Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Jonesboro, GA

About The Position

The Outpatient Registered Nurse (RN) CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. 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 clinical decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The RN performs essential duties under the direction of a Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Duties must follow Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The position may provide oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after completing required education and training and meeting the stated hemodialysis experience requirement. The position provides direct patient care in a health care facility. Work includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. The employee may travel to training sites or other facilities and may be asked to perform the role at other locations. The work environment has controlled air temperature and moderate noise and may involve exposure to infectious or contagious diseases or materials. Physical demands include regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending; occasionally moving machines or 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 provide assistance, and reasonable accommodations may be made for individuals with disabilities.

Requirements

  • Must have dialysis experience.
  • 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.
  • Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
  • To receive assigned oversight as a Team Leader or designated Nurse in Charge, successful completion of all FKC education and training requirements for new employees and a minimum of 3 months of chronic or acute hemodialysis experience as an RN are required.
  • Must complete CAP requirements to maintain or advance.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical staff or physician as needed.
  • Assess, collaborate on, 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, leader, coach, mentor, and role model for new and incumbent employees.
  • Ensure laboratory collection, processing, and shipping procedures are performed correctly, and 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.
  • Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
  • May serve as a Preceptor to new employees.
  • Complete CAP requirements to maintain or advance in the program.
  • Perform other duties assigned by the Supervisor.
  • May provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience conditions.
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