Outpatient Registered Nurse - RN

Fresenius Medical Care•Boise, ID

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is responsible for providing and coordinating clinically competent care—including patient assessment, planning, intervention, and evaluation—for an assigned group of patients. The position is part of the End Stage Kidney Disease (ESKD) health care team and contributes to decision-making, patient and family education, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The RN delivers and coordinates safe hemodialysis care in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The role may include appropriate delegation to direct patient care staff. CAP requirements must be completed for advancement. The job involves direct patient care and regular lifting, moving patients, and assisting with ambulation. It requires frequent, prolonged standing and bending. With assistance, the employee may occasionally move machines and equipment weighing up to 200 pounds, and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment is a temperature-controlled health care facility with moderate noise levels and possible exposure to infectious or contagious diseases or materials. Daily work also 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 position’s essential functions at other locations under the same physical demands and working conditions. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws and is an equal opportunity employer.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Meet the practice requirements in the state of employment.
Entry-level RN designation applies to Registered Nurses with less than two years of nephrology nursing experience.
To receive assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge: successfully complete all Fresenius Kidney Care education and training requirements for new employees, have at least nine months of RN experience, and have at least three months of chronic or acute hemodialysis experience as an RN.
Ability to meet the stated physical demands, including frequent prolonged standing, bending, patient lifting and movement, and occasional assisted movement of equipment and lifting of solutions.

Nice To Haves

Chronic or acute hemodialysis experience.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis; document findings in medical records; adjust treatment plans when 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, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications 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 Clinical Advancement Program requirements for advancement.
Perform other duties as assigned by the Supervisor.