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 (CAP). The role provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. It 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 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, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The role includes direct patient care related to hemodialysis, patient and family education, medication administration, documentation, emergency response, and coordination with the Interdisciplinary Team. CAP requirements must be completed to advance. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. The role includes regular heavy lifting and patient movement, frequent and prolonged standing, and bending. The employee may occasionally move equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds as high as five feet. Exposure to infectious or contagious diseases or materials may occur.

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 the practice requirements in the state of employment.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To receive 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 perform the described physical demands, including frequent prolonged standing, bending, and regular heavy lifting, moving patients, and assisting with ambulation; assistance may be provided by equipment or coworkers.
May be required to travel to training sites or other facilities and to provide essential functions at other locations.

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.
Systematically collect and analyze patient data before, during, and after hemodialysis treatment; document findings; adjust or modify treatment plans as indicated; and notify the appropriate team member 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 medications as prescribed or 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 orientation of new staff 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 CAP requirements to advance.
Perform other duties as assigned by the Supervisor.