Outpatient Registered Nurse - RN

Fresenius Medical Care•Portsmouth, VA

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. It may include delegating appropriate tasks to direct patient-care staff such as 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. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The position provides direct patient care in a health care facility. Work includes patient interactions, desk and computer work, and collaboration with facility or hospital staff and physicians. The role may involve travel to training sites or other facilities and may require providing essential functions at other locations. The work environment has air temperature control and moderate noise levels, with possible exposure to infectious or contagious diseases and materials. Physical demands include regularly lifting, moving, and assisting patients with ambulation; frequent, prolonged standing and bending; occasionally moving equipment weighing up to 200 pounds with assistance; and lifting chemical and water solutions weighing up to 30 pounds as high as five feet. Equipment or coworkers may assist with physical tasks. Reasonable accommodations may be made for individuals with disabilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current CPR BLS Certification or successful completion of the certification.
Entry-level RN designation for candidates with less than 2 years of nephrology nursing experience as a Registered Nurse.
To be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge: successfully complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to meet the described physical demands, including patient handling, prolonged standing, bending, and lifting or moving items as specified in the posting.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data systematically before, during, and after hemodialysis treatment; document findings, adjust or modify the treatment plan as indicated, and notify the Team Leader, Charge Nurse, Supervisor, 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 delivery of safe and effective hemodialysis therapy to assigned patients.
Administer prescribed medications or medications in accordance with 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 new-staff orientation as assigned.
Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory collections.
Identify expected outcomes and document and update nursing assessments and plans of care for assigned patients in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment-modality options.
Complete Clinical Advancement Program (CAP) requirements to advance.
Perform other duties assigned by the Supervisor.