Outpatient Registered Nurse - RN

Fresenius Medical Care•Madison Heights, MI

26d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN 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 patient care staff. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient education, leadership functions, and quality improvement activities to support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable 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 RNs. The role involves direct patient care in a health care facility and may require travel to training sites or other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successfully completed CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry-level position for RNs 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, must successfully complete 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.
Must be able to meet the position’s physical demands, including regular heavy lifting, moving patients, assisting with ambulation, prolonged standing, and bending. With assistance, may need to move machines and equipment weighing up to 200 lbs. and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment, documents findings, adjusts or modifies treatment plans as indicated, and notifies appropriate team members or physicians as needed.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary care staff, safe and effective daily hemodialysis therapy for assigned patients.
Administers prescribed medications or medications in accordance with 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 correct laboratory collection, processing, and shipping procedures, and 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 requirements of the Clinical Advancement Program (CAP) to advance.
May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the specified training and experience requirements.
Performs other duties as assigned by the Supervisor.