Outpatient Registered Nurse - RN

Fresenius Medical Care•Flint, MI
•Onsite

About The Position

The Outpatient Registered Nurse 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. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, patient 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, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a healthcare facility and may require travel to training sites or other facilities.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of the certification.
  • Must meet practice requirements in the state of employment.
  • Entry-level RN designation for nurses with less than 2 years of nephrology nursing experience as a Registered Nurse.
  • To provide oversight as Team Leader or designated Nurse in Charge: successful completion of all FKC 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 involving regular heavy lifting, moving patients, and assisting with ambulation; frequent and prolonged standing; and bending.
  • May need to move, with assistance, machines or 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

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts treatment plans as indicated, and notifies appropriate clinical staff or physicians as needed.
  • Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
  • Directs and provides the daily delivery of safe and effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
  • Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
  • Initiates or assists with emergency response measures.
  • Serves as a resource for the healthcare team and participates in staff training and new-staff orientation as assigned.
  • Ensures laboratory specimens are collected, processed, and shipped correctly; 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.
  • Performs other duties assigned by the Supervisor.
  • May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.
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