Outpatient Registered Nurse - RN

Fresenius Medical Care•Ypsilanti, MI

10d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). 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 part 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 outcomes and facility operations. The RN performs essential functions under the direction of the Supervisor, with guidance from the Clinical Educator or Preceptor, or in collaboration with other RNs. The role includes collecting and analyzing patient data before, during, and after hemodialysis; documenting findings; adjusting treatment plans when indicated; educating patients and families; coordinating safe hemodialysis care; administering medications; responding to emergencies; supporting staff training; and collaborating with the Interdisciplinary Team on assessments and plans of care. CAP requirements must be completed to advance. The position is based at the Ann Arbor Clinic, 5205 McAuley Dr., Ypsilanti, Michigan 48197. Clinic hours are Monday through Saturday, 4:45 a.m. to 5:00 p.m., and the clinic is closed Sunday. Days and shifts rotate. On-the-job training is provided, and prior dialysis experience is not required. The work takes place in a health care facility and involves direct patient care, physical activity, and possible exposure to infectious or contagious materials. Travel to training sites or other facilities may be required.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level role for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
Ability to perform direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation; assistance from equipment or coworkers may be available.
Ability to stand for frequent, prolonged periods and bend over.
May need to move, with assistance, machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform ongoing, systematic collection and analysis of assigned patients’ data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs; provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient-care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administer medications as prescribed or according to approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource to the health care team and participate in staff training and orientation of new staff as assigned.
Ensure laboratory specimens are collected, processed, and shipped correctly; 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.