Outpatient Registered Nurse - RN

Fresenius Medical Care•Kingsville, TX
•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, such as 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 outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The RN works under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. Oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge may be assigned after the specified training and experience requirements are met.

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 position for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • For assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to perform direct patient care tasks that regularly involve heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 lbs.; and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 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 treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies appropriate team members or physicians 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 in accordance with 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 as assigned.
  • Ensures laboratory specimens are correctly collected, processed, and shipped; 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.
  • May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after completing required training and meeting experience requirements.
  • Performs other duties assigned by the Supervisor.
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