Outpatient Registered Nurse - RN

Fresenius Medical Care•Norfolk, VA

8d•$29 - $50

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 such as 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 that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The RN works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. After completing required education and training and meeting experience criteria, the RN may oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge. The role involves direct patient care in a health care facility. Work includes regular heavy lifting and moving patients, frequent and prolonged standing, bending, and occasional assisted movement of machines and equipment weighing up to 200 pounds. The employee may lift chemical and water solutions weighing up to 30 pounds to heights of five feet. The work environment has controlled air temperature and moderate noise, with possible exposure to infectious and contagious diseases or materials. Day-to-day work includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry-level role for RNs with less than two years of nephrology nursing experience as a Registered Nurse.
For assigned oversight as Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least nine months of RN experience, and at least three months of chronic/acute hemodialysis experience as an RN.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Provide and coordinate assessment, planning, intervention, and evaluation of care for assigned patients.
Collect and analyze patient data before, during, and after hemodialysis; document findings, modify treatment plans when indicated, and notify appropriate clinical personnel or physicians as needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Direct and provide the daily delivery of safe and effective hemodialysis therapy in collaboration with patient-care and ancillary staff.
Administer prescribed medications or medications under approved algorithms, documenting 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 new-staff orientation as assigned.
Ensure correct laboratory collection, processing, and shipping; reschedule missed or insufficient laboratory 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 requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting the stated training and experience requirements, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.