Outpatient Registered Nurse - RN

Fresenius Medical Care•Rocky Mountain, OK

8d•$38 - $56

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is responsible for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The RN may delegate 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 RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities to support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, 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 Registered Nurses. The position includes direct hemodialysis patient care, patient and family education, medication administration, emergency response, laboratory procedures, and collaboration with the Interdisciplinary Team. The RN must complete CAP requirements to advance. The role is based in a health care facility with controlled air temperature and moderate noise levels. Direct patient care involves physical activity, including lifting and moving patients, assisting with ambulation, and periods of standing and bending. The position may involve exposure to infectious or contagious materials and travel to training sites or other facilities.

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 role for Registered Nurses with less than 2 years of Nephrology Nursing experience as an RN.
To be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic/acute hemodialysis experience as an RN.
Ability to perform the described physical functions, with reasonable accommodations where applicable, including patient lifting and movement, assisting with ambulation, frequent prolonged standing, and bending.
May need to travel to training sites or other facilities.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify appropriate clinical personnel or physicians when needed.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Direct and provide the daily delivery of safe and effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a health care team resource and participate in staff training and orientation as assigned.
Ensure correct laboratory collection, processing, and shipping procedures; 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.
Complete Clinical Advancement Program (CAP) requirements to advance.
Perform other duties assigned by the Supervisor.