Outpatient Registered Nurse - RN

Fresenius Medical Care•Shelby Township, MI
•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The RN may delegate appropriate tasks to direct patient care staff and, as a member of the End Stage Kidney Disease (ESKD) health care team, participates in decision-making, patient teaching, leadership functions, and quality improvement activities that 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 provides 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 designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To provide assigned oversight as Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform the described physical functions, including frequent and prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; assistance or equipment may be available.

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 appropriate clinical personnel or physicians 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 safe and effective delivery of hemodialysis therapy to 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 Clinical Advancement Program requirements to advance.
  • Performs other duties assigned by the Supervisor.
  • May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting specified education, training, and experience requirements.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service