Outpatient Registered Nurse - RN

Fresenius Medical Care•Normandy, MO

1d•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The role provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The nurse may delegate appropriate tasks to direct patient-care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease health care team, the nurse participates in decision-making, patient education, 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. Essential functions are performed under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position involves direct patient care and regular heavy lifting, moving patients, and assisting with ambulation. It requires frequent, prolonged standing and bending. With assistance, the nurse may occasionally move machines or equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work takes place in a healthcare facility with controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials. Day-to-day duties include desk and computer work and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the nurse may be asked to perform essential functions at other locations under the same working conditions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry-level RN designation for nurses with less than two years of nephrology nursing experience as a Registered Nurse.
Direct patient-care work requires regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and occasional assisted movement of equipment up to 200 pounds and lifting of chemical and water solutions up to 30 pounds as high as five feet.
May be exposed to infectious and contagious diseases or materials.
Must complete Fresenius Kidney Care education and training requirements for new employees, have at least nine months of RN experience, and have at least three months of chronic or acute hemodialysis experience to receive the described Team Leader or Nurse in Charge oversight assignment.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data systematically before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies appropriate clinical personnel 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administers prescribed medications or medications under approved algorithms, documenting 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 new-staff orientation as assigned.
Ensures correct laboratory collection, processing, and shipping procedures, and 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 conditions.