Outpatient Registered Nurse - RN

Fresenius Medical Care•Collierville, TN

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 be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease health care team, the RN contributes to clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN coordinates safe and effective hemodialysis care, monitors and documents patient status before, during, and after treatment, administers prescribed medications, and updates care plans in collaboration with the Interdisciplinary Team. The position may include delegating appropriate tasks and, after meeting specified qualifications, providing oversight to Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or Nurse in Charge. The role operates under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The work takes place in a health care facility and involves direct patient care, frequent and prolonged standing, bending, and regularly lifting, moving, or assisting patients. The employee may occasionally move equipment with assistance and may be exposed to infectious or contagious diseases and materials. Travel to training sites or other facilities may be required.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state nursing licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Meet the practice requirements in the state of employment.
  • For entry-level RN consideration, at least 2 years of Nephrology Nursing experience.
  • To receive assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or Nurse in Charge: complete all FKC education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Complete applicable 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 when indicated, and notify appropriate clinical personnel as needed.
  • Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
  • Direct and provide, in collaboration with direct and ancillary care staff, the daily delivery of safe and effective hemodialysis therapy.
  • Administer medications as prescribed or according to 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 current employees.
  • Ensure correct laboratory collection, processing, and shipping procedures, 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 Clinical Advancement Program requirements to maintain or advance.
  • Perform other duties assigned by the Supervisor.
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