a health care facility with controlled air temperature and moderate noise; exposure to infectious or contagious diseases and materials may occur. Work also includes desk and computer tasks and interactions with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform essential functions at other locations under similar conditions.

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 the practice requirements in the state of employment.
Entry-level designation for RNs with less than two years of Nephrology Nursing experience as a Registered Nurse.
For 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 nine months of experience as an RN, and at least three months of chronic or acute hemodialysis experience as an RN.
Ability to perform the described physical demands, with assistance or accommodations as applicable.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assesses, collaborates on, 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 according to approved algorithms and documents 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 laboratory specimens are correctly collected, processed, and shipped, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care for assigned patients in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Completes Clinical Advancement Program requirements to advance.
Performs other duties as assigned by the Supervisor.
May 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.