Outpatient Registered Nurse - RN

Fresenius Medical Care•Casselberry, FL

1d•Onsite

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 (CAP) for qualifying new employees or may be attained through advancement from RN CAP 1. The RN is part of the End Stage Kidney Disease (ESKD) health care team and contributes to clinical decision-making, patient teaching, leadership, quality improvement, 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 provides direct patient care and coordinates safe, effective hemodialysis treatment. The position works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. It may include oversight of Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or Nurse in Charge after required training and experience are completed. The role is based in a health care facility with air temperature control and moderate noise. Work includes patient interaction, desk and computer work, and may involve exposure to infectious or contagious diseases and materials. The position regularly involves heavy lifting, moving patients, and assisting with ambulation, as well as prolonged standing and bending. Assistance from equipment or coworkers may be available. Occasional duties include moving machines or equipment with assistance and lifting chemical or water solutions. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations under similar conditions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level RN candidates must have a minimum of 2 years of Nephrology Nursing experience.
For assigned oversight as a Team Leader or designated Nurse in Charge, successfully complete all Fresenius Kidney Care education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform the physical demands of direct patient care, including heavy lifting, moving patients, assisting with ambulation, prolonged standing, and bending.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify appropriate clinical staff or physicians as needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administer prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees at the facility and area level.
Ensure laboratory specimens are collected, processed, and shipped correctly; 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 CAP requirements to maintain or advance in the program.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.
Perform other duties assigned by the Supervisor.