Outpatient Registered Nurse - RN

Fresenius Medical Care•Norton, VA

1d•$26 - $45•Onsite

About The Position

The Outpatient RN 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. The nurse performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. Essential functions are performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities. The position may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after completing the required FKC education and training and meeting the stated experience thresholds. The position is designated entry level for RNs with less than two years of nephrology nursing experience. Hourly pay is $26.00–$45.00, depending on work location and the successful candidate’s qualifications, including relevant education, experience, skills, and competencies. The role offers medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave. Fresenius Medical Care maintains a drug-free workplace and is an equal opportunity employer.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry level for RNs with less than 2 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 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 and prolonged standing; bending; and, occasionally with assistance, moving equipment up to 200 lbs. and lifting chemical and water solutions 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

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Direct and provide safe, effective daily hemodialysis therapy for assigned patients in collaboration with direct and ancillary patient care staff.
Administer medications as prescribed or under 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 orientation of new staff as assigned.
Ensure laboratory specimens are correctly collected, processed, and shipped; 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 CAP requirements to advance.
Perform other duties assigned by the Supervisor.
Provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge when the specified training and experience requirements have been met.