Outpatient Registered Nurse - RN

Fresenius Medical Care•Charlotte, NC
•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 1) is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program. The RN provides and coordinates 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, such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. Work is conducted under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other RNs. Clinic hours are 5 a.m. to 5 p.m., Monday through Saturday. The schedule consists of three 11- to 12-hour shifts, with rotation and no Sundays. The role provides direct patient care in a health care facility and may require travel to training sites or other facilities. Fresenius offers wellness plans, health insurance, matching 401(k), flexible schedules, and paid time off. The employer maintains a drug-free workplace and is an equal opportunity employer.

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 for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To provide assigned oversight as Team Leader or Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic/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 or 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

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings and makes indicated treatment-plan adjustments or modifications, notifying the appropriate clinical staff 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 medications as prescribed or 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 orientation of new staff as assigned.
  • Ensures correct laboratory collection, processing, and shipping procedures; 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 to advance.
  • Performs other duties 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 prerequisites.

Benefits

  • Wellness plans
  • Health insurance
  • Matching 401(k)
  • Flexible schedules
  • Paid time off
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