Outpatient Registered Nurse -RN

Fresenius Medical Care•Detroit, MI

26d

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The nurse may delegate appropriate tasks to direct patient care staff and, as a member of the End Stage Kidney Disease health care team, contributes to decision-making, patient teaching, leadership functions, quality improvement, patient outcomes, and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing standards, and applicable state and federal regulations. The nurse performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position includes ongoing patient assessment and documentation around hemodialysis treatment, coordination of safe and effective therapy, medication administration, patient and family education, emergency response, laboratory procedures, care planning, and support for staff training and orientation. CAP requirements must be completed for advancement. The role provides direct patient care in a health care facility and may involve travel to training sites or other facilities. The work environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases and materials. Physical demands include frequent and prolonged standing, bending, heavy lifting and moving patients, assisting with ambulation, and occasionally moving equipment with assistance or lifting chemical and water solutions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current or successful completion of CPR BLS Certification.
Entry-level role for Registered Nurses 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 meet the stated physical demands of direct patient care, including prolonged standing, bending, heavy lifting and moving patients, and assisting with ambulation.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Coordinate and provide safe, effective daily hemodialysis therapy in collaboration with direct and ancillary patient care staff.
Administer prescribed medications or medications in accordance with approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource to 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 collections.
Identify expected outcomes and document and update nursing assessments and care plans in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.