Outpatient Registered Nurse - RN

Fresenius Medical Care•Birmingham, AL

27d•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 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, teaching, leadership functions, and quality improvement activities that support patient care outcomes and facility operations. All 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 a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The position includes direct patient care in a health care facility and may require travel to training sites or other facilities. After meeting specified training and experience requirements, the RN may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge.

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 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.
To be 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 or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 pounds; and lifting chemical and water solutions weighing up to 30 pounds as high as five feet.
May be exposed to infectious and contagious diseases or materials.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis; documents findings, modifies treatment plans as indicated, and notifies the appropriate team member or physician 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 delivery of safe and effective hemodialysis therapy to assigned patients.
Administers prescribed medications or medications under 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 orientation of new staff when 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 oversee Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after completing required training and meeting the stated RN experience requirements.